论文部分内容阅读
目的了解河南省孕前优生健康检查项目中空腹血糖高于正常值风险人群的咨询指导情况。方法采用简单随机抽样方法抽取河南省孕前优生健康检查项目中2016年1月1日至2016年5月31日建档的、空腹血糖高于正常值的风险人群为调查对象,共抽取1 866人,进行电话随访。结果被抽取的调查对象的应答率为52.73%;60.77%的应答者接受了面对面优生咨询指导,其中55.02%的对象被告知血糖值异常;随着年龄、文化程度的增高,复查血糖者所占的比例增高(X_(趋势)~2=4.233,P<0.05;X_(趋势)~2=6.090,P<0.05);不同职业其复查血糖或进行治疗者所占的比例均不同(均为P<0.05);随着文化程度的增高其对血糖增高影响孕产妇及胎儿健康的知晓率越高(X_(趋势)~2=34.738,P<0.05),不同职业其对血糖增高影响孕产妇及胎儿健康的知晓情况也不同(X~2=25.152,P<0.05),其中做家务者最高(88.89%),公职人员次之(87.18%),农民最低(55.06%)。结论孕前空腹血糖高于正常值的风险人群对血糖增高影响孕产妇及胎儿健康的认知程度较低,接受复查血糖和进行治疗干预的比例较低。
Objective To find out the counseling and guidance of Henan Province population of pre-pregnancy eugenics in the risk of fasting blood glucose higher than normal. Methods A simple random sampling method was used to select the population with risk of having fasting blood glucose higher than normal value from January 1, 2016 to May 31, 2016 in Henan Province Prenatal Health Prenatal Health Checkup Project. A total of 1 866 people , Telephone follow-up. Results The response rate of the surveyed subjects was 52.73%; 60.77% of the respondents received face-to-face consultation on eugenics, of which 55.02% of subjects were informed of abnormal blood glucose levels; with the increase of age and education level, (Trend) ~ 2 = 4.233, P <0.05; X trend (trend) ~ 2 = 6.090, P <0.05); The proportion of patients whose blood glucose or blood sugar were examined in different occupations were all different <0.05). With the increase of educational level, the awareness of maternal and fetal health related to the increase of blood sugar was higher (X_ (trend) ~ 2 = 34.738, P <0.05) The awareness of fetal health was also different (X ~ 2 = 25.152, P <0.05), among which the highest was houseworker (88.89%), the second was public office worker (87.18%) and the lowest was farmer (55.06%). Conclusion The risk of fasting blood glucose before pregnancy in pregnant women with lower blood glucose awareness of lower levels of awareness of maternal and fetal health, accept the review of blood glucose and the treatment intervention rate is low.