职业环境中的孕前健康评估:咨询与书面反相比
Akiko Fujishima1, Eri Maeda2, Koki Sato3
1Department of Obstetrics and Gynaecology, Akita University Graduate School of Medicine, Akita, Japan.
一个资源高效的预孕检查改善了女性的行为意图. 然而,书面反在提高动机和满意度方面效果不如个人咨询.
科学领域:
- 生殖健康 生殖健康
- 公共卫生倡议 公共卫生倡议
- 医疗保健服务研究 医疗服务研究
背景情况:
- 孕前护理 (PCC) 对于改善母亲和婴儿健康结果至关重要.
- 之前的PCC倡议在提高健康素养和激励行为改变方面取得了成功.
- 需要更可行和可持续的PCC系统来确保广泛的可用性.
研究的目的:
- 评估埃希梅县实施的资源效率高的预孕检查计划的有效性.
- 评估这种简化PCC模型对参与者的健康状况和行为意图的影响.
- 将Ehime PCC计划的成果与之前在阿基塔建立的计划进行比较.
主要方法:
- 该研究涉及2023年7月至2024年1月在埃希梅县18-39岁的女性雇员.
- 参与者参加了讲座,接受了血液检测,并获得了关于其健康状况的书面反.
- 使用干预前后调查来评估检查的有效性.
主要成果:
- 很大一部分参与者表现出不适合怀孕的健康状况,包括贫血 (23%) 和缺铁 (29%).
- 所有参与者都呈现出低25-氧维生素D水平.
- 虽然66%的人打算改善生活方式,但Ehime组的无意改变行为率 (23.7%) 和较低的推评级高于Akita.
结论:
- 资源效率高的预设检查可以增强改变行为的意图.
- 个人咨询似乎比书面反更有效地改善行为改变的意图和参与者的满意度.
- 进一步开发资源高效的反方法是必要的,以优化行为动机和PCC计划中的满意度.
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