育龄期女性炎症性肠病患者生育知识的潜在剖面分析及影响因素研究OA
Latent Profile Analysis and Influencing Factor Study of Fertility Knowledge Mastery in Females of Childbearing Potential with Inflammatory Bowel Disease
目的 探讨育龄期女性炎症性肠病(IBD)患者生育知识掌握现状的潜在类别特征,分析不同类别患者的群体异质性及其影响因素,为制定个性化、精准化的生育健康宣教方案提供实证依据.方法 2024年6-8月,采用便利抽样法选取上海市1所三级甲等医院和1所二级甲等医院的消化科病房及IBD日间生物制剂诊疗中心中的育龄期女性IBD患者219例作为调查对象.采用一般资料调查问卷、中文版女性克罗恩病和溃疡性结肠炎患者生育知识问卷(CCPKnow)、自觉家庭支持自评量表(PSS-Fa)及社会支持评定量表(SSRS)对其进行调查.通过潜在剖面分析探索育龄期女性IBD患者生育知识的潜在类别,并采用logistic回归分析其影响因素.结果 219例育龄期女性IBD患者CCPKnow得分为7.00(4.00,10.00)分.潜在剖面分析显示,患者可分为3个潜在类别:全面知识欠缺组(61例,27.85%)、备孕期知识提升组(78例,35.62%)、多生育期知识较优组(80例,36.53%).logistic回归分析显示,PSS-Fa评分、SSRS评分、年龄、病程、药物使用情况及生育史是育龄期女性IBD患者生育知识潜在剖面的独立影响因素(P<0.05).结论 育龄期女性IBD患者的生育知识水平整体处于中等水平,且存在明显的群体异质性.IBD专科护士应依据不同人群的特点制定分层干预策略与针对性健康教育计划,以提升患者的生育知识掌握水平,改善其围生育期健康管理能力及自主生育决策意愿.
Objective To explore the characteristics of fertility knowledge mastery in females of childbearing potential with inflammatory bowel disease(IBD)across latent classes and analyze the population heterogeneity and influencing factors across classes,aiming to provide empirical evidence for developing personalized and precise reproductive health education programs.Methods From June to August 2024,219 female IBD patients of childbearing potential were selected by convenience sampling from the gastroenterology wards and IBD daycare biological diagnosis and treatment centers at one Grade Ⅲ-A hospital and one Grade Ⅱ-A hospital in Shanghai.They were investigated using the General Information Questionnaire,the Chinese version of the Crohn's and Colitis Pregnancy Knowledge Score(CCPKnow),the Perceived Social Support from Family(PSS-Fa),and the Social Support Rating Scale(SSRS).Latent profile analysis was conducted to explore latent classes of fertility knowledge mastery in female IBD patients of childbearing potential.Logistic regression analysis was employed to identify influencing factors.Results The CCPKnow score of the 219 female IBD patients of childbearing potential was 7.00(4.00,10.00)points.Latent profile analysis revealed three latent classes:comprehensive knowledge deficiency(61 subjects,27.85％),preconception knowledge improvement(78 subjects,35.62％),and optimal knowledge across multiple fertility stages(80 subjects,36.53％).Logistic regression analysis indicated that PSS-Fa score,SSRS score,age,disease course,medication use,and reproductive history were independent factors influencing latent profiles of fertility knowledge mastery in female IBD patients of childbearing potential(P<0.05).Conclusion The fertility knowledge mastery in female IBD patients of childbearing potential is generally at a moderate level,with significant population heterogeneity.IBD nurse specialists should develop stratified interventions and targeted health education plans based on population characteristics to enhance patients'fertility knowledge,improve their perinatal health management abilities,and support their willingness to make autonomous fertility decisions.
何静;苏莉莉;徐雪梅;梁宇琪;司徒芸忻;肖燕
上海市杨浦区中医医院,上海 200090上海交通大学医学院附属仁济医院宝山分院,上海 200444上海市杨浦区中医医院,上海 200090上海交通大学医学院护理学院,上海 200025上海市杨浦区中医医院,上海 200090上海市杨浦区中医医院,上海 200090
医药卫生
育龄期女性炎症性肠病患者生育知识潜在剖面分析影响因素
Childbearing potentialFemaleInflammatory bowel disease patientFertility knowledgeLatent profile analysisInfluencing factor
《上海护理》 2026 (6)
53-59,7
上海市杨浦区卫生健康委员会"好医师"建设工程(2024-2026年度).
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