二孩政策下医护人员对剖宫产的认知及影响因素研究
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南京医科大学医政学院

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世界银行贷款/英国政府赠款“中国农村卫生发展项目”(No.7551-CN)


The research on the investigation of cesarean section and the influence factors from the perspective of medical staff/CAO Yi-qian,LU Fang.
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nanjing medical university

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    摘要:

    目的:通过63位从事妇产工作的医护人员的视角,了解高淳区剖宫产现状、剖宫产率的变化情况以及医护人员的态度,分析其影响因素,提出针对性的建议和有效降低非医学需要剖宫产率的策略,为高淳卫生行政部门推进“促进自然分娩,保障母婴安康”项目提供参考依据。方法:对南京市高淳区妇康医院(民营)和区人民医院从事妇产工作的63位医护人员,采用现场调查,按自行设计的调查表进行问卷调查,用EPIDATA, SPSS软件对数据统计学分析。结果:1.剖宫产术是否增加收入对医护人员分娩方式的倾向性选择存在显著性影响(P<0.05);2. 医保经费补助标准以及工作量的增减对医护人员分娩方式的倾向性选择存在显著性影响(P<0.05);3.所在单位,专业,文化程度对剖宫产收入,医患纠纷的形成和分娩方式的选择都有不同程度的影响。结论:1.剖宫产术收入相对自然分娩高,一定程度影响分娩方式的选择;2.二孩政策的实施,使产妇的依从性更高,对分娩方式的选择存在影响。

    Abstract:

    Objective: This investigation to 63 medical staff working in obstetrics and gynecology from the perspective of analysis, understand the Gaochun situation of cesarean section and changes in the rate of cesarean section and staff attitude and analysis of its influencing factors, and to put forward for suggestions and effectively reduce the non medical need cesarean section rate strategy, Gaochun County public health administrative department promote health project and provide a reference for. Methods: People"s Hospital and Fukang hospital engaged in obstetrics and Gynecology 63 medical staff are in survey, according to the design of the questionnaire of questionnaire. All the questionnaire use the EPIDATA and SPSS to analyze the data. Results: 1.cesarean section had the effect of increasing income on the choice of the delivery mode of medical workers (P<0.05). 2.the standard of medical insurance subsidy and the increase or decrease of the workload have a significant effect on the choice of the labor mode of the medical workers (P<0.05).The 3 unit, professional, cultural degree of cesarean section on income, have different effects on the formation and child medical disputes. Conclusion: the relative natural labor of cesarean section is relatively high in 1 cesarean section, and a certain degree of the choice of delivery mode.The implementation of the 2 two-child policy, the compliance of puerperal is higher, has effect on the choice of delivery mode.

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  • 收稿日期:2016-05-27
  • 最后修改日期:2016-08-29
  • 录用日期:2016-10-17
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