摘要
目的:探讨高龄产妇妊娠期营养筛查情况及影响因素。方法:选择2018年4月-2021年2月吉安市妇幼保健院治疗的高龄产妇143例作为研究对象,所有高龄产妇妊娠期均采用营养风险筛查2002(NRS2002)对其营养进行筛查,根据筛查结果分为营养风险组和非营养风险组。查阅两组建档资料,统计孕妇年龄、文化水平、是否服用营养补充剂、孕周、分娩方式、妊娠期知识来源、居住地、妊娠期并发症、产次、家庭收入等,采用单因素及多因素logistic回归分析高龄产妇妊娠期营养风险的影响因素。结果:143例高龄产妇妊娠期均完成营养风险筛查,38例高龄产妇出现营养风险,占26.57%。营养风险组与非营养风险组在孕妇年龄、分娩方式、居住地及产次方面比较,差异均无统计学意义(P>0.05);两组在文化水平、是否服用营养补充剂、孕周、妊娠期知识来源、妊娠期并发症、家庭收入方面比较,差异均有统计学意义(P<0.05)。多因素logistic回归分析结果表明,文化水平、是否服用营养补充剂、孕周、妊娠期知识来源、妊娠期并发症及家庭收入为高龄产妇妊娠期营养风险发生的影响因素(P<0.05)。结论:高龄产妇妊娠期营养风险发生率较高,受到的影响因素较多,且不同因素能相互作用,因此,临床上应根据上述可能原因采取相应的措施干预,改善妊娠期营养状况。
Objective:To explore the nutritional screening and its influencing factors in pregnant women in elder age.Method:A total of 143 pregnant women in elder age in Ji’an Maternal and Child Health Care Hospital from April 2018 to February 2021 were selected as the research objects.All the pregnant women in elder age were screened for nutrition by NRS2002 during pregnancy.According to the screening results,they were divided into nutrition risk group and non-nutrition risk group.The filing materials of the two groups were checked.The age of the pregnant women,educational level,whether to take nutritional supplements,gestational weeks,mode of delivery,knowledge sources during pregnancy,place of residence,complications during pregnancy,times of delivery,family income,etc.of pregnant women were counted.Univariate and multivariate logistic regression analysis were used to analyze the influencing factors of nutritional risk during pregnancy.Result:All 143 pregnant women in elder age completed nutrition risk screening during pregnancy.There were 38 pregnant women in elder age with nutrition risk,accounting for 26.57%.There were no significant difference in age of the pregnant women,mode of delivery,place of residence and times of delivery between nutritional risk group and non-nutritional risk group (P>0.05);there were significant differences between the two groups in education level,whether to take nutritional supplements,gestational weeks,sources of knowledge during pregnancy,complications during pregnancy and family income (P<0.05).The results of multivariate logistic regression analysis showed that educational level,whether to take nutritional supplements,gestational weeks,knowledge sources during pregnancy,complications during pregnancy and family income were the influencing factors of gestational nutrition risk of pregnant women in elder age (P<0.05).Conclusion:The incidence of nutritional risk in pregnant women in elder age is high,and there are many influencing factors,and different factors can interact each other.Therefore,corresponding measures should be taken according to the above possible reasons to improve the nutritional status during pregnancy.
作者
罗娇
李珊珊
张婷
LUO Jiao;LI Shanshan;ZHANG Ting(Ji’an Maternal and Child Health Care Hospital,Jiangxi Province,Ji’an 343000,China;不详)
出处
《中国医学创新》
CAS
2022年第22期165-169,共5页
Medical Innovation of China
关键词
高龄产妇
妊娠期
营养筛查
多因素LOGISTIC回归分析
Pregnant women in elder age
Pregnancy
Nutrition screening
Multivariate logistic regression analysis
作者简介
通信作者:罗娇。
