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通过提高孕妇的知识水平和预防措施来降低与妊娠相关的尿路感染的发生率。

Reducing the incidence of pregnancy-related urinary tract infection by improving the knowledge and preventive practices of pregnant women.

机构信息

Public Health Program, Graduate School, Angeles University Foundation, Angeles City, Philippines; College of Allied Medical Professions, Angeles University Foundation, Angeles City, Philippines.

College of Allied Medical Professions, Angeles University Foundation, Angeles City, Philippines.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2019 Oct;241:88-93. doi: 10.1016/j.ejogrb.2019.08.018. Epub 2019 Aug 28.

Abstract

OBJECTIVE

Pregnancy-related urinary tract infections (UTI) is the leading cause of obstetrical ward admissions and is responsible for poor maternal and perinatal outcomes. This study aimed to reduce the incidence of UTI by improving the knowledge and preventive practices of pregnant women through the implementation of a health education package.

STUDY DESIGN

A health education package consisting of a seminar, sending of weekly text messages, and distribution of educational leaflets on UTI awareness and prevention was implemented in various rural health units in Pampanga, Philippines. A structured questionnaire was used to assess the pre- and post-intervention knowledge and preventive practices of pregnant women. Whereas, urinalysis results from the various rural health units were used to assess the incidence of UTI among the respondents.

RESULTS

Significant improvement (p <  0.001) was observed regarding the participant's knowledge and water intake after the intervention. Although there was no significant change (p =  0.16) in their hygiene statistically, all participants had improvements in hygiene practices after the intervention. The number of pregnant women who were positive for UTI also decreased significantly (p <  0.001) following the intervention.

CONCLUSION

The implemented health education package was able to reduce the incidence of pregnancy-related UTI by improving the knowledge and preventive practices of pregnant women.

摘要

目的

妊娠相关尿路感染(UTI)是产科病房入院的主要原因,可导致母婴和围产期结局不佳。本研究旨在通过实施健康教育包来提高孕妇的知识和预防措施,从而降低 UTI 的发生率。

研究设计

在菲律宾邦板牙省的各个农村卫生单位实施了一个健康教育包,其中包括研讨会、每周发送短信和分发有关 UTI 意识和预防的教育传单。使用结构化问卷评估孕妇在干预前后的知识和预防措施。而来自各个农村卫生单位的尿液分析结果则用于评估受访者中 UTI 的发生率。

结果

干预后,参与者的知识和饮水量显著提高(p<0.001)。尽管卫生方面的统计学变化没有显著(p=0.16),但所有参与者在干预后都改善了卫生习惯。干预后,UTI 阳性的孕妇人数也显著减少(p<0.001)。

结论

实施的健康教育包通过提高孕妇的知识和预防措施,降低了妊娠相关 UTI 的发生率。

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