Thực trạng cung cấp dịch vụ y tế cho phụ nữ người Dao tại huyện Bạch Thông, tỉnh Bắc Kạn

nhdm nghien cufu cd y nghTa thdng ke vdi p < 0,05,

OR =2,5. Trong nghien ciru cua Ta Van Binh va cpng

su sU khac biet giufa 2 nhdm cd va khdng cd tien suf

thai luu, say thai lien tiep cd y nghTa thdng ke vdi

P<0,05, OR=1,72[2] va nghien ciru cua N Idris [9].

4. Phan tich hoi quy da tuyen tinh

oae biet khi phan tich hdi quy logistic ve mdi quan

he giufa chi sd khdi eo the BMI, tien sir gia dinh the he

1 DTD, tien sii de eon to > 4000g, tien suf RLNDNG,

ehiing tdi thay: Neu mpt thai phu cd tien suf gia dinh

cd ngudi bj DTD; tien suf de con to; dudng nieu duong

tinh; BMI > 23; tien suf san khoa nang ne thi kha nang

bj DTDTK la gan nhU 100%. Khi cac yeu td nguy co

dupe phan tich trong hdi quy logistic thi ty suat chenh

tang hdn han cija cac yeu td nguy cd khi phan tich

dpc lap: dac biet la tien suf de con to tU OR 3 lan tang

len 16 lan.

KfeT LUAN

- Ty le DTDTK tang cao d nhdm cd tien suf gia

dinh DTD the he thuf nhat 52,2%. So vdi nhdm khdng

ed tien si^ DTD d the he thuf nha't la 27,0%. Su khae

biet nay cd y nghTa thdng ke p < 0,05, OR =3

- Ty le DTDTK d nhdm cd tien suf de eon to la 54,5%.

Su khac biet giua hai nhdm cd tien suf de con to va khdng

de eon to cd y- nghTa thdng ke vdi p <0,01

- Ty le DTDTK d nhdm tien suf thai lufu, say thai

lien tiep la 48,3% cao hon nhdm khdng ed tien suf thai

luu, say thai lien tiep la 26',7%. Su khac biet giufa hai

nhdm cd y nghTa thdng ke vdi p<0,05, OR=2,5 95%CI

TAI LI$U THAM KHAO

I.Ta van Binh(2003). "Quan ly dai thao dUdng thai

nghen". ThOC hinh quin ly vi diiu tri bdnh dii thio

dudng. NXBYH:11-22.

2.Ta van Binh, Nguyin Diic Vy, Pham Thj Lan

(2004). "Tim hieu ty le dai th^o dUdng thai ky va mot sd

yeu td lien quan d thai phu quan ly thai ky tai Benh Phu

San Trung Udng va Benh phu san Ha Npi". Thude di tii

nghien cifu khoa hgc cip nhi node KC. 10.15.

3. Nguyin Thj Kim Chi, Tran DUc Thp, Do Trung

Quan(2000). "Phat hien t/ le dai thao dudng thai nghen

va tim hieu eae yeu td lien quan". Luan vin tdt nghidp

bic sy ndi trii bdnh vien, chuyen nganh ndi khoa, ma sd

3.01.31.'

4. Ngo Thj Kim Phung (1999). "Tam soat dai thao

dudng thai ky tai quan 4 thanh phd Hd Chi Minh". Luin

in tiin sy y hoc, chuyen nghanh san phu khoa; ma sd

3.01.18.

5. Nguyin Thj PhUOng Thao, Vu Bich Nga

(2007)."Xac dinh ty le dai thao dUdng thai ky va tim hieu

cac yeu td nguy eo cua eae thai phu dupe quan ly thai tai

khoa san Benh Bach Mai". Luin vin tdt nghidp bac sy y

khoa, TrUdng Oai hpc Y Ha Npi.

6. American Diabetes Association (2004).

"Gestational Diabetes Mellitus". Diabetes Care, Vol.27

(Suppl 1):S88-S90.

7. American Diabetes Association (2006). "Standars

of medical care in diabetes". Diabetes Care, Vol.29,

Suppl 1, January: S4-S42.

S.Asian-Pacific Type 2 Diabetes Policy Group

(2005). 'Special situations: Pregnancy". Type 2

diabetes-Pratical targets and treatment, fourth edition:

29-33.

9. N Idris, Ch Che hatikah, MZ Muiah, MN Rushdan

(2009) "Universal versus selective screening for

detection of gestational diabetes mellitus in a Malaysian

population" Malaysian Family Physician; 35:83-87

10. Yang H, Wei Y (2009). "Risk factors for

gestational diabetes mellitus in Chinese women: a

prospective study of 16286 pregnant women in China".

Diabet Med. Nov 26(11), 1099 - 104.

THUC TRANG CUNG CAP DjCH VU Y TE CHO PHU NUfNGUtri DAG

TAI HUYEN BACH THONG, TIN H BAC KAN

PHAM H6NG HAI, PHAM HUY DUNG

OAT VA'N Di

Y te CO sd la don vj ky thuat y te diu tidn ti^p xuc

vdi nhan dan, nam trong he thdng y te nha nUdc, cd

nhiem vu thuc hien cac djch vu ky thuat cham sdc sifc

khde cho nhan dan. Phan dau dat den sU cdng bang

trong tiep can djch vu y te la van de cdt yeu de thifc

hien cdng bang xa hdi trong ITnh vUc y te.

Bac Kan la mdt tinh mien niii, viing cao. Theo nien

giam thdng ke nam 2009 [5], Bac kan cd 295.296

ngUdi. Trong dd, dan sd trong dp tudi lao ddng la

152.928 ngUdi, chiem 55,57% dan sd. Tren dia ban

tinh cd 23 dan tdc, ddng nha't la dan tdc Tay chiem

54,3%; dan tdc Kinh chiem 13,3%; dan tdc Dao

chidm 16,5%; dan tdc Niing 5,4% va cac dan tdc

khac. Sd thay thudc cd 830 ngUdi, y bac sy/1 van dan

la 18,97 ngudi. Huyen Bach Thdng la mot huy§n

mang day dCi nhOfng net dSc tning ciia tinh Bac Kan.

Theo bao cao cua huyen nam 2009 [4], toan huySn

cd 1 benh vien, 17 tram y te, trong dd cd 4/17 tram

dat chuan qudc gia ve y te. Cd 2 co sd hanh nghe y

tu nhan va 4 cO sd hanh nghe dUdc. Ty le suy dinh

dudng tre em dudi 5 tudi la 19,5%; ty le phu nuf cd

thai dupc quan ly thai nghen 88,2%. Ben canh dd vln

cdn tinh trang phu niJr sinh con tai nha khdng cd sU

giiip dd cua can bd y te, vln cdn cd phu niir cd thai

l<hdng dupc quan ly thai nghen, khdng dupe tiem

phdng udn van, phan Idn phu nuf bj viem dudng sinh

Y HOC THi;C HANH (751) - S6 2/2011 49