本文關(guān)鍵詞：孕產(chǎn)婦和兒童外出情況及其對(duì)健康管理率影響的研究　出處：《安徽醫(yī)科大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 兒童 孕產(chǎn)婦 外出 系統(tǒng)管理率

【摘要】：目的:了解安徽省涇縣孕產(chǎn)婦與0~3歲兒童外出情況;了解外出孕產(chǎn)婦與0~3歲兒童在外地接受健康體檢情況;掌握外出對(duì)孕產(chǎn)婦系統(tǒng)管理率與0~3歲兒童系統(tǒng)管理率的影響。方法:采用雙向隊(duì)列研究方法對(duì)孕產(chǎn)婦進(jìn)行研究,運(yùn)用自行設(shè)計(jì)的問(wèn)卷收集孕產(chǎn)婦既往外出及接受保健服務(wù)的歷史資料;隨后按照孕產(chǎn)期保健服務(wù)時(shí)間逐次收集孕產(chǎn)婦體檢情況,對(duì)于未及時(shí)體檢的孕產(chǎn)婦進(jìn)行問(wèn)卷調(diào)查,收集其外出情況及在外地體檢情況,觀察終點(diǎn)為產(chǎn)后60天。采用前瞻性隊(duì)列研究方法對(duì)0~3兒童進(jìn)行研究,按照兒童保健服務(wù)時(shí)間收集兒童體檢情況,對(duì)于未及時(shí)體檢的兒童家長(zhǎng)進(jìn)行問(wèn)卷調(diào)查,收集兒童外出及接受保健服務(wù)情況,觀察終點(diǎn)為兒童滿3周歲。2013年9月30日為觀察終止時(shí)間。資料收集工作完成后,對(duì)收集的問(wèn)卷用Epidata軟件進(jìn)行雙錄入,并最終建立數(shù)據(jù)庫(kù),用SPSS16.0進(jìn)行統(tǒng)計(jì)分析。結(jié)果:在孕產(chǎn)婦隊(duì)列中,共登記6281人次,其中按時(shí)體檢4819人次(77.7%),問(wèn)卷調(diào)查1233人次(19.7%),收集有效問(wèn)卷1143份、失訪229人次(3.6%)。在0~1歲兒童隊(duì)列中,共登記5838人次,其中按時(shí)體檢4048人次(69.3%),問(wèn)卷調(diào)查1345人次(23.0%),失訪445人次(7.6%)。在1~3歲兒童隊(duì)列中共登記4128人次,其中按時(shí)體檢2663人次(64.5%),問(wèn)卷調(diào)查994人次(24.1%),失訪471人次(11.4%)。涇縣孕產(chǎn)婦外出比例為30.1%,兒童外出比例為21.7%。孕產(chǎn)婦與兒童主要的流出地為上海、浙江和江蘇能夠提供較多就業(yè)機(jī)會(huì)的我國(guó)經(jīng)濟(jì)發(fā)達(dá)地區(qū)及安徽省的其他縣市。在假設(shè)失訪對(duì)象與隨訪對(duì)象接受保健服務(wù)水平一致的前提下,外出孕產(chǎn)婦系統(tǒng)管理率低于在家孕產(chǎn)婦水平,主要是受產(chǎn)后訪視與產(chǎn)后42天體檢率的影響;各月齡在家兒童體檢率高于外出兒童,但外出兒童系統(tǒng)管理率與在家兒童基本處于同一水平。外出對(duì)孕產(chǎn)婦年度報(bào)表的影響為18.52%~26.37%。對(duì)3歲以下兒童系統(tǒng)管理率的影響為17.67%~35.37%。結(jié)論:涇縣孕產(chǎn)婦外出比例為30.1%,兒童外出比例為21.7%,流出地主要為上海,浙江,江蘇等經(jīng)濟(jì)發(fā)達(dá)地區(qū)。外出孕產(chǎn)婦系統(tǒng)管理率為58.5%,外出兒童系統(tǒng)管理率為81.4%。涇縣年報(bào)孕產(chǎn)婦系統(tǒng)管理率50.77%,實(shí)際系統(tǒng)管理率為73.61%(假設(shè)失訪孕產(chǎn)婦均未接受保健服務(wù))或81.96(假設(shè)失訪孕產(chǎn)婦與未失訪孕產(chǎn)婦接受保健服務(wù)的水平相同),外出對(duì)年報(bào)孕產(chǎn)婦系統(tǒng)管理率的影響為18.52%~26.37%。涇縣年報(bào)0~3歲兒童系統(tǒng)管理率51.07%,實(shí)際系統(tǒng)管理率為68.82%(假設(shè)失訪兒童未接受保健服務(wù))或86.53(假設(shè)失訪兒童與未失訪兒童接受保健服務(wù)的水平相同),外出對(duì)年報(bào)兒童系統(tǒng)管理率的影響為17.67%~35.37%。為了如實(shí)反映孕產(chǎn)婦與兒童接受保健服務(wù)情況,建議各級(jí)婦幼保健機(jī)構(gòu)在婦幼衛(wèi)生調(diào)查工作中,在注重收集本地本機(jī)構(gòu)的體檢信息的同時(shí),尤其是外出比例較高的地區(qū),還應(yīng)該收集外出對(duì)象接受保健服務(wù)的信息。
[Abstract]:Objective: to understand the Anhui province Jingxian County maternal and children aged 0~3 out; understand the maternal and children aged 0~3 out accept health examination in the field; master out of maternal system management rate and system management rate of children aged 0~3 years. Methods: the bidirectional queue method in the research of the pregnant women, using self-designed questionnaire to collect pregnant women go past and historical data receiving health care services; then according to maternal health Business Hours successive collected maternal examination, questionnaire for not timely examination of pregnant women, go out and collected in the field of physical examination, to observe the end point for 60 days postpartum. A prospective cohort study of 0~3 children, collected from children according to the examination of child care for parents of children Business Hours, not timely examination of the questionnaire survey to collect children And the health care condition, observe the end point for children under the age of 3.2013 year in September 30th the termination time for observation. After the completion of the work of data collection, collected by Epidata software for double entry, and finally establish database, and analyzed by SPSS16.0. Results: in the maternal cohort, registered a total of 6281 people, among them on time physical examination of 4819 people (77.7%), 1233 (19.7%) questionnaires, 1143 valid questionnaires were collected, lost 229 people (3.6%). In a cohort of children aged 0~1 years, registered a total of 5838 people, including 4048 passengers (69.3%) on physical examination, questionnaire survey of 1345 people (23%), lost 445 passengers (7.6% in a cohort of children aged 1~3 years). The registered 4128 passengers, including 2663 passengers (64.5%) on physical examination, questionnaire survey of 994 people (24.1%), lost 471 people (11.4%). The pregnant women in Jingxian County out of proportion is 30.1%, the proportion of children to go out to 21.7%. main maternal and child The outflow for Shanghai, other counties and cities in economically developed regions of China Zhejiang and Jiangsu to provide more employment opportunities and Anhui province. On the assumption that the lost object and follow-up objects receive health care service level under the same premise, migrant maternal system management rate is lower than the level in pregnant women, mainly due to the postpartum visit and influence postpartum 42 celestial detection rate; each month in the children's physical examination rate higher than migrant children, but out of the systematic management rate of children at home with children at the same level. Out effects on maternal annual reports for 18.52%~26.37%. of children under the age of 3 years of systematic management rate was 17.67%~35.37%. conclusion: out of proportion of 30.1% pregnant women in Jingxian County children, out of proportion is 21.7%, the outflow of Shanghai, Zhejiang, Jiangsu and other economically developed areas. Migrant maternal system management rate of 58.5%, out of the system management rate of children As the 81.4%. report of Jingxian County maternal system management rate of 50.77%, the actual system management rate of 73.61% (assuming the lost maternal health services were not accepted) or 81.96 (assuming the lost maternal and maternal health care service has not lost the same level), on the influence of traditional management out rate for Jingxian County 18.52%~26.37%. annual report annual report of maternal 0~3 at the age of 51.07% the management system management system for children, the actual rate is 68.82% (assuming that the lost children did not receive health care services) or 86.53 (assuming the lost children and not lost children health care service to the same level), out of the systematic management rate of children is 17.67%~35.37%. in order to reflect the maternal and child health care condition, suggestions all levels of maternal and child health care institutions in the maternal and child health survey work, pay attention to the collection of this institution in the local medical information at the same time, especially to go out to a higher proportion of The area should also collect information on health services for outgoing objects.

【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R17

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