姚继兵高俊岭顾晶菁黄英严萍郁东海（.上海浦东新区妇幼保健所 上海 099；.复旦大学公共卫生学院 上海 000；.上海浦东新区

卫生和计划生育委员会 上海 200125）

孕妇社区中医保健服务效果评价

姚继兵1高俊岭2顾晶菁1黄英1严萍1郁东海3
（1.上海浦东新区妇幼保健所 上海 201399；2.复旦大学公共卫生学院 上海 200032；3.上海浦东新区

卫生和计划生育委员会 上海 200125）

摘 要目的：评价孕妇社区中医保健服务的效果。方法：按照是否愿意接受中医保健服务将450名孕妇分为干预组和对照组各225名，干预前后调查体质类型知晓率和中医保健知识、态度和行为。结果：干预组体质类型知晓率从干预前的24.9%提高到干预后的61.8%；干预组中医保健知识、态度和行为得分均明显增加。结论：社区中医保健服务可以提高孕妇的中医保健知识，和自身体质知晓率，改善中医保健行为。

关键词孕妇 中医保健 中医体质 体质辨识 知信行

Evaluation of the effect of the community traditional Chinese medicine health care service on the pregnant women

YAO Jibing1, GAO Junling2, GU Jingjing1, HUANG Ying1, YAN Ping1, YU Donghai3
(1. Maternal and Child Health Care Institution of Pudong New District, Shanghai 201399, China; 2. School of Public Health of Fudan University, Shanghai 200032, China; 3. Health and Family Planning Commission of Pudong New District, Shanghai 200125, China)

ABSTRACTObjective: To evaluate the effect of the community traditional Chinese medicine health care service on the pregnant women. Methods: According to whether they voluntarily received the traditional Chinese medicine health care service, 450 pregnant women were divided into an intervention group and a control one with 225 cases each. The awareness rate of the type of constitution and the knowledge and attitude and behaviors of the traditional Chinese medicine health care were investigated before and after the intervention. Results: The awareness rate of the type of constitution was increased from 24.9% before the intervention to 61.8% after the intervention in the intervention group. The scores of the knowledge, attitude and behaviors of the traditional Chinese medicine health care were improved significantly in the intervention group. Conclusion: The community traditional Chinese medicine health care service can increase its knowledge and the awareness rate of the self constitution of the pregnant women and the behavior of the traditional Chinese medicine health care is improved.

KEY WORDSpregnant women; traditional Chinese medicine health care; constitution of the traditional Chinese medicine; identification for the constitution; knowledge, attitude and behavior

国家中医药管理局于2011年在《关于在深化医药卫生体制改革工作中进一步发挥中医药作用的意见》中提出，各级卫生行政部门要会同中医药管理部门在孕产妇、老年人、儿童等重点人群和高血压、2型糖尿病等慢病患者健康管理中积极运用中医药技术和方法，加大中医药健康教育力度，逐步扩大在中医体质辨识基础上开展养生保健的人群范围[1-3]。上海市浦东新区是国家中医药综合改革实验区及国家治未病试点地区之一，2012年始在区内45家社区卫生服务中心开展了孕妇学校中医宣教、孕期体质辨识，并制订了《浦东新区孕产妇中医保健技术规范》，根据孕产妇体质类型，提供针对性的中医保健服务。……