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目的:评价三维一体宣教对妇女产褥期营养保健知识认知、饮食行为的干预效果。方法:针对影响产褥期妇女膳食营养与健康的主要因素,提出妇幼保健机构指导下的“产妇-家庭-社区”三维一体膳食营养干预策略。选择某农村孕晚期妇女作为研究对象,随机分为干预组和对照组,两组均接受基本常规的孕产妇卫生保健知识宣传,对干预组对象进行专门的三维一体营养保健知识宣教。结果:干预组对象营养保健知识的知晓率显著高于对照组,干预组对象奶类、鱼类、蔬菜、水果的每日摄入量显著高于对照组,干预组蛋类的摄入量是194.51g/天显著低于对照组的298.2g/天(P<0.05)。干预组完全母乳喂养的比例是74.4%,显著高于对照组的59.5%(P<0.05)。房间每天通风的发生率干预组是67.8%,明显高于对照组的54.3%(P<0.05)。结论:推广三维一体营养保健知识宣教,多途径、针对性强的宣教方法能有效提高妇女营养保健知识水平,并改善其产褥期饮食、行为及健康状况。
OBJECTIVE: To evaluate the effect of three-dimensional integrated missionary training on the cognitive and dietary behaviors of women with postpartum nutritional knowledge. Methods: According to the main factors influencing the nutrition and health of the puerperium women, the “maternal-family-community” three-dimensional dietary intervention strategy was put forward under the guidance of the maternal and child health care institutions. Select a pregnant women in rural areas as the research object, were randomly divided into intervention group and control group, both groups received basic routine maternal health knowledge publicity, the intervention group of special three-dimensional nutrition and health education. Results: The awareness rate of nutrition and health care knowledge in intervention group was significantly higher than that in control group. The daily intake of milk, fish, vegetables and fruits in intervention group was significantly higher than that in control group 194.51 g / day was significantly lower than the control group of 298.2 g / day (P <0.05). The percentage of complete breastfeeding in the intervention group was 74.4%, significantly higher than that in the control group (59.5%, P <0.05). The room ventilation rate was 67.8% in the intervention group, which was significantly higher than that in the control group (54.3%, P <0.05). Conclusion: To promote knowledge and education of 3D nutrition and health care, multi-channel and targeted education methods can effectively improve women’s knowledge of nutrition and health and improve their diet, behavior and health during puerperium.