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目的目的探讨加强健康教育宣教对减少新形势下非法行医导致孕产妇死亡案例的效果及其社会意义。方法通过组织孕妇学习班、应用社区流动车、上门追踪式健康教育、应用短信及互联网平台等措施,强化健康教育。以健康教育强化前(2007~2010年)我院司法鉴定中心已经鉴定的孕产妇死亡纠纷案例18例为对照组,以强化后(2011年~2014年)同类案例20例为观察组,综合对比两组死亡率、与医疗行为的关系、死亡原因。结果观察组孕产妇死亡率15.98/10万,对照组活死亡率20.26/10万,观察组明显低于对照组(P<0.05);观察组中非法行医5例,对照组13例,观察组明显低于对照组(P<0.05);两组死亡原因前三位均为产科出血、肺羊水栓塞、产后感染并肺动脉栓塞,构成比无明显差异(P>0.05)。结论论加强健康教育宣教有助于减少非法行医导致孕产妇死亡案例,进而降低孕产妇死亡率,但对孕产妇死亡原因无明显影响。
Objective To explore the effect of strengthening health education and education on reducing cases of maternal death caused by illegal medical practice under the new situation and its social significance. Methods To strengthen health education by organizing pregnant women classes, using community mobility vehicles, on-site follow-up health education, using SMS and Internet platforms. Eighteen cases of maternal death disputes identified by the forensic center of our hospital before the strengthening of health education (2007-2010) as the control group and 20 cases of the same kind of cases after the strengthening (2011 ~ 2014) as the observation group, and the comprehensive comparison Mortality in two groups, relationship with medical practice, cause of death. Results In the observation group, the maternal mortality rate was 15.98 / lakh and that in the control group was 20.26 / lakh. The observation group was significantly lower than the control group (P <0.05). In the observation group, 5 were illegally practiced, 13 were in the control group, (P <0.05). The top three causes of death in both groups were obstetric bleeding, pulmonary amniotic fluid embolism, postpartum infection and pulmonary embolism, with no significant difference in the constituent ratio (P> 0.05). Conclusions On strengthening the education of health education, it helps to reduce the cases of maternal death caused by illegal medical practice and thus reduce the maternal mortality rate, but it has no obvious effect on the causes of maternal death.