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一项基于医院的干预研究:在线教育项目对减少非吸烟孕妇二手烟暴露的影响

The impact of an online educational program to reduce second-hand exposure to smoke among nonsmoking pregnant women; a hospital-based intervention study.

作者信息

Hamadneh Jehan, Hamadneh Shereen

机构信息

Department of Obstetrics and Gynaecology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Department of Maternal and Child Health, Faculty of Nursing, Al al-Bayt University, Mafraq, Jordan.

出版信息

Heliyon. 2023 Jan 25;9(4):e13148. doi: 10.1016/j.heliyon.2023.e13148. eCollection 2023 Apr.

Abstract

BACKGROUND

Second-hand smoke is recognized as a public health concern, especially for pregnant women.

OBJECTIVES

To compare pregnant women's exposure and perceptions of SHS pre-and post-intervention.

MATERIALS AND METHODS

The study was conducted with a sample of 32 pregnant women at a tertiary university hospital in Jordan. Using a semi-structured questionnaire, researchers asked women about their knowledge, attitude and behavior regarding prenatal exposure to smoke before and after an intervention that included motivation, communication, education and counselling by using a range of media. A cotinine test was conducted to measure levels in second-hand smokers.

RESULTS

The average maternal age was 30.88 ± 1.69 years; 68% were highly educated, 43% were employed, 37% reported not having sufficient income, and 62% did not attend for antenatal care on a regular basis. There was a significant increase in knowledge and awareness regarding second-hand smoking and its effect on pregnancy outcomes after the intervention. More than 90% of pregnant women supported a comprehensive policy in relation to smoking, and 33% of used to leave the room where others smoked. This percentage increased to 70% after the intervention. Cotinine level decreased after the intervention in 81% of cases.

CONCLUSIONS

There is an increase in knowledge and awareness regarding second-hand smoking and its effects on pregnancy outcomes after implementation of an educational intervention.

摘要

背景

二手烟被视为一个公共卫生问题,对孕妇而言尤其如此。

目的

比较孕妇在干预前后二手烟暴露情况及对二手烟的认知。

材料与方法

该研究以约旦一所高等大学医院的32名孕妇为样本。研究人员通过半结构化问卷询问这些女性在包括利用多种媒体进行激励、沟通、教育和咨询的干预前后,她们关于产前接触烟雾的知识、态度和行为。进行了可替宁检测以测量二手烟吸烟者体内的水平。

结果

产妇平均年龄为30.88 ± 1.69岁;68%受过高等教育,43%有工作,37%报告收入不足,62%未定期进行产前检查。干预后,关于二手烟及其对妊娠结局影响的知识和意识显著提高。超过90% 的孕妇支持有关吸烟的全面政策,33% 的孕妇过去会离开他人吸烟的房间。干预后这一比例增至70%。81% 的案例中干预后可替宁水平下降。

结论

实施教育干预后,孕妇对二手烟及其对妊娠结局影响的知识和意识有所提高。

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