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Objective:To know the status of knowledge， attitude and behavior related to sexual and reproductive health in high school students in three regions of East China， and to provide a reference for adolescent reproductive health education. Methods:From August to October in 2019， 614 high school students were invited from 6 high schools in Jiading District and Yangpu District， Shanghai and Taicang City， Jiangsu to participate in this study. We conducted an anonymous self-questionnaire survey using structured questionnaires based on adolescent reproductive health knowledge and literacy. Results:The male to female ratio of all high school students in the study was 1∶1.25， and the average age was （16.1±0.9） years old. The score of pregnancy and abortion knowledge was the lowest among the reproductive health knowledge scores， and the differences among the three regions were statistically significant （P=0.002）. Male high school students （P<0.001）， students in the school with reproductive health education base （P=0.008） and students who wanted to obtain reproductive health education （P=0.002） were more acceptable to premarital sex. The high school students obtained adolescent health knowledge mainly through the internet or mobile phones， and had a demand for reproductive health related services. Conclusion:High school students in the three regions have a more open attitude towards premarital sex， but have a poor grasp of correct and efficient contraceptive knowledge. Responsible departments need to strengthen the health education of relevant knowledge， and at the same time to find new forms of education to effectively improve the level of adolescent reproductive health.
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Objective:To explore the relationship between breastfeeding knowledge， self-efficacy and exclusive breastfeeding behavior among mothers of one-month old babies. Methods:Random sampling method was conducted for choosing 5 out of 13 community service health centers in Jiading district of Shanghai. A cross-sectional online survey was conducted among the mothers. Results:A total of 456 valid questionnaires were received， the full score of breastfeeding knowledge was set at 60， with an average of 47.17±5.65， ranging from 12 to 60. The full score of self-efficacy was set at 70， with an average of 47.70±14.48， ranging from 14 to 70. The exclusive breastfeeding rate of one-month old infants was 55.3%（252/456）. Multivariate logistic analysis showed that mothers with higher scores of breastfeeding knowledge had significantly higher rate of exclusive breastfeeding （OR=1.717， 95%CI 1.034-2.851， P=0.037）. Those with higher scores of breastfeeding self-efficacy also had significantly higher rate of exclusive breastfeeding （OR=5.736， 95%CI 3.455-9.522， P=0.001）. Conclusions:The breastfeeding knowledge and self-efficacy of mothers of one-month old babies were significantly associated with the rate of exclusive breastfeeding. Medical staff should strengthen the delivery and cultivation of breastfeeding knowledge and skills for mothers to improve breastfeeding self-efficacy， and ultimately promote the rate of exclusive breastfeeding.
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Objective To investigate the levels of serum Vitamin D(VD) from preconception to pregnancy in Jiading district of Shanghai, and explore the risk factors of VD concentration deficiency in the second and third trimester of pregnancy. Methods A total of 94 women who planned to have antenatal care and delivery in Maternal and Child Health Hospital of Jiading district of Shanghai from September 2016 to December 2018 were recruited as the study participants. Chemiluminescent immunoassay (CLIA) was used to examine the concentration of women’s serum VD from preconception to pregnancy. A total of 282 serum samples were detected. Results The prevalence of VD deficiency among 94 women from preconception to pregnancy were 40.4%,57.4% and 48.9% respectively. Results of the mixed linear model showed that women who had dyed or permed hair within the past 1 year had significantly lower serum VD levels during pregnancy (P<0.05), and women who often drank milk and ate deep-sea fish during pregnancy had higher VD levels during pregnancy (P<0.05). Conclusions VD deficiency was common among women in Jiading district of Shanghai, and it should be emphasized to supplement VD before and during pregnancy.
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Objective To investigate the current situation of the exercise, relevant knowledge and impact factors in pregnant women during pregnancy, providing references to instruct pregnant women to do suitable exercise. Methods Self-designed questionnaires were used to investigate the exercise behavior and cognition in 3 099 pregnant women who visited the clinic for first-time prenatal examination at Jiading District of Shanghai. Results It was found in investigation that 65.21% pregnant women often did exercise, of whom 29.14% did less than 20 minutes exercise every time, while 60.96% did 20 to 40 minutes, and 9.90% did more than 40 minutes.Slow-walking was the majority choice, which counted for 87.14% in pregnant women.And 34.79% pregnant women did not do exercise, mainly due to "wouldn't like to do exercise" or "don't have time for it".Age, body mass index (BMI), educational level with the pregnant women as well as their husbands impact factors related to their exercise behavior during pregnancy (P<0.01). Conclusion At present, pregnant women exercise mode is unitary during pregnancy.Doctors and nurses should advocate more on health education for them, and family members should be involved in health education program as well.We should improve the education health system and give full play to the advantages of the Internet, train obstetricians, nutritionists, community doctors and other weight management professionals, improve service capabilities, and instruct pregnant women to choose safe and effective exercise during pregnancy.
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Objective To investigate the current situation of the exercise, relevant knowledge and impact factors in pregnant women during pregnancy, providing references to instruct pregnant women to do suitable exercise. Methods Self-designed questionnaires were used to investigate the exercise behavior and cognition in 3 099 pregnant women who visited the clinic for first-time prenatal examination at Jiading District of Shanghai. Results It was found in investigation that 65.21% pregnant women often did exercise, of whom 29.14% did less than 20 minutes exercise every time, while 60.96% did 20 to 40 minutes, and 9.90% did more than 40 minutes.Slow-walking was the majority choice, which counted for 87.14% in pregnant women.And 34.79% pregnant women did not do exercise, mainly due to "wouldn't like to do exercise" or "don't have time for it".Age, body mass index (BMI), educational level with the pregnant women as well as their husbands impact factors related to their exercise behavior during pregnancy (P<0.01). Conclusion At present, pregnant women exercise mode is unitary during pregnancy.Doctors and nurses should advocate more on health education for them, and family members should be involved in health education program as well.We should improve the education health system and give full play to the advantages of the Internet, train obstetricians, nutritionists, community doctors and other weight management professionals, improve service capabilities, and instruct pregnant women to choose safe and effective exercise during pregnancy.
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Objective To assess the intervention effect of upper limb rehabilitation exercise video on life quality in patients after modified radical mastectomy. Methods A total of 160 breast cancer patients received modified radical mastectomy were from Shanghai Jiading District Maternal and Child Health Hospital from June 2017 to June 2019.They were randomly divided into control group and observation group with 80 cases in each group.The patients in the control group were trained with routine upper limb rehabilitation exercise, and the patients in the observation group were given video training for upper limb rehabilitation exercise.Quality of life (QOL), anxiety scale and depression scale were used for corresponding evaluations.Satisfaction and compliance scales were also used for evaluation. Results Before intervention, there was no significant difference in each index between the two groups (P>0.05).After intervention, the quality of life in the observation group was better than that in the control group, including life status (21.43±4.83), functional status (19.69±4.72), emotional status (19.83±4.36), social/family status (19.59±3.62) and additional attention (24.73±3.27).There was no statistically significant difference in these parameters before and after intervention in the control group (P>0.05).The scores of anxiety (36.37±5.64) and depression (37.28±4.47) in the observation group were lower than those in the control group, and the differences were statistically significant.The nursing satisfaction of patients in the observation group was much higher than that in the control group (91.25% vs 77.50%), and the proportion of compliance was higher than that in the control group (97.50% vs 68.75%). Conclusion In breast cancer patients received radical mastectomy, video-guided rehabilitation training can improve the quality of life and nursing satisfaction, compliance of rehabilitation, and condition of anxiety and depression.
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To investigate the adolescent self-perceived health problems during devel-opment and their demand for service needs of health care ,thus enhancing the healthy level of adolescents . [ Methods] A questionnaire survey , focusing on self-perceived physiological health and demand for health service , was conducted among 1 555 adolescents aged 10 -18 and 1 482 parents in Jiading District . [ Results] The incidence of self-reported frequent physiological problems within one year was 77.8%.A total of 51.7%students felt confused with changes in sexual characteristics during puberty .The rate of self-perceived reproductive system symptoms was 16.9%.Prevalence of self-reported early/late puberty timing was 5 .3%, while few students were seeking help towards these health issues . [ Conclusion ] The health service needs of adolescents are versatile , and there is a glaring discrepancy in different feature groups .Medical and health care institutions need to think deeply of how to timely and effectively provide adolescent health services and improve the quality of care in practice .