专业人员叶酸认知及行为干预对孕妇叶酸服用依从性的影响

Effect of Folic Acid Cognition and Intervention of Health Provider on the Compliance of Taking Folic Acid in Pregnant Women

目的了解专业人员对孕妇服用叶酸的行为干预及其自身对叶酸预防知识的掌握情况,探讨专业人员对孕妇服用叶酸行为依从性的影响,为提高育龄妇女叶酸服用依从性提供科学依据。方法选择甘肃省两个县妊娠后3个月至产后1年的妇女为研究对象,通过面对面的问卷调查及对专业人员的小组访谈获取相关资料。结果专业人员告知叶酸服用时间、剂量及定期督导对孕妇服用叶酸依从行为程度的比较,差异均有统计学意义(P<0.01)。专业人员在叶酸推广中宣传工作不到位、向育龄妇女通知不到位、专业人员队伍不稳定、专业人员培训不到位及素质偏低、对工作重视不够、工作不够积极和态度差及其他因素对叶酸服用依从性的影响率比较,差异均有统计学意义(P<0.01)。结论提高医生等专业人员的叶酸预防知识,加强对育龄妇女叶酸服用知识的宣传及督导作用是提高妇女叶酸有效依从行为降低无效依从行为的重要保证。

Objective To understand the condition of health provider supervised pregnant women taking folio acid and the mastery of folic acid knowledge by health provider, and to discuss the effect of health providers＇ mastery of folio acid on the compliance behavior in pregnant women in order to provide scientific basis for improving the compliance behavior of taking folio acid in pregnant women. Methods Face to face interviews were conducted with women from two counties of Gansu province who were within the period from three months after pregnancy to one year after delivery in order to obtain related data. Results The effect of professionals informing the tirrle and dose of taking folic acid and periodical supervising on the compliance behavior of pregnant women showed statistically significant differences （ P 〈 0. O1 ） . The effect of lack of promotion of folie acid, lack of noti- fication, unstable professional teams, low quality of professional training and inadequate attention to the work, bad service and other factors showed statistically significant differences on the compliance behavior of pregnant women （ P 〈 0.01 ） . Conclusion Improving doctors and other health provider＇s knowledge of folic acid and strengthening the dissemination of taking folic acid and supervision for pregnant women are the important guarantees to increase effective compliance behavior rate and decrease the ineffective compliance rate.