CAJ | 학술논문

目的：了解河南省县乡地区孕妇营养知识、态度和行为现状及影响因素，为孕期营养的健康教育提供理论依据。方法：采用自行设计的调查问卷，对河南省13个地区42所县乡级医院共1086名孕妇进行营养知识、态度、行为现状调查。结果：河南省县乡地区孕妇营养知识较缺乏，合格率仅为37．7％，营养行为亦处于较低水平，合格率为54．1％，但营养态度较好。单因素方差分析结果显示，孕妇文化程度、配偶文化程度、孕妇职业、配偶职业、家庭人均月收入和孕期花费是孕妇KAP得分的影响因素（ P均＜0．05）。多因素logistic回归分析结果显示，配偶文化程度（OR＝1．467，95％CI＝1．223～1．760）和孕妇职业（OR＝1．359和1．817，95％CI＝1．032～1．791和1．016～3．249）是KAP的独立影响因素。结论：被调查孕妇的营养知识水平较低，县乡级医疗机构应积极开展孕期营养宣教，促进县乡地区孕妇和胎儿的健康。
목적：료해하남성현향지구잉부영양지식、태도화행위현상급영향인소，위잉기영양적건강교육제공이론의거。방법：채용자행설계적조사문권，대하남성13개지구42소현향급의원공1086명잉부진행영양지식、태도、행위현상조사。결과：하남성현향지구잉부영양지식교결핍，합격솔부위37．7％，영양행위역처우교저수평，합격솔위54．1％，단영양태도교호。단인소방차분석결과현시，잉부문화정도、배우문화정도、잉부직업、배우직업、가정인균월수입화잉기화비시잉부KAP득분적영향인소（ P균＜0．05）。다인소logistic회귀분석결과현시，배우문화정도（OR＝1．467，95％CI＝1．223～1．760）화잉부직업（OR＝1．359화1．817，95％CI＝1．032～1．791화1．016～3．249）시KAP적독립영향인소。결론：피조사잉부적영양지식수평교저，현향급의료궤구응적겁개전잉기영양선교，촉진현향지구잉부화태인적건강。
Aim:To investigate status and impact factors of knowledge (K), attitude(A), and practice(P) regarding the gestation nutrition in the pregnant women lived in rural areas of Henan Province for providing the scientific basis on nu -tritional health education in these population .Methods:A self-designed questionnaire survey was conducted on the KAP of nutrition in 1 086 pregnant women in 42 hospitals distributed in 13 counties of Henan .Results:The subjects showed poor score in nutrition knowledge (pass rate =37.7%) as well as the nutritional practices (pass rate =54.1%), while the score of nutrition attitude was not low .Univariate analysis demonstrated that educational level and occupation of the preg -nant women and their spouses , monthly income per person , and expenses during pregnancy were associated with the KAP scores (P<0.05).However, multivariate logistic regression analysis suggested that only the educational level of the sub -ject spouse (OR=1.467,95%CI=1.223-1.760) and the occupation of the women (OR=1.359 and 1.817,95%CI=1.032-1.791 and 1.016-3.249) were the independent impact factors for KAP .Conclusion:The investigated pregnant women are short of nutrition knowledge .Well organized nutrition health education is needed for improving the nutrition and health status of women and children in the rural area of Henan Province .