本文關(guān)鍵詞：寧夏兩地區(qū)產(chǎn)褥期婦女患病影響因素及干預(yù)效果研究　出處：《寧夏醫(yī)科大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 產(chǎn)褥期 飲食行為 營養(yǎng)宣教 干預(yù) 影響因素 健康

【摘要】：目的初步分析飲食、行為的影響因素及與健康的關(guān)系，找出存在的飲食、行為誤區(qū)；通過比較對照組和干預(yù)組產(chǎn)褥期不同的休養(yǎng)方式對健康的影響，來分析探討不同飲食、行為與健康的關(guān)系，，探索有關(guān)婦女產(chǎn)褥期營養(yǎng)健康教育模式；在單因素分析的基礎(chǔ)上，運用多元logistic回歸方法分析各種因素對產(chǎn)褥期患病的獨立作用，以進一步探討產(chǎn)褥期健康與產(chǎn)褥期飲食、行為等因素的關(guān)系。 方法采用分層整群抽樣的方法，抽取寧夏銀川市五個社區(qū)及海原縣三個鄉(xiāng)鎮(zhèn)的6個月以內(nèi)兒童的母親作為調(diào)查對象進行入戶調(diào)查，調(diào)查內(nèi)容包括年齡、文化程度、經(jīng)濟狀況、孕產(chǎn)期保健情況、分娩情況、產(chǎn)褥期生活衛(wèi)生行為、產(chǎn)褥期飲食情況、相關(guān)營養(yǎng)保健知識水平及產(chǎn)褥期患病情況等；在基線調(diào)查所抽取的社區(qū)（行政村）中陸續(xù)選擇300名在婦幼保健機構(gòu)建有孕期保健卡的身體健康的孕晚期婦女(均為懷孕己滿37周以上即將分娩的婦女)作為研究對象。于產(chǎn)前和產(chǎn)后住院期間在干預(yù)組對象中開展多種形式營養(yǎng)衛(wèi)生宣教，對照組不采取干預(yù)措施，但仍同干預(yù)組一樣接受常規(guī)保健服務(wù)。 結(jié)果 1、570例產(chǎn)婦中，月子期間不吃水果的有50.2%、不吃蔬菜的有9.1%，產(chǎn)后第一餐吃稀飯的有85.3%；不曬太陽的有57.2%、不洗澡的有37.9%、不洗頭32.5%、不刷牙的有22.6%、不用涼水的有98.8%。主要是長輩的意愿及其傳統(tǒng)觀念起主導(dǎo)作用；回族對產(chǎn)婦是否洗澡的影響有顯著性；產(chǎn)婦的文化程度與保健知識知曉率呈正相關(guān)。 2、干預(yù)組對象營養(yǎng)保健知識水平有顯著提高；干預(yù)組對象在洗澡、洗頭等行為方面發(fā)生率均明顯高于對照組；干預(yù)組患病率如便秘、痔瘡、腰背痛等顯著低于對照組水平。 結(jié)論 1、從孕期、住院分娩、直至產(chǎn)后1個月內(nèi)的產(chǎn)后訪視，要不斷地向產(chǎn)婦及其婆婆、母親、丈夫等負責(zé)照顧產(chǎn)婦的家庭成員進行健康宣教，使保健知識不斷得到強化，確立并形成產(chǎn)婦產(chǎn)褥期的健康行為,以利母嬰身心健康。2、采用多種形式的營養(yǎng)衛(wèi)生宣教方法能有效提高婦女營養(yǎng)保健知識水平從而改善婦女產(chǎn)褥期飲食、行為及健康狀況。
[Abstract]:Objective to analyze the influence factors of diet, behavior and their relationship with health, and to find out the misunderstanding of diet and behavior. By comparing the health effects of different rest and recuperation methods in puerperium between control group and intervention group, the relationship between different diet, behavior and health was analyzed and the models of nutritional health education for women during puerperium were explored. On the basis of univariate analysis, the multivariate logistic regression method was used to analyze the independent effects of various factors on puerperium disease, in order to further explore the puerperium health and puerperal diet. The relationship between behavior, etc. Methods the mothers of children within 6 months from five communities in Yinchuan and three townships in Haiyuan County were selected by stratified cluster sampling for household investigation including age. Education, economic status, health care during pregnancy, delivery, life hygiene behavior during puerperium, diet during puerperium, knowledge level of related nutrition and health care and morbidity during puerperium. In the communities (administrative villages) selected from the baseline survey, 300 healthy women with maternal and child health care cards were selected in late pregnancy (all women who have been pregnant for more than 37 weeks and are about to give birth). As the study object. In the prenatal and postnatal hospitalization in the intervention group to carry out a variety of forms of nutrition and health education. The control group did not take intervention measures, but still received the same routine health care as the intervention group. Results Of the 1,570 cases, 50.2 did not eat fruit, 9.1 ate vegetables and 85.3 ate porridge for the first meal after delivery. Do not bask in the sun have 57.2, do not bathe have 37. 9 measures, do not wash 32.5, do not brush teeth have 22.6%. There are 98.8% that do not use cold water. It is mainly the will of the elders and their traditional ideas that play a leading role. The influence of Hui nationality on whether or not to bathe the pregnant women was significant; The educational level of puerpera was positively correlated with the awareness rate of health care knowledge. 2. The knowledge level of nutrition and health care in the intervention group was improved significantly; The incidence of bathing, washing and other behaviors in the intervention group was significantly higher than that in the control group. The incidence of constipation, hemorrhoids and low back pain in the intervention group was significantly lower than that in the control group. Conclusion 1. From pregnancy, in-hospital delivery, and postpartum visits within one month of postpartum, continuous health education should be given to the family members who are responsible for the care of the pregnant women and their mother-in-law, mothers, husbands and so on. To strengthen the knowledge of health care, to establish and form the puerperium health behavior, and to improve the physical and mental health of mother and child. 2. Using various forms of nutrition and hygiene education can effectively improve women's knowledge of nutrition and health care, and improve women's diet, behavior and health status during puerperium.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R173

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