甘肃省5个项目县育龄妇女叶酸规范服用影响因素的定性研究

Investigation on the standard folic acid supplement of reproductive women and its influencing factors in Gansu

目的:探讨影响育龄妇女叶酸规范服用的主要因素,提高妇女对叶酸服用的主动依从性。方法:采用小组访谈定性研究的方式,在甘肃省敦煌市、渭源县、永靖县、泾川县和徽县等5个市(县)分别组织孕妇、县和乡级人口计生管理及技术人员,以及医疗机构业务人员各7～8名进行访谈。结果:被调查者普遍反映妇女对叶酸的认识还不够明确,做到孕前3个月和孕后前3个月坚持服用叶酸的人不多;影响因素来自妇女本人、家庭成员等多个方面。另外有些服务机构专业知识欠缺也导致了妇女叶酸服用的依从性差。结论:应继续加大优生优育的宣传教育力度,提高育龄夫妇保健意识;加强对专业技术人员的业务培训;及时总结叶酸的发放、管理、正确使用等工作,减少浪费。

Objective： To investigation the current status of the standard folic acid supplement in the women of reproductive age in Gansu Province and its influencing factors, in order to improve women＇s compliance with the regular supplement. Methods： The pregnant women, county/township family planning service staff, technical staff and medical staff concerned in Dunhuang city, Weiyuan county, Yongjing county, Jingchuan county and Hui County were recruited and interviewed. Data were collected by group interview and analyzed. Results： The acknowledge of folic acid supplement in these interviewees was limited. The rate of consistent use of folic acid supplement 3 months before and after pregnancy in the pregnant women was rather low. Many factors from both pregnant women themselves and their family members affected the regular use of folic acid supplement. Conclusion： We should continue to strengthen the education of perinatal care, strengthen the training of technical staff, and duly review the distribution, management and instruction of proper use of folic acid.