Improving health literacy through group antenatal care: a prospective cohort study
Improving health literacy through group antenatal care: a prospective cohort study
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DOI：
10.1186/s12884-017-1414-5
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发表时间：
2017-07-14
影响因子：
3.1
通讯作者：
Adanu, Richard M. K.
中科院分区：
文献类型：
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作者：
Lori, Jody R.;Ofosu-Darkwah, Henrietta;Adanu, Richard M. K.
背景：与加纳接受标准的个体产前护理的女性相比，接受集体产前护理是否通过提高她们解释和利用健康信息的能力来提高她们的健康素养。方法：我们采用前瞻性队列设计。背景是加纳人口第二多的城市库马西的一家繁忙的城区医院。首次产前检查的孕妇(N=240)在怀孕11至14周期间被邀请参加研究。27%的失败率是由于流产、转院或未能回来进行后续检查，最终样本中有184名女性。数据是通过个人结构化调查和病历审查收集的。结果：两组间差异有统计学意义。参加团体护理的妇女表现出对如何实施健康教育信息的更多了解，从而提高了健康素养。参加集体产前护理和个体产前护理的妇女在产前预防问题、何时获得保健、分娩准备和并发症准备、产后使用现代计划生育方法的意愿、对母乳喂养和哺乳期闭经成分的更多了解以及产后随访的意愿方面存在显著差异。结论：集体产前护理与个人产前护理相比，提供了一个提高护理质量和改善母婴结局的机会。集体产前护理有可能增加健康行为，促进尊重产妇护理，并产生服务需求。ANC小组提高了妇女在如何预防和识别问题、准备分娩和护理新生儿方面的健康素养。
Background: To examine whether exposure to group antenatal care increased women's health literacy by improving their ability to interpret and utilize health messages compared to women who received standard, individual antenatal care in Ghana.Methods: We used a prospective cohort design. The setting was a busy urban district hospital in Kumasi, the second most populous city in Ghana. Pregnant women (N = 240) presenting for their first antenatal visit between 11 and 14 weeks gestation were offered participation in the study. A 27% drop-out rate was experienced due to miscarriage, transfer or failure to return for follow-up visits, leaving 184 women in the final sample. Data were collected using an individual structured survey and medical record review. Summary statistics as well as two sample t-tests or chi-square were performed to evaluate the group effect.Results: Significant group differences were found. Women participating in group care demonstrated improved health literacy by exhibiting a greater understanding of how to operationalize health education messages. There was a significant difference between women enrolled in group antenatal care verses individual antenatal care for preventing problems before delivery, understanding when to access care, birth preparedness and complication readiness, intent to use a modern method of family planning postpartum, greater understanding of the components of breastfeeding and lactational amenorrhea for birth spacing, and intent for postpartum follow-up.Conclusion: Group antenatal care as compared to individual care offers an opportunity to increase quality of care and improve maternal and newborn outcomes. Group antenatal care holds the potential to increase healthy behaviors, promote respectful maternity care, and generate demand for services. Group ANC improves women's health literacy on how to prevent and recognize problems, prepare for delivery, and care for their newborn.