媒体在妇科和产科护理中的使用与女性对生活方式相关风险的感知教育程度：一项横断面研究。
Media use in gynecological and obstetric care and women's perceived level of education received of lifestyle-related risks: A cross-sectional study.
机构信息
Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Department of Health Promotion, AOK Baden-Württemberg, Stuttgart, Germany.
出版信息
Womens Health (Lond). 2022 Jan-Dec;18:17455057221090116. doi: 10.1177/17455057221090116.
OBJECTIVE
The application of media on lifestyle-related risk factors (LRRFs) by healthcare providers to educate women may improve women's adherence, health literacy, and awareness of LRRFs, as well as offspring's health outcomes. This study investigated whether exposure to media-based education in gynecological and obstetric care is associated with LRRFs perceived levels of education received during pregnancy and lactation.
METHODS
We conducted a cross-sectional, observational study across 14 randomly generated sample points in the 12 most populated cities in Baden-Württemberg, southwest Germany. Women were recruited from gynecological and obstetric institutions. Participants were 219 women who met our inclusion criteria and completed the quantitative questionnaire. We applied ordinal logistic regression analyses to calculate odds ratios (ORs) and 95% confidence intervals (CIs) of women's perceived level of education received related to healthcare providers' exposure to media-based education.
RESULTS
Media-based education on LRRFs during pregnancy through gynecologists and/or midwives were significantly associated with women's perceived level of education received (gynecologists: OR = 4.26 (95% CI: 2.04, 8.90; p < .001); midwives: OR = 3.86 (95% CI: 1.66, 8.98; p = .002)). Similar results were found for media-based education through gynecologists and/or midwives on LRRFs during lactation and its association with women's self-assessed level of perceived level of education received (gynecologists: OR = 4.76 (95% CI: 2.15, 10.56; p < .001); midwives: OR = 7.61 (95% CI: 3.13, 18.53; p < .001)).
CONCLUSIONS
This study suggests that the exposure to media-based education in gynecological and obstetric care increases women's perceived level of education received of LRRFs during pregnancy and lactation. Therefore, it is recommendable to apply media in gynecological and obstetric care settings.
目的
医疗保健提供者在生活方式相关风险因素（LRRFs）方面应用媒体对女性进行教育，可能会提高女性的依从性、健康素养和对 LRRFs 的认识，以及子女的健康结果。本研究调查了在妇科和产科护理中接触基于媒体的教育是否与女性在怀孕期间和哺乳期接受的 LRRFs 感知教育水平有关。
方法
我们在德国西南部巴登-符腾堡州 12 个人口最多的城市的 14 个随机生成的样本点进行了一项横断面、观察性研究。女性是从妇科和产科机构招募的。参与者为符合纳入标准并完成定量问卷的 219 名女性。我们应用有序逻辑回归分析计算了女性感知的接受医疗保健提供者基于媒体的教育的水平与教育水平之间的比值比（OR）和 95%置信区间（CI）。
结果
在怀孕期间通过妇科医生和/或助产士进行的基于 LRRFs 的媒体教育与女性感知的接受教育水平显著相关（妇科医生：OR=4.26（95%CI：2.04，8.90；p<0.001）；助产士：OR=3.86（95%CI：1.66，8.98；p=0.002））。在哺乳期通过妇科医生和/或助产士进行的基于 LRRFs 的媒体教育及其与女性自我评估的感知接受教育水平之间也存在类似的关联（妇科医生：OR=4.76（95%CI：2.15，10.56；p<0.001）；助产士：OR=7.61（95%CI：3.13，18.53；p<0.001））。
结论
本研究表明，在妇科和产科护理中接触基于媒体的教育会提高女性在怀孕期间和哺乳期对 LRRFs 的感知接受教育水平。因此，建议在妇科和产科护理环境中应用媒体。
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