首页|高龄孕晚期产妇疾病不确定感现状及影响因素的调查分析

高龄孕晚期产妇疾病不确定感现状及影响因素的调查分析

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目的 分析高龄孕晚期产妇疾病不确定感现状及相关影响因素,寻找减轻其疾病不确定感、改善母婴结局的干预方案.方法 纳入 2021 年 1 月—2022 年 6 月于江西省妇幼保健院进行产检的高龄孕晚期产妇146例为研究对象,采用疾病不确定感成人量表(MUIS-A)评估其疾病不确定感情况,并采用自制基线资料调查表调查产妇基线资料,通过单因素及有序Logistic回归分析确定产妇疾病不确定感的影响因素.结果 本研究共发放 146 份问卷,有效回收 128 份,有效回收率 87.67%.128 例产妇中疾病不确定感低水平 24 例,中等水平85 例,高水平 19 例.单因素分析结果显示,产妇类型、受教育程度、妊娠期合并症、定期产检情况均为高龄孕晚期产妇疾病不确定感的影响因素(P<0.05);有序Logistic回归分析发现,产妇类型、受教育程度、妊娠期合并症、定期产检是高龄孕晚期产妇疾病不确定感影响因素(P<0.05).结论 高龄孕晚期产妇具有一定的疾病不确定感,产妇类型、受教育程度、妊娠期合并症、定期产检状况均是重要影响因素,建议医护人员据此尽早采取针对性干预措施降低产妇疾病不确定感.
Investigation and analysis on the current status and influencing factors of disease uncertainty among advanced maternal age in late pregnancy
Objective To analyze the current situation and related influencing factors of uncertainty of disease in elderly pregnant women in late pregnancy,and to find an intervention plan to reduce their uncertainty of disease and improve maternal and infant outcomes.Methods The elderly late stage pregnant women who underwent prenatal examinations at Jiangxi Maternal and Child Health Hospital from January 2021 to June 2022 were included as the research subjects.The Disease Uncertainty in Illness Scale-Adult(MUIS-A)was used to evaluate their disease uncertainty,and a self-made baseline data questionnaire was used to investigate the baseline data of pregnant women.The influencing factors of maternal disease uncertainty were determined through single factor and ordered Logistic regression analysis.Results A total of 146 questionnaires were distributed in this study,128 of which were effectively recovered,with an effective recovery rate of 87.67%.Among 128 parturients,24 had a low level of disease uncertainty,85 had a moderate level,and 19 had a high level.The results of univariate analysis showed that maternal type,education level,pregnancy complications,and regular prenatal check ups were all factors affecting the uncertainty of disease in elderly late pregnancy women(P<0.05).Ordered Logistic regression analysis showed that the influencing factors of the uncertainty of the disease of the elderly late pregnant women were primipara,education level of junior high school and below,pregnancy complications,and unscheduled prenatal examination(P<0.05).Conclusion Elderly pregnant women in late pregnancy have a certain degree of uncertainty of disease.Maternal type,education level,pregnancy complications,and regular prenatal examination are all important influencing factors.It is recommended that medical staff should take targeted intervention measures as soon as possible to reduce maternal uncertainty of disease.

Elderly pregnant womenLate pregnancyUncertainty of diseaseCurrent statusInfluencing factorInvestigation and analysis

熊伟、熊渊丽、肖丽英、张晓玲、刘丹、陈钰、廖英

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江西省妇幼保健院产科病房(江西省南昌市,330006)

石家庄市人民医院(河北省石家庄市,050000)

高龄产妇 孕晚期 疾病不确定感 现状 影响因素 调查分析

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(6)
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