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[孕妇保健卡信息与母亲产前保健记忆之间的一致性]

[Agreement between information from the Pregnant Card and the mother's memory of antenatal care].

作者信息

Santos Neto Edson Theodoro dos, Leal Maria do Carmo, Oliveira Adauto Emmerich, Zandonade Eliana, Gama Silvana Granado Nogueira da

机构信息

Departamento de Medicina Social, Universidade Federal do Espírito Santo, Vitória, Brasil.

出版信息

Cad Saude Publica. 2012 Feb;28(2):256-66. doi: 10.1590/s0102-311x2012000200005.

Abstract

This cross-sectional study aimed to verify agreement between information given by mothers after delivery and data recorded on Pregnant Cards about antenatal care under the Brazilian Unified National Health System in the Metropolitan Region of Vitória, Espírito Santo State, Brazil. The study considered a population of 1,035 postpartum mothers interviewed in eight hospitals, where the cards were copied. The representativeness of the sample was guaranteed by stratification according to the proportion of births. Kappa and McNemar tests were carried out with the collected and processed information. Agreement levels regarding antenatal care were predominantly poor (kappa < 0.20). Mothers tend to: overestimate the number of antenatal visits (McNemar = 51.73; p-value = 0.001); affirm diseases during pregnancy, such as diabetes, anemia, hypertension and urinary infections; report the performance of laboratory tests; report the carrying out of clinical examinations. Results suggest the need to reflect on the type of data used for planning and implementing maternal and child public health polices, since data varies depending on the information source.

摘要

这项横断面研究旨在核实巴西圣埃斯皮里图州维多利亚大都会区在巴西统一国家卫生系统下,产后母亲提供的信息与孕妇卡片上记录的产前护理数据之间的一致性。该研究纳入了在八家医院接受访谈的1035名产后母亲,这些医院的卡片被复制。样本的代表性通过根据出生比例进行分层来保证。对收集和处理的信息进行了卡方检验和麦克尼马尔检验。产前护理的一致性水平主要较差(卡方值<0.20)。母亲们倾向于:高估产前检查次数(麦克尼马尔检验值=51.73;p值=0.001);确认孕期疾病,如糖尿病、贫血、高血压和泌尿系统感染;报告实验室检查的执行情况;报告进行的临床检查。结果表明,需要反思用于规划和实施母婴公共卫生政策的数据类型,因为数据会因信息来源而异。

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