已婚待孕妇女服用营养增补剂的依从性评价

目的对吉林省项目县已婚待孕妇女营养增补剂的各种服用行为和习惯进行依从性评价。方法于2001年5月用系统整群抽样的方法随机抽取吉林省2个项目县500名正在服用含有叶酸及微量元素的营养增补剂的已婚待孕妇女,采用问卷调查、现场观察和参与式农村评估(PRA)定性研究相结合的方法收集与服用行为有关的资料。结果已婚待孕妇女回答营养增补剂的服用频率、服用时间的规律性以及与服用行为有关事项的态度等方面回答符合依从行为的比例基本一致,在66.1%～71.7%之间波动。PRA调查得到的一日生活习惯显示,农村妇女的生活简单且有规律,能将服营养增补剂当作一件大事融入日常生活。现场观察和问卷调查在日历表的填写方面出现矛盾现象,说明当地妇女没有完全理解日历表对记录服用过程的真正作用。结论将问卷调查与其它定性研究方法结合能够获得较为客观的服用行为测量结果,并用于定性评价依从性。在一个生活环境相对简单的人群中进行预防性干预研究,人们能很快形成规律的服用习惯,达到一定的依从性。

The compliance evaluation of supplements containing folic acid and vitamin use among married women planning pregnancy

ObjectiveTo evaluate the compliance of pill-taking behavior in the women who plan to bear a child and are taking or have taken the supplements containing folic acid and vitamin.MethodsThe data were collected by questionnaire survey,observed daily record and Participatory Rural Appraisal(PRA),from 500 women in two project counties of Jilin province in May 2001.ResultsQuestionnaires investigation results showed the frequency of pill-taking,the regulatory of pill-taking time and attitude of pill-taking behavior had the similar percents of the compliance behaviors,from 66.1 % to 71.7 %.The findings from PRA showed the life style of rural women was simple and regular,and easily accepted taking supplements in their daily lives.Some results of diary records from field observation and questionnaire survey were different.It indicated that the subjects did not understand the role of diary records completely.ConclusionThe combining of questionnaire survey and other qualitative study methods are applicable to compliance evaluation.People can form a regular pill-taking habit with high compliance,if a preventive intervention study is conducted in people who have simple and stable lives.