發(fā)布時間：2018-08-22 08:45

【摘要】：目的:良好的孕期健康管理是優(yōu)生優(yōu)育的關(guān)鍵,對減少孕產(chǎn)婦死亡亦具有重要作用。隨著移動醫(yī)療的發(fā)展,孕婦可通過App獲取若干健康管理服務(wù),孕婦健康管理類App逐漸成為促進孕婦健康管理的一種新工具。本研究通過對孕婦健康管理類App相關(guān)情況的調(diào)查,了解孕婦對健康管理類App的使用、需求情況和對社區(qū)健康管理的認知情況并分別探討三者的主要影響因素,從孕婦、App開發(fā)設(shè)計、社區(qū)、政府等角度提出完善孕婦健康管理服務(wù)的建議。方法:采用文獻檢索法描述國內(nèi)外基于移動醫(yī)療的孕婦健康管理研究進展及關(guān)注熱點,總結(jié)歸納其研究概況及發(fā)展方向,為本課題的研究方案設(shè)計提供依據(jù);采用分層隨機抽樣方法對孕婦健康管理類App需求現(xiàn)狀進行調(diào)查;采用描述性分析、t檢驗、卡方檢驗、方差分析、二元logistic回歸分析、多重線性回歸分析等方法進行統(tǒng)計分析。結(jié)果:1.被調(diào)查孕婦中,使用健康管理類App 507例,占78.6%,未使用健康管理類App 138例,占21.4%,使用率較高;對孕期社區(qū)健康管理認知度調(diào)查中,高認知度248例,占38.5%,低認知度397例,占61.6%,認知度普遍不高;對健康管理類App需求情況調(diào)查中,需要健康管理類App 557例,占86.4%,不需要健康管理類App 88例,占13.6%,需求率較高。2.在孕婦對健康管理類App使用情況的單因素分析中,不同年齡、胎數(shù)、上網(wǎng)時間、社區(qū)健康管理認知度、自身健康需求的孕婦對健康管理類App使用情況差異均有統(tǒng)計學意義;3.在孕婦對社區(qū)健康管理認知的單因素分析中,不同胎數(shù)的孕婦對社區(qū)健康管理認知差異具有統(tǒng)計學意義;4.在孕婦對健康管理類App需求情況的單因素分析中,不同戶籍、胎數(shù)、年齡、文化程度、上網(wǎng)時長、自身健康管理需求、使用情況、使用頻率、關(guān)注模塊的孕婦對健康管理類App需求情況差異均有統(tǒng)計學意義;5.在孕婦對健康管理類App使用情況多因素分析中,年齡、文化程度、胎數(shù)、對健康管理類App需求、社區(qū)健康管理認知度成為孕婦是否使用健康管理類App的主要影響因素,其中社區(qū)健康管理認知度對使用情況的影響最大。6.在孕婦對社區(qū)健康管理認知的多因素分析中,僅胎數(shù)對認知有影響;7.在孕婦對健康管理類App需求情況的多因素分析中,年齡、胎數(shù)、家庭月收入、職業(yè)、使用頻率、關(guān)注模塊為孕婦對健康管理類App需求的主要影響因素,其中關(guān)注模塊對需求的影響最大,其次是年齡、職業(yè)、家庭月收入、使用頻率和胎數(shù)。結(jié)論:孕婦對健康管理類App需求較高,年齡、胎數(shù)、家庭月收入、職業(yè)、使用情況、關(guān)注模塊對孕婦需求都有影響;影響孕婦使用健康管理類App的因素主要有年齡、胎數(shù)、文化程度、孕婦自身健康管理需求及認知,而其中影響認知的因素主要為胎數(shù)。因此,為滿足孕婦對健康管理類App的需求,孕婦應(yīng)該提高對社區(qū)健康管理的認知,積極參與到自身健康管理中來;設(shè)計開發(fā)單位要細分App種類,針對孕婦需求開發(fā)設(shè)計不同功能模塊;社區(qū)衛(wèi)生服務(wù)機構(gòu)要積極參與,為App的使用提供專業(yè)指導,為孕婦提供即時有效的線上服務(wù);政府部門應(yīng)制定相關(guān)法律法規(guī),將移動醫(yī)療App規(guī)范化管理。
[Abstract]:OBJECTIVE: Good health management during pregnancy is the key to eugenics and good fertility, and it also plays an important role in reducing maternal mortality. With the development of mobile medicine, pregnant women can get some health management services through App. App for health management of pregnant women has gradually become a new tool to promote health management of pregnant women. To investigate the use, demand and cognition of health management App among pregnant women, and to explore the main influencing factors. Suggestions on improving health management services for pregnant women were put forward from the aspects of pregnant women, App development and design, community and government. The research progress and hot spots of maternal health management based on mobile medical service were summarized, and the general situation and development direction were summarized to provide the basis for the research project design. Results: 1. Among the pregnant women surveyed, 507 cases (78.6%) used App of health management, 138 cases (21.4%) did not use App of health management, and the utilization rate was high. 248 cases (38.5%) had high cognition and 397 cases (39.7%) had low cognition on health management of community during pregnancy. Among them, 557 (86.4%) were in need of health management App, 88 (13.6%) were not in need of health management App, and the demand rate was high. Knowledge, health needs of pregnant women on health management App use were statistically significant differences; 3. In the single factor analysis of pregnant women's awareness of community health management, pregnant women with different number of births on community health management cognitive differences were statistically significant; 4. In the single factor analysis of pregnant women's demand for health management App, There were significant differences in health management App requirements among pregnant women with different household registration, fetal number, age, education level, length of Internet access, their own health management needs, usage, frequency of use, and concern module. 5. Age, education level, fetal number, and health management App were used by pregnant women in multivariate analysis. Needs, community health management awareness of pregnant women whether to use health management App is the main influencing factors, of which community health management awareness of the largest impact on the use of the situation. In multivariate analysis, age, fetus number, family monthly income, occupation, frequency of use and attention module were the main factors affecting the demand of health management App. Among them, attention module had the greatest impact on the demand, followed by age, occupation, family monthly income, frequency of use and number of births. Number of births, family monthly income, occupation, usage, attention module have an impact on pregnant women's needs; the main factors affecting pregnant women's use of health management App are age, number of births, education level, pregnant women's own health management needs and cognition, and the main factors affecting cognition are the number of births. Require that pregnant women should enhance their awareness of community health management and actively participate in their own health management; design and development units should subdivide the types of App, develop and design different functional modules according to pregnant women's needs; community health service agencies should actively participate in providing professional guidance for the use of App, and provide timely and effective online services for pregnant women; The government departments should formulate relevant laws and regulations to standardize the management of mobile medical App.
【學位授予單位】：杭州師范大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R715.3
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本文編號：2196590