孕妇孕期活动量与跌倒恐惧的相关性及影响因素分析

Relationship between activity during pregnancy and fear of falling:the influencing factors

目的探讨孕妇孕期活动量水平及与跌倒恐惧的关系,为孕妇孕期活动干预提供参考。方法对产科门诊常规产前检查的439例孕妇采用一般资料调查表、孕期身体活动调查问卷、国际版跌倒效能量表进行问卷调查。结果孕妇孕期总活动能量消耗为72.16(39.62,103.28)MET/(h·周),跌倒恐惧总分为39.50±12.52;孕妇孕期活动量与跌倒恐惧呈负相关(r=-0.528,P<0.01);多元线性回归结果显示:家庭月收入、孕期工作、受孕方式、跌倒恐惧可以解释孕期活动量60.3%的变异。结论孕妇孕期活动量偏低,跌倒恐惧较高,跌倒恐惧可影响孕妇孕期活动量。医务人员应积极进行跌倒恐惧干预,提升孕妇活动信心,增加孕期活动量以促进母婴健康。

Objective To explore the relationship between activity level during pregnancy and fear of falling and to provide reference for increasing the amount of activity during pregnancy.Methods A total of 439 pregnant women who received routine prenatal examination in obstetric clinic,were surveyed with the general information questionnaire,the Falls Efficacy Scale International(FES-I)and the Pregnancy Physical Activity Questionnaire(PPAQ).Results The amount of activity during pregnancy was 72.16(39.62,103.28)MET/(hour·week),and the mean score of FES-I was(39.50±12.52)points.There was a negative correlation between the amount of activity during pregnancy and fear of falling(r=-0.528,P<0.01).Multiple regression results showed that family monthly income,work during pregnancy,the way of conception and fear of falling could explain 60.3%of total variation in the amount of activity during pregnancy.Conclusion The amount of activity during pregnancy is low,and fear of falling is common in pregnant women.Higher level of fear of falling may lead to decrease of activity during pregnancy.Medical workers should take effective measures to intervene fear of falling and build up pregnant women′s confidence in activity,in an endeavor to increase the amount of activity during pregnancy and promote the health of mothers and infants.