Interest of pregnant women in the use of SMS (short message service) text messages for the improvement of perinatal and postnatal care.
Interest of pregnant women in the use of SMS (short message service) text messages for the improvement of perinatal and postnatal care.
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DOI：
10.1186/1742-4755-9-9
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发表时间：
2012-08-06
影响因子：
3.4
通讯作者：
Althabe F
中科院分区：
文献类型：
--
作者：
Cormick G;Kim NA;Rodgers A;Gibbons L;Buekens PM;Belizán JM;Althabe F
移动的医疗正在成为改善医疗保健服务的一个有用工具，特别是在发展中国家，在这些国家，医疗服务的有限获得与产前护理差以及孕产妇和围产期死亡率有关。本研究的目的是1）了解孕妇的访问和使用手机和2）调查健康信息的需求和兴趣在阿根廷的两个城市的公立医院和健康中心的人口。该信息不可用，但它是制定通过手机改善孕产妇护理策略的基础。对在圣达菲的罗萨里奥和科连特斯的梅塞德斯的社区卫生中心和公立医院参加产前保健访问的孕妇进行口头管理。参与者年龄在18岁或以上，以前曾生育过。所获得的数据是定性的，并使用SPSS第18版进行分析。共有147名符合入选标准的孕妇（罗萨里奥：63名;梅赛德斯：84名）接受了接触，并口头同意参加。平均年龄为29.5岁，大多数人（89%）居住在城市地区，前往保健中心的平均旅行时间为43.4分钟，前往医院的平均旅行时间为57.3分钟。96%的女性（n = 140）回答说，她们希望收到有关产前护理信息的短信和手机电话，尽管接收信息的主题和时间差异很大。考虑到绝大多数受访妇女都有机会获得并有兴趣收到有关怀孕和婴儿健康教育信息的短信和电话，阿根廷的孕妇可以从这种移动健康方案中受益。互联网接入率低表明，这不是这一人群的选择;然而，这不能被认为代表了该国的情况。为了保持积极参与，今后可考虑采用其他形式的卫生交流，如双向短信系统或免费电话号码。应研究使用和实施这些备选方案的成本。
Mobile health (mHealth) is emerging as a useful tool to improve healthcare access especially in the developing world, where limited access to health services is linked to poor antenatal care, and maternal and perinatal mortality. The objective of this study is to 1) understand pregnant women’s access and usage of cell phones and 2) survey the health information needs and interests in a population attending public hospitals and health centers of two cities in Argentina. This information is not available and it is the basis to develop a strategy for improving maternal care via cell phones. Questionnaires were verbally administered to pregnant women who were attending an antenatal care visit in community health centers and public hospitals in Rosario, Santa Fe and Mercedes, Corrientes. Participants were 18 years of age or older and had previously given birth. The data obtained was qualitative and analyzed using SPSS version 18. A total of 147 pregnant women meeting inclusion criteria (Rosario: 63; Mercedes: 84) were approached and verbally consented to participate. The average age was 29.5 years, most lived in urban areas (89%) with a mean travel time of 43.4 minutes required to get to the health center and 57.3 minutes to get the hospital. Ninety-six percent of women (n = 140) responded that they would like to receive text messages and cell phone calls with information regarding prenatal care, although the topics and period of time to receive information varied greatly. Considering the vast majority of the interviewed women had access to and were interested in receiving text messages and calls with educational information regarding pregnancy and infant health, pregnant women in Argentina could benefit from such an mHealth program. The low access to Internet suggests it is not an option for this population; however, this cannot be assumed as representative of the country’s situation. To retain active participation, other forms of health communication, such as a 2-way text message systems or toll-free numbers, could be considered in the future. Cost of use and implementing these options should be studied.
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