孕前护理计划对炎症性肠病妇女的影响:一种混合方法研究,包括随机对照试验
Young Jin Lee1, Hae Won Kim2,3,4, Yeon Hee Kim5
1College of Nursing, Eulji University, Uijeongbu, Korea. youngjin@eulji.ac.kr.
Journal of Korean Academy of Nursing
|September 9, 2024
概括
一项针对炎症性肠病 (IBD) 的妇女的新孕前护理计划显著提高了自我效能和知识,同时减少了与怀孕相关的焦虑. 该计划为有IBD的妇女提供了有价值的支持,计划怀孕.
科学领域:
- 胃肠病学 胃肠病学
- 生殖健康 生殖健康
- 卫生教育卫生教育教育
背景情况:
- 患有炎症性肠病 (IBD) 的生育年龄的妇女需要专门的孕前护理.
- 现有的护理计划可能无法充分满足计划怀孕的IBD患者的独特需求.
- 自我效能,知识和焦虑是怀孕期间管理IBD的关键因素.
研究的目的:
- 开发和实施一个预孕护理计划,为韩国妇女生育年龄的IBD.
- 评价该计划对IBD管理自我效能,怀孕知识和怀孕焦虑的影响.
- 质量地探索参与者的经验和在计划期间感知到的变化.
主要方法:
- 融合混合方法研究设计.
- 定量阶段:35名女性随机分为干预组 (n=17) 和对照组 (n=18). 干预包括小组会议和远程教练.
- 定性阶段:聚焦小组采访和与干预小组进行远程辅导. 在干预前和干预后1,4周收集的数据.
主要成果:
- 与对照组相比,干预组的IBD管理自我有效性 (p=.036),IBD相关怀孕知识 (p<.001) 和IBD相关怀孕焦虑 (p=.003) 的显著改善.
- 定性调查结果显示,对IBD管理和计划怀孕意识的信心增加.
- 参与者报告说,他们对IBD的认识增加了关于怀孕和分娩的意识,以及减少焦虑和积极参与怀孕.
结论:
- 这项研究成功开发并验证了第一项针对IBD妇女的孕前护理计划.
- 该计划对IBD妇女计划怀孕的关键指标产生了显著的积极影响.
- 开发的程序被推用于临床实践,以支持患者咨询和教育.
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