《孕期家庭自我监护》在贵阳推广中组织措施的探讨

The organization measurement of spreading the Self-Monitoring at Home during pregnancy in Guiyang

贵阳市为推广上海“孕期家庭自我监护”经验,从1989年4月～1990年10月在城区及郊区1个少数民族乡进行了推广的可行性研究。城区共观察6745例,宣传接受率99.79％,监护接受率98.19％(郊区监护接受率95.27％),异常发现率7.57％,使群体围产儿死亡率、死胎率比同期分别下降了6.85‰和3.32‰(P<0.01)。该市通过三级保健网,宣传先行,坚持科学管理,依靠各级组织,多学科协作,由专家把关狠抓质量控制,取得了明显效果。研究结果证明,此法在中小城市甚至少数民族地区也可推行。

In order to spread the experience of the self -' monitoring at home during pregnancy of Shanghai in Guiyang ,we carried out the feasible study of spreading in city district and a minority nationality rural area of Guiyang from April,1989 to October ,19,90. 6 745, pregnant women were observed. The acception rate of propaganda was 99. 79%, The acception rate of the self -monitoring in city district and rural area were 98. 19% and 95. 27% respectively. The rate of finding abnormality was 7. 75%, The perinataJ mortality and the fetal death rate of the study group decreased, 6. 85%o and. 3, 32,%o than the general rates in the same period(p>0.01). In the specific measurement, there were several keys. First,we told people the purpose and the significance of the study by the three grade health care net. Second. we insisted on the scientific management from the begining to the end. Third,we also depended on the department of the Public Health Bureau and cooperated with many branch subject. Finaly, the specialist controlled the quality of the study. The results showed that this method can be spread in middle and small city even in minority nationality rural areas. It is an easy and simple technology. It can improve the ability of the self -health care,life quality and feeling communication among the family members in consequence of decreasing of the death rate.