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目的探讨健康教育在妊娠期甲状腺疾病筛查中的应用价值。方法选取2012年5～10月在中山市博爱医院行围产期保健的早孕孕妇(孕周<12周)580例,分为观察组和对照组,每组各290例。观察组孕妇分批进行《妊娠期甲状腺疾病对母儿的危害性》的健康教育课程,对照组直接由产前检查医生进行宣传教育。结果通过健康教育,孕妇了解甲状腺疾病筛查目的、必要性,对筛查结果的认可,以及对筛查结果和复查随访的接受度均显著提高,差异有统计学意义(P<0.05)。愿意接受甲状腺疾病筛查的孕妇数观察组与对照组比较差异有统计学意义(P<0.05)。结论对孕早期妇女实施关于妊娠期甲状腺疾病的健康教育能增加其对妊娠期甲状腺疾病危害的认识,积极参与筛查,及时诊断和治疗甲状腺疾病,降低其对母婴的危害。
Objective To explore the value of health education in thyroid disease screening during pregnancy. Methods 580 pregnant women (gestational age <12 weeks) with perinatal health care in Pok Oi Hospital of Zhongshan City from May to October 2012 were divided into observation group and control group with 290 cases in each group. Observation group of pregnant women in batches “pregnancy thyroid disease on the dangers of mother and child” health education courses, the control group directly from the prenatal examination of doctors for education. Results Through health education, pregnant women understand the purpose and necessity of screening for thyroid disease, acceptance of screening results, and acceptance of screening results and follow-up visits with statistical significance (P <0.05). The number of pregnant women willing to accept thyroid disease screening was significantly different from that of the control group (P <0.05). Conclusions The implementation of health education on gestational thyroid diseases in pregnant women during the first trimester can increase their awareness of the dangers of thyroid diseases in pregnancy, actively participate in screening, timely diagnosis and treatment of thyroid diseases, and reduce their harm to mothers and children.