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孕妇行为改变沟通对新生儿护理的影响。

Impact of behavior change communication among pregnant women regarding neonatal care.

机构信息

Department of Community Medicine, Rohilkhand Medical College, Bareilly, UP, India,

出版信息

Indian J Pediatr. 2013 Oct;80(10):804-8. doi: 10.1007/s12098-013-1076-x. Epub 2013 Jun 8.

Abstract

OBJECTIVES

To assess the behavior of pregnant women regarding neonatal care. Also to implement and assess impact of Behaviour Change Communication (BCC) package among pregnant women regarding neonatal care.

METHODS

This community based intervention study was conducted in field practice area of Urban Health Training Centre (UHTC), Department of Community Medicine, Jawaharlal Nehru Medical College and Hospital (JNMCH), Aligarh Muslim University (A.M.U), Aligarh (UP), India. Two hundred pregnant women were included. Epi Info version 3.5.1. Percentages, and Chi square test were used for statistical analysis.

RESULTS

Due to implementation of BCC package, institutional deliveries improved (RR = 2.47, P < 0.05), delivery practices significantly increased (RR = 2.47, P < 0.05). There was significant difference regarding breastfeeding practices on 7th and 28th d of delivery. More (80 %) deliveries were conducted in warm room (RR = 1.87, p < 0.05), bathing to the baby was delayed (RR = 0.81, p < 0.05) and decreased, vigorous removal of vernix caseosa was observed (RR = 0.45, p < 0.05). Correct knowledge about danger signs and physiological conditions in newborns were increased (RR = 2.5.0, p < 0.05 for cold to touch, RR = 1.22, p < 0.05 for peeling of skin).

CONCLUSIONS

There was a significant impact of BCC package on the behavior of pregnant women regarding neonatal care.

摘要

目的

评估孕妇对新生儿护理的行为。此外,还评估了针对孕妇的行为改变沟通(BCC)包对新生儿护理的影响。

方法

这项基于社区的干预研究在印度阿拉哈巴德穆斯林大学(A.M.U)贾瓦哈拉尔尼赫鲁医学院和医院(JNMCH)社区医学系城市卫生培训中心(UHTC)的实地实践区进行。纳入了 200 名孕妇。使用 Epi Info 版本 3.5.1 计算百分比和卡方检验进行统计分析。

结果

由于实施了 BCC 包,住院分娩率有所提高(RR=2.47,P<0.05),分娩实践显著增加(RR=2.47,P<0.05)。在分娩后第 7 天和第 28 天,母乳喂养的做法有显著差异。更多(80%)的分娩在温暖的房间进行(RR=1.87,p<0.05),婴儿洗澡时间延迟(RR=0.81,p<0.05),并且减少了对胎脂的剧烈清除(RR=0.45,p<0.05)。关于新生儿危险信号和生理状况的正确知识有所增加(RR=2.5.0,对触摸感到冷的 RR=1.22,对皮肤剥落的 RR=1.22,p<0.05)。

结论

BCC 包对孕妇的新生儿护理行为有显著影响。

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