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目的:评价在贫困农村开展妇女孕产期陪伴者活动的效果,探索促进贫困农村孕产妇保健服务的有效方法。方法:采用整群抽样方法抽取云南省祥云县的两个乡,干预乡开展农村孕产妇孕产期营养保健健康教育及陪伴者活动,为每一位孕妇选择1名陪伴者,陪伴者为孕产妇提供孕产期全程支持;对照乡仅开展农村孕产妇孕产期营养保健健康教育。在产后3个月时采用问卷调查及访谈的方式对产妇及陪伴者进行评估,评价健康教育及陪伴者活动开展的效果。结果:干预组产妇的孕产期营养保健知识知晓率高于对照组,产妇孕期营养保健行为较对照组健康;产妇对不同类型陪伴者的满意度评价,婆婆及丈夫最高,母亲次之,村医最低。结论:在贫困农村开展妇女孕产期陪伴者活动,对孕产妇保健起到了一定的健康促进作用,建议将孕产妇陪伴者活动纳入到孕产妇保健管理系统中。
Objectives: To evaluate the effectiveness of women’s maternity stay companions in poor rural areas and to explore effective ways to promote maternal health services in poor rural areas. Methods: A cluster sampling method was used to select two townships in Xiangyun County, Yunnan Province. The intervention township carried out the nutrition, health care and maternity activities of pregnant women in rural areas during their pregnancy. One mate was selected for each pregnant woman and the companion was pregnant Maternal provide full support during pregnancy; control township only carry out rural maternal nutrition and health education. At 3 months postpartum, questionnaires and interviews were conducted to evaluate the effects of health education and companion activities on the mothers and companions. Results: The awareness rate of nutrition and health care knowledge of pregnant women in intervention group was higher than that in control group. The health behavior of pregnant women in pregnancy was healthier than that in control group. The satisfaction of maternal women with different types of companions was highest, followed by mother and husband, mother and village The lowest medical. CONCLUSION: The activities of accompanying women during pregnancy and childbirth in impoverished rural areas play a certain health promotion role in maternal health. It is suggested that the activities of maternal partners should be incorporated into the maternal health management system.