双胎孕妇营养素养的影响因素分析及护理启示

doi:10.3761/j.issn.0254-1769.2026.06.014

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (6): 822-828.DOI: 10.3761/j.issn.0254-1769.2026.06.014

双胎孕妇营养素养的影响因素分析及护理启示

张柔¹(), 贺方园¹, 杨晓宇², 陈冬笋³, 李根霞⁴, 孙可盈¹, 赵晶⁵, 郭晓丽¹^,^*()

1.郑州大学第三附属医院护理部郑州市 450052
2.郑州大学第三附属医院产科三病区郑州市 450052
3.郑州大学第三附属医院产科门诊郑州市 450052
4.郑州大学第三附属医院产科六病区郑州市 450052
5.郑州大学第三附属医院乳腺甲状腺外科郑州市 450052

收稿日期:2025-05-27 出版日期:2026-03-20 发布日期:2026-03-23
*通讯作者: 郭晓丽，E-mail：guoxl1228@163.com
作者简介:张柔：女，本科（硕士在读），E-mail：779501693@qq.com
基金资助:
郑州市医疗卫生领域科技创新指导计划项目(2024YLZDJH007)

Analysis of influencing factors of nutritional literacy in women with twin pregnancies and nursing implications

ZHANG Rou¹(), HE Fangyuan¹, YANG Xiaoyu², CHEN Dongsun³, LI Genxia⁴, SUN Keying¹, ZHAO Jing⁵, GUO Xiaoli¹^,^*()

1. Nursing Department，Third Affiliated Hospital of Zhengzhou University，Zhengzhou 450052，China
2. Third Obstetric Ward，Department of Obstetrics，Third Affiliated Hospital of Zhengzhou University，Zhengzhou 450052，China
3. Obstetric Outpatient Clinic，Third Affiliated Hospital of Zhengzhou University，Zhengzhou 450052，China
4. Sixth Obstetric Ward，Department of Obstetrics，Third Affiliated Hospital of Zhengzhou University，Zhengzhou 450052，China
5. Department of Breast and Thyroid Surgery，Third Affiliated Hospital of Zhengzhou University，Zhengzhou 450052，China

Received:2025-05-27 Online:2026-03-20 Published:2026-03-23
Funding program:
Zhengzhou Healthcare Field Science and Technology Innovation Guidance Program Project(2024YLZDJH007)

摘要/Abstract

摘要：

目的探究双胎孕妇营养素养现状及影响因素，为制订针对性的营养管理方案提供参考。方法采用便利抽样法，选取2024年10月—2025年3月河南省某三级甲等医院的210名双胎孕妇作为调查对象，采用一般资料调查表、孕期营养素养评估工具、直觉饮食量表-2进行调查，通过单因素分析及多元线性回归分析探讨双胎孕妇营养素养的影响因素。结果共回收205份有效问卷，有效问卷回收率为97.62%。双胎孕妇的孕期营养素养评估工具得分为（44.21±8.80）分。多元线性回归分析结果显示，文化程度、是否有合并症/并发症、孕期体重增加是双胎孕妇营养素养的影响因素（P<0.05）。结论双胎孕妇营养素养水平有待提升，临床医护人员应重视并关注其营养素养水平，制订个性化营养管理方案，以改善双胎孕妇的营养状况。

关键词: 双胎妊娠, 营养素养, 直觉饮食, 影响因素分析, 产科护理

Abstract:

Objective To investigate the current status and influencing factors of nutritional literacy among women with twin pregnancies，so as to provide references for developing targeted nutritional management strategies. Methods A convenience sampling method was used to investigate 210 women with twin pregnancies from a tertiary-level hospital in Henan Province between October 2024 and March 2025. Data were collected using a general information questionnaire，the Nutrition Literacy Assessment Instrument for Pregnancy Women（NLAI-P），and the Intuitive Eating Scale-2. Univariate analysis and multiple linear regression analysis were employed to explore the influencing factors of nutritional literacy in pregnant women with twin pregnancies. Results A total of 205 valid questionnaires were collected，with a response rate of 97.62%. The score on the NLAI-P was（44.21±8.80） points. Multiple linear regression analysis showed that educational level，presence of comorbidities/complications，and gestational weight gain were significant predictors of nutritional literacy in women with twin pregnancies（P<0.05）. Conclusion The nutritional literacy level of women with twin pregnancies needs to be improved. Clinical healthcare providers should emphasize and monitor their nutritional literacy levels，develop personalized nutritional management plans to enhance their nutritional status.

Key words: Twin Pregnancy, Nutrition Literacy, Intuitive Eating, Root Cause Analysis, Obstetrical Nursing

张柔, 贺方园, 杨晓宇, 陈冬笋, 李根霞, 孙可盈, 赵晶, 郭晓丽. 双胎孕妇营养素养的影响因素分析及护理启示[J]. 中华护理杂志, 2026, 61(6): 822-828.

ZHANG Rou, HE Fangyuan, YANG Xiaoyu, CHEN Dongsun, LI Genxia, SUN Keying, ZHAO Jing, GUO Xiaoli. Analysis of influencing factors of nutritional literacy in women with twin pregnancies and nursing implications[J]. Chinese Journal of Nursing, 2026, 61(6): 822-828.

图/表 3

表1 调查对象的一般资料及营养素养的单因素分析（n=205）

Table 1 Univariate analysis of respondents general information and nutrition literacy of the twin pregnant women（n=205）

表2 自变量赋值方式

Table 2 Assignment of independent variables

表3 双胎孕妇营养素养的多元线性回归分析（n=205）

Table 3 Multiple linear regression analysis of nutrition literacy in twin pregnant women（n=205）

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双胎孕妇营养素养的影响因素分析及护理启示

Analysis of influencing factors of nutritional literacy in women with twin pregnancies and nursing implications

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