孕期营养宣教效果初步评价

Preliminary Evaluation of Nutrition Education and Counseling during Pregnancy

目的对早孕、中晚孕的孕妇进行营养知识宣教和指导,并对宣教效果进行初步评价。方法随机抽取我院门诊孕妇,其中自愿接受营养宣教的271例早孕孕妇为干预组A、207例中晚孕孕妇为干预组B,孕期未接受营养宣教的256例孕妇为对照组,比较两干预组孕妇宣教前后营养知识知晓情况的变化,观察干预组和对照组的妊娠结局。结果宣教前干预组B孕妇营养知识知晓率明显高于干预组A(P<0.05),宣教后两组孕妇营养知识知晓率较宣教前均有很大程度的提高(P<0.05)。从妊娠结局看,干预组A中妊高征、剖宫产及巨大儿的发生率明显低于对照组(P<0.05),干预组B中剖宫产和产后出血的发生率也低于对照组(P<0.05)。结论孕期营养宣教能有效提高孕妇营养知识水平,并能明显降低部分妊娠并发症的发生。

Objective To study the effect of nutrition education and counseling in early and intermediate/later period of pregnancy. Method 733 pregnant women, selected randomly from the population registered and received management of pregnant period in our hospital, were divided into three groups. Group A （n=271） was given nutrition education and interferences from early pregnant period,while group B （n=207）was given nutrition education and interferences from intermediate/later pregnant period. Control group （n =256）had no nutrition education and interfernees during pregnancy. The effects of nutrition education between group A and B were analyzed and pregnancy outcomes of different groups were recorded and analyzed. Result Before education, the aware rate of nutritional importance during preganey in group B was higher than in group A （P〈 0.05） and after education, the aware rates were greatly improved in beth groups （P 〈 0.05）. The incidences of pregnancy-induced hypertension syndrome, cesarean delivery rate, gestational diabetes mellitus in group A were less than in control group （P〈0.05） and the incidences of cesarean delivery rate and postpartum hemorrhage in group B were lower than those in group C （P 〈 0.05）, too. Conclusion Nutrition education for pregnant women can effectively increase their knowledge of rational diet and reduce the pregnant complications accordingly.