CAJ | 학술논문

目的：评价营养宣教对住院孕产妇营养知识、态度、行为的影响。方法对250例病例进行营养宣教，对宣教前后的知识、态度、实践（KAP）调查结果进行配对样本的McNemar 检验，评价住院孕产妇营养知识、态度的差异。结果宣教前后，孕妇对过量食盐会增加高血压危险，蔬菜水果含较多维生素C等公共营养知识有显著提高，在三餐的饮食习惯方面也有显著改善；另外，对产后可能引起回奶的食物，补钙食物，补铁食物，菜肴中的盐分含量，喝汤适宜时间，蔬菜适宜摄入量，哺乳期牛奶适宜摄入量，剖宫产肠道未排气前进食食物，产后体质虚弱适宜食物，维生素C有助铁吸收，产后鸡蛋适宜摄入量等孕产期正确营养知识的认知度在培训前后也有显著提高。结论营养宣教对于提高孕产妇营养知识，改善营养态度，预防营养不良的发生有重要意义。
목적：평개영양선교대주원잉산부영양지식、태도、행위적영향。방법대250례병례진행영양선교，대선교전후적지식、태도、실천（KAP）조사결과진행배대양본적McNemar 검험，평개주원잉산부영양지식、태도적차이。결과선교전후，잉부대과량식염회증가고혈압위험，소채수과함교다유생소C등공공영양지식유현저제고，재삼찬적음식습관방면야유현저개선；령외，대산후가능인기회내적식물，보개식물，보철식물，채효중적염분함량，갈탕괄의시간，소채괄의섭입량，포유기우내괄의섭입량，부궁산장도미배기전진식식물，산후체질허약괄의식물，유생소C유조철흡수，산후계단괄의섭입량등잉산기정학영양지식적인지도재배훈전후야유현저제고。결론영양선교대우제고잉산부영양지식，개선영양태도，예방영양불량적발생유중요의의。
Objective To evaluate the effects of nutrition education on the knowledge, attitude and practice (KAP) of hospitalized pregnant women. Methods A total of 250 hospitalized pregnant women participated in this study. McNemar paired test was used to examine the differences in KAP before and after the nutrition education. Results Contrasting between before and after the nutritional education, there were significant improvements in pregnant women’s dietary habits and public nutrition knowledge such as excessive salt intake increases the risk of hypertension; fruits and vegetables are rich in vitamin C, etc. In addition, after the education, there were also remarkable advances in their knowledge of proper maternal nutrition such as foods that may cause ablactation , foods that are high in calcium and iron, salt content of different dishes, optimal time for soup, adequate intake of vegetable, milk (lactation period) and eggs ( postpartum) , foods for Caesarean section gravidas before intestinal exhaust, foods for postpartum physical weakness, and enhancing ability of vitamin C on iron absorption. Conclusion Nutrition education has important implications for pregnant women in enriching nutritional knowledge, improving dietary habit and preventing malnutrition.