论文部分内容阅读
目的探讨免费增补叶酸干预对甘肃省农村地区孕产妇叶酸认知情况、服用状况及叶酸服用依从行为的作用。方法采用整群随机抽样方法在甘肃省靖远县抽取1 396名孕产妇,将接受过叶酸干预的410名孕产妇作为干预组,未接受过叶酸干预的986名孕产妇作为对照组,对其增补叶酸的知识和行为进行问卷调查。结果干预组孕产妇对叶酸、叶酸预防神经管畸形和叶酸最佳服用时间的知晓率分别为99.02%、55.61%和38.78%,均高于对照组的58.42%、33.67%和12.58%(P<0.05);干预组孕产妇叶酸自述服用率、服用率和有效服用率分别为95.37%、56.34%和29.02%,均高于对照组的32.15%、21.91%和11.16%(P<0.05);干预组孕产妇服用叶酸有效依从行为率、部分有效依从行为率、无效依从行为率和叶酸依从率分别为16.34%、8.05%、31.22%和15.61%,均高于对照组的5.17%、2.23%、14.40%和4.77%(P<0.05)。结论免费增补叶酸干预能有效提高甘肃省农村地区孕产妇对叶酸的认知水平,改善其叶酸服用行为。
Objective To investigate the effect of free folic acid supplementation on cognitive status of folic acid in pregnant women in rural areas of Gansu Province, taking status and folic acid taking compliance behavior. Methods A total of 1 396 pregnant women were selected from Jingyuan County of Gansu Province by cluster random sampling method. 410 pregnant women who took folic acid intervention as the intervention group, and 986 pregnant women who did not receive folic acid intervention as control group, Add folic acid knowledge and behavior of the questionnaire. Results The awareness rate of folic acid and folic acid in prevention group was 99.02%, 55.61% and 38.78% respectively, which were higher than those in control group (58.42%, 33.67% and 12.58%, P < 0.05). The read-out rate, take-up rate and effective rate of folic acid in intervention group were 95.37%, 56.34% and 29.02%, respectively, which were higher than those in control group (32.15%, 21.91% and 11.16%, P <0.05) The effective obedience rate, partial effective compliance rate, ineffective compliance rate and folic acid compliance rate of 16.34%, 8.05%, 31.22% and 15.61% of folic acid use group were higher than those of control group (5.17% and 2.23%, respectively) 14.40% and 4.77% respectively (P <0.05). Conclusion The intervention of folic acid supplementation can effectively improve the level of cognition of folic acid in pregnant women in rural areas of Gansu Province and improve their folic acid taking behavior.