Health Education To Promote Meaternal The Effect Of Health Literacy

Objective:Confirming maternal health literacy status in Yan Bian area, comparing maternal health literacy status in Yan Bian area after and before health education.Method:This research is through comparing the status of researching object before and after, using the convenience sampling method, selection during July,2013, in Yan Bian prenatal care check maternity and children’s health care centers, and referred to 《aternal And Infant Health Care Guide》 maternal as the research object of study. Through intervention with health education, this study is use of health care knowledge scale, health behavior scale, health care skills scale to analysis the object’s awareness rate to health behavior and health care knowledge and condition of mastering skills learned. All data using spss17.0 statistical software for data entry and data analysis; Application of statistical methods such as percentage, mean, standard difference etc. to describes the object of study in general social demographic characteristics, delivery and infant feeding status; through application of percentage, Variance analysis, t test and other statistical methods. Comparing the difference of research objects of different population characteristics of sociology and related maternal and infant health care knowledge, health behavior and health skills master situation; using paired t testing statistical method to deal with before and after intervention study health knowledge, health behavior and the change of health care skills.Result:(1) This research includes sample areas of maternal 625 person age between 20 to 44 years old, the age less than or equal to 26, accounted for 15.5% (97), aged 27-29,31.2% (195), age greater than or equal to 30 accounted for 53.3% (333); including The Han nationality 62.2%(388)persons, while the Korean nationality 37.9%(237) persons; Engaged in manual Labor in the majority, accounting for 37.3% (233); equal to or below junior middle school educated maternal accounted for 26.6%(166) and bachelor degree educated maternal accounted for 26.4%(165); The majority family income is 3000 Yuan, accounted for 43.8% (274); Most of samples are in a good health condition accounted for 84.3% (527). Undelivered pregnant women accounted for 39.7% (248), delivered pregnant women accounted for 60.3% (377).(2) Researching the object’s childbirth way and infant feeding status:natural birth accounted for 45.1% (170), cesarean section is 54.9% (207); Maternal mostly of researching objects are in more or equal to 8 weeks after childbirth, accounted for 70.8% (267); The ones choose breastfeeding, accounted for 60.5%(228),39.5%(149) who were not breastfed.(3) Before the intervention, the objects knowledge of maternal and infant health care, health behavior and skills having no statistical significance with age, nationality, family income, self-reported health status (p>0.05);But having statistical significance with profession and skills of health care (p< 0.05)(4) After the intervention, t the objects knowledge of maternal and infant health care, health behavior and skills having statistical significance with age, nationality, family income, self-reported health status (p> 0.05);Among professional and health behavior and health care skills existing statistical differences (p< 0.05), statistically significant; object’s education and health knowledge, health behavior and health care skills statistical are with differences (p< 0.05), with statistical significance as well.(5) After the health education intervention on the object of study, the result shows the object scores more in health knowledge, behavior and skills before intervention (p< 0.05), with statistically significant; objectives scoring (10.33 ± 2.809) in health care knowledge before intervention, score (13.14±2.813) after the intervention, two groups of subjects’data having statistical differences and with statistically significant (t=18.947, p＜0.05); Health behavior scores before intervention (19.83 ± 4.463), score (22.14 ± 3.655) after the intervention, two groups of subjects’having statistical differences, with statistically significant (t= 10.081, p< 0.05); Intervention care skills before scoring (8.76 ±2.879), score (10.40 ±3.026) after the intervention, two groups of subjects’data having statistical differences, statistically significant (t= 10.081,p< 0.05).(6) Through health education intervention, the object of study for maternal and infant health care knowledge correct awareness rate improved, including baby navel nursing increased by 32%, infant nursing methods increased by 44.2%, folic acid food increased by 29.9%, postpartum rehabilitation knowledge increased by 35%; Aware of knowledge about family self test before and after the intervention has no statistical difference.(7) After the health education intervention, the object of study in the aspect of maternal and infant health care behavior has improved, compared to before. The self weight detection, fruits and vegetables ingestion, aspects as nutrition supplement under the guidance of doctors has increased significantly,with statistical differences, and statistically significant (p< 0.05); But in dietary nutrition reasonable collocation (t= 9.031, p> 9.031) judgment of self-body condition and coming for timely medical treatment (t= 1.512,p> 1.512), are no statistical difference.(8) After the health education intervention, according to the results of the research object in maternal and infant health care skills have improved significantly, compared with before. Choose to sleep lying position during pregnancy (t= 5.653, p< 0.05), time monitoring fetal irritability count (t= 11.537,p< 0.05), with statistically difference and statistical significance. After and before the intervention prescribed medication improvements is no statistical difference.Conclusion:(1) After receiving health education intervention, theirs health knowledge, health behavior and health care ability three aspects improved in to variant extent, compared with before, what achieved most is in awareness rate of knowledge about health care, health behavior and skill elevated in second grade.(2) Different professional and cultural level of the research object gains improvement, after receiving health education intervention, health literacy at different levels, the ones engaged in mental Labor and educated in degree of bachelor or above master health knowledge, behavior and skills better than that of manual labor and low cultural level of the research object. In the future related research and practice, should focus on health education health literacy promotion to the lower educated people.(3) Health education is a matter of the health level of maternal, every maternal regardless of age, should be the main target of health education, shalle through health education, acquiring the necessary health care knowledge, behaviors and skills.