论文部分内容阅读
目的探讨影响新生儿破伤风(NT)发生的因素及其相互间的关系,为制定有效干预措施提供科学依据。方法采用匹配病例对照研究设计,用条件logistic回归分析和通径分析方法,探讨直接和间接影响NT发生的因素及其之间的相互关系。结果多因素条件logistic回归分析结果显示,接生过程的消毒、家庭年人均收入、婴儿性别和胎次的OR值分别为0.002、0.001、101.442、4.891(P<0.01)。通径分析显示,接生过程的消毒、婴儿性别和脐带残端包裹为直接影响NT发生的主要因素,其通径系数分别为0.532、0.212、0.212,分别占总直接影响的42.765%、17.039%、17.039%;母亲文化程度、分娩地点、接生员培训为间接影响NT发生的主要因素,其通径系数分别为-0.134、-0.272、-0.326,分别占总间接影响的15.107%、30.665%、36.753%。结论为了消除NT不仅要严格实施接生过程的消毒,而且要针对间接影响因素采取必要的健康教育和行为干预措施。
Objective To explore the factors that affect the occurrence of neonatal tetanus (NT) and their relationship with each other and to provide a scientific basis for making effective interventions. Methods Matched case-control study design, using conditional logistic regression analysis and path analysis method, to explore the direct and indirect factors that affect the occurrence of NT and their interrelationship. Results The multivariate conditional logistic regression analysis showed that the OR of disinfection during birth, per capita annual household income, infant sex and parity were 0.002,0.001,101.442,4.891 (P <0.01). The path analysis showed that the disinfection of the birth process, infant gender and umbilical cord stump parcel were the main factors that directly affected the occurrence of NT. The path coefficients of them were 0.532, 0.212 and 0.212 respectively, accounting for 42.765% and 17.039% of the total direct effects, respectively. 17.039%. The education level of mother, place of delivery, training of birth attendants were the main factors indirectly affecting NT. The path coefficients of them were -0.134, -0.272 and -0.326 respectively, accounting for 15.107%, 30.665% and 36.753 respectively %. Conclusion In order to eliminate NT, not only the sterilization of the delivery process should be strictly implemented, but also the necessary health education and behavioral intervention should be taken according to the indirect influencing factors.