孕产妇女自测健康的研究

目的了解孕产妇女的自测健康状况。方法应用自测健康评定量表（SRHMS V1．0）对50名一般育龄妇女人群。55名孕妇在产前、产后1周及42d的健康状况进行评定。结果产前孕妇与一般育龄妇女在日常生活功能、身体活动功能及生理健康子量表总分方面的评分存在统计学意义（P〈0．01）；孕妇产后1周在日常生活功能、身体活动功能、生理健康子量表总分及自测健康评定量表总分方面的评分与其产前存在统计学意义（P〈0．01）；产后第42天在身体活动功能、生理健康子量表总分及自测健康评定量表总分方面的评分与其产前存在统计学意义（P〈0．01）。结论孕妇产前虽然在生理健康方面比一般育龄妇女人群差，但自测健康总体上两者并不存在差异。孕妇产后1周的自测健康比产前差。产后第42天的自测健康明显好于产前。自测健康评定量表是用于评价孕产妇女健康状况的一个有效方法和工具。

Self-rated health status of pregnant and postpartum women

Objective To understand the self-rated health of pregnant and postpartum women. Methods Using Self-rated Health Measurement Scale Version 1.0 (SRHMS V1.0), health status of 50 reproductive-age nonpregnant women and 55 pregnant women on days 7 and 42 after delivery was assessed. Results There was statistic significance in daily physical activities, physical mobility and total score of physical health subscale between pregnant women and reproductive-age nonpregnant women (P<0.01). Statistial significance was also found in daily physical activities, physical mobility and total score of physical health subscale as well as total score of the SRHMS V1.0 between women before and 7 days after delivery (P<0.01). The scores of physical mobility, total score of physical health subscale and total score of SRHMS V1.0 showed significant difference between women before and 42 days after delivery (P<0.01). Conclusion Although the physical health status of pregnant women is generally poorer than that of the reproductive-age nonpregnant women, their self-rated health show no significant differences. The self-rated health status of women 7 days after delivery is worse than that before delivery, while such status on days 42 after delivery is obviously better than that before delivery. SRHMS V1.0 provides an effective means for health evaluation of perinatal and postpartum women.