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预防医学  2022, Vol. 34 Issue (9): 946-950    DOI: 10.19485/j.cnki.issn2096-5087.2022.09.017
  妇幼保健 本期目录 | 过刊浏览 | 高级检索 |
孕妇体重自我管理动机水平的影响因素分析
常进科, 张俊绘, 赵文芳, 刘爱菊
内蒙古自治区妇幼保健院产科,内蒙古 呼和浩特 010020
Factors affecting the motivation for weight self-management among pregnant women
CHANG Jinke, ZHANG Junhui, ZHAO Wenfang, LIU Aiju
Department of Obstetrics, Maternal and Child Health Hospital of Inner Mongolia Autonomous Region, Hohhot, Inner Mongolia 010020, China
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摘要 目的 了解内蒙古呼和浩特市某三甲医院孕妇体重自我管理动机水平,并分析影响因素,为开展孕期体重管理提供参考。方法 采用方便抽样方法,抽取2022年1─3月在呼和浩特市某三甲医院建档进行产前检查的18岁及以上孕妇为调查对象,收集年龄、身高、体重、职业、居住地、家庭月收入、孕产史和孕期等资料,采用孕期体重管理保护动机量表评估孕妇体重自我管理动机水平,采用多重线性回归模型分析孕妇体重自我管理动机水平的影响因素。结果 调查969人,其中<35岁841人,占86.79%;大专及以上学历780人,占80.50%;市区794人,占81.94%;初产妇729人,占75.23%;孕晚期421人,占43.45%;孕前体质指数(BMI)<25 kg/m2 758人,占78.22%。孕妇体重自我管理动机得分为(127.53±14.60)分。多重线性回归分析结果显示,高中及以下学历(β'=-0.201)、无业/个体户(β'=-0.077)、居住在农村(β'=-0.059)、家庭月收入≤10 000元(<5 000元:β'=-0.238;5 000~10 000元:β'=-0.169)、孕晚期(β'=-0.135)和孕前BMI≥25 kg/m2β'=-0.214)降低孕妇体重自我管理动机水平。结论 孕妇体重自我管理动机水平与孕期、孕前BMI、居住地、职业、文化程度和家庭月收入有关。
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常进科
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赵文芳
刘爱菊
关键词 孕期增重体重管理保护动机理论影响因素    
AbstractObjective To investigate the motivation for weight self-management and analyze its influencing factors among pregnant women in a tertiary hospital in Hohhot City, Inner Mongolia Autonomous Region, so as to provide insights into body weight management during pregnancy. Methods Pregnant women at ages of 18 years and older that underwent prenatal examinations in a tertiary hospital in Hohhot City from January to March, 2022 were sampled using a convenience sampling method. Subjects' age, height, weight, occupation, residence, monthly household income, history of gestation and childbirth and gestational period were collected, and the motivation for weight self-management was evaluated among pregnant women using a pregnancy weight management protein motivation scale. The factors affecting the motivation for weight self-management were identified among pregnant women using a multivariable linear regression model. Results Totally 969 pregnant women were recruited, including 841 women at ages of <35 years (86.79%), 780 women with an educational level of diploma and above (80.50%), 794 women living in urban areas (81.94%), 729 primiparas (75.23%), 421 women in the third trimester of gestation (43.45%) and 758 women with pre-pregnancy body mass index (BMI) of <25 kg/m2 (78.22%). The mean score of motivation for weight self-management was 127.53±14.60 among the pregnant women. Multivariable linear regression analysis showed that an educational level of high school and below (β′=-0.201), unemployed/self-employed individuals (β′=-0.077), living in rural areas (β′=-0.059), monthly household income of <10 000 yuan (<5 000 yuan, β′=-0.238; 5 000 to 10 000 yuan, β′=-0.169), in the third trimester of gestation (β′=-0.135), pre-pregnancy BMI of 25 kg/m2 and higher (β′=-0.214) and reduced the motivation for weight self-management among pregnant women. Conclusion The motivation for weight self-management correlates with gestational period, pre-pregnancy BMI, residence, occupation, educational level and monthly household income among pregnant women.
Key wordsgestational weight gain    weight management    protection motivation theory    influencing factor
收稿日期: 2022-06-06      修回日期: 2022-07-19     
中图分类号:  R714  
基金资助:内蒙古自治区科技计划项目(2020GG0120); 内蒙古自治区卫生健康科技计划项目(202202093)
通信作者: 刘爱菊,E-mail:nmg.laj@163.com   
作者简介: 常进科,硕士,副主任医师,主要从事孕期保健、高危妊娠孕期管理工作
引用本文:   
常进科, 张俊绘, 赵文芳, 刘爱菊. 孕妇体重自我管理动机水平的影响因素分析[J]. 预防医学, 2022, 34(9): 946-950.
CHANG Jinke, ZHANG Junhui, ZHAO Wenfang, LIU Aiju. Factors affecting the motivation for weight self-management among pregnant women. Preventive Medicine, 2022, 34(9): 946-950.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.09.017      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I9/946
[1] DEPUTY N P,SHARMA A J,KIM S Y,et al.Prevalence and characteristics associated with gestational weight gain adequacy[J].Obstet Gynecol,2015,125(4):773-781.
[2] 曹文琪,杨新军.孕期体重增加的影响因素研究进展[J].预防医学,2021,33(3):264-267.
CAO W Q,YANG X J.Research progress on influencing factors for gestational weight gain[J].Prev Med,2021,33(3):264-267.
[3] 毕烨,段一凡,王杰,等.2010—2012年中国孕妇孕期增重状况及其相关因素[J].中华预防医学杂志,2018,52(1):26-30.
BI Y,DUAN Y F,WANG J,et al.Status and related factors for gestational weight gain of Chinese pregnant women during 2010-2012[J].Chin J Prev Med,2018,52(1):26-30.
[4] 刘炜,栾召华,龚定宏,等.社区孕妇孕期体重自我管理状况和一般自我效能影响因素调查[J].中华全科医学,2020,18(10):1702-1706.
LIU W,LUAN Z H,GONG D H,et al.Investigation on influencing factors of self-management of pregnancy weight and general self-efficacy of pregnant women in community[J].Chin J Gen Pract,2020,18(10):1702-1706.
[5] VANSTONE M,KANDASAMY S,GIACOMINI M,et al.Pregnant women's perceptions of gestational weight gain:a systematic review and meta-synthesis of qualitative research[J/OL].Matern Child Nutr,2017,13(4)[2022-07-19].https://dio.org/10.1111/mcn.12374.
[6] 刘彩. 保护动机理论在健康行为解释、干预与预测中的应用研究[J].医学与社会,2015,28(7):77-79.
LIU C.Study on application of protection motivation theory in the interpretation,intervention and prediction of health behavior[J].Med Soc,2015,28(7):77-79.
[7] 程梦云,周昔红,侯宜萍,等.孕期体重管理保护动机问卷的编制及信度效度检验[J].中国护理管理,2021,21(8):1169-1174.
CHENG M Y,ZHOU X H,HOU Y P,et al.Development and psychometric evaluation of protective motivation for weight management during pregnancy questionnaire[J].Chin Nurs Manag,2021(8):1169-1174.
[8] 陈晓雯,胡文胜,朱旭红,等.孕前体质指数、孕期增重对巨大儿发生的影响[J].预防医学,2020,32(4):414-417.
HU X W,HU W S,ZHU X H,et al.The relationship of pre-pregnancy BMI and gestational weight gain with macrosomia[J].Prev Med,2020,32(4):414-417.
[9] 周玲,袁宇,王玉琼.孕妇体重管理知识调查及影响因素分析[J].中华现代护理杂志,2016,22(17):2454-2457.
ZHOU L,YUAN Y,WANG Y Q.Investigation on the maternal body mass management of pregnant women and its influencing factors anlysis[J].Chin J Mod Nurs,2016,22(17):2454-2457.
[10] 张婷,王新玲,校彩娜,等.河北省孕妇文化水平对妊娠结局的影响[J].现代预防医学,2019,46(22):4079-4083.
ZHANG T,WANG X L,XIAO C N,et al.Association between maternal education level and pregnancy outcome in Hebei province[J].Mod Prev Med,2019,46(22):4079-4083.
[11] 张志力,李汝德,程晓芸,等.孕产妇健康信息交流的人际网络研究[J].中国全科医学,2020,23(11):1399-1405.
ZHANG Z L,LI R D,CHENG X Y,et al.Interpersonal networks in healthcare communication in pregnant and postpartum women[J].Chin Gen Pract,2020,23(11):1399-1405.
[12] 章娟,张志力,王倩,等.孕产妇母婴健康信息辨别能力及其影响因素研究[J].中国全科医学,2021,24(24):3065-3070.
ZHANG J,ZHANG Z L,WANG Q,et al.Discrimination ability in maternal and infant health information and influencing factors in pregnant women[J].Chin Gen Pract,2021,24(24):3065-3070.
[13] WANG X, ZHANG X, ZHOU M,et al.Association of prepregnancy body mass index, rate of gestational weight gain with pregnancy outcomes in Chinese urban women[J/OL].Nutr Metab,2019,16[2022-07-19].https://doi.org/10.1186/s12986-019-0386-z.
[14] SAARIKKO J,NIELA-VILÉN H,RAHMANI A M,et al.Identifying target behaviors for weight management interventions for women who are overweight during pregnancy and the postpartum period:a qualitative study informed by the Behaviour Change Wheel[J/OL].BMC Pregnancy Childbirth,2021,21(1)[2022-07-19].https://doi.org/10.1186/s12884-021-03689-6.
[15] HSIUNG Y,LEE C F,CHI L K,et al."Moving for My Baby!"Motivators and perceived barriers to facilitate readiness for physical activity during pregnancy among obese and overweight women of urban areas in northern Taiwan[J/OL].Int J Environ Res Public Health,2021,18(10)[2022-07-19].https://doi.org/10.3390/ijerph18105275.
[16] FLANNERY C,MTSHEDE M N,MCHUGH S,et al.Dietary behaviours and weight management:a thematic analysis of pregnant women's perceptions[J/OL].Matern Child Nutr,2020,16(4)[2022-07-19].https://doi.org/10.1111/mcn.13011.
[17] HOLLIS J L,CROZIER S R,INSKIP H M,et al.Modifiable risk factors of maternal postpartum weight retention:an analysis of their combined impact and potential opportunities for prevention[J].Int J Obes,2017,41(7):1091-1098.
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