| 何静,肖燕.育龄期女性炎症性肠病患者疾病生育知识的潜在剖面分析及其影响因素[J].上海护理,2026,26(6): |
| 育龄期女性炎症性肠病患者疾病生育知识的潜在剖面分析及其影响因素 |
| Latent Profile Analysis of Disease Related Fertility Knowledge Among Reproductive-Aged Women with Inflammatory Bowel Disease and Its Influencing Factors |
| DOI： |
| 中文关键词: 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 |
| 英文关键词:reproductive age, female, inflammatory bowel disease（IBD）, pregnancy knowledge, latent profile, influencing factors |
| 基金项目:杨浦区卫健系统“好医师”建设工程（杨卫健委党[2023]85号）；上海市杨浦区卫健委“好医师”建设工程（2024-2026年度） |
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| 中文摘要: |
| 目的：探讨育龄期女性炎症性肠病患者生育知识的潜在剖面，并分析其影响因素。方法：于2024年6月-8月采用便利抽样法选取上海市1所三级甲等医院和1所二级甲等医院消化科病房和炎症性肠病（IBD）日间生物制剂诊疗中心的育龄期女性炎症性肠病患者作为调查对象。采用一般资料情况调查问卷、中文版女性克罗恩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）和社会支持评定量表（SSRS）进行调查。通过潜在剖面分析探索育龄期女性IBD患者生育知识的类别，并采用Logistic回归分析探讨其潜在剖面的影响因素。结果：219例育龄期女性炎症性肠病患者生育知识得分为（7.100±3.552）分，可分为3个潜在类别，分别为“全面知识欠缺组”（61例，27.9%）、“备孕期知识提升组”（78例，35.6%）、“多生育期知识较优组”（80例，36.5%）。Logistic回归分析结果显示，自觉家庭支持、社会支持、年龄、疾病病程、药物使用及既往生育史是育龄期女性IBD患者生育知识的潜在剖面的影响因素（P<0.05）。结论：育龄期女性炎症性肠病患者整体生育知识水平处于较低水平，且存在群体异质性，IBD专科护士应根据不同人群的特点制定干预策略和教育计划，以促进生育知识的掌握，提高IBD患者的自主生育意愿。 |
| 英文摘要: |
| Abstract:?Objective: To explore the latent profiles of pregnancy knowledge among female inflammatory bowel disease (IBD) patients of reproductive age and analyze its influencing factors.?Methods: From June to August 2024, a convenience sampling method was used to select female IBD patients of reproductive age from the gastroenterology wards of one tertiary hospital and one secondary hospital in Shanghai, as well as from the IBD biologic agent diagnosis and treatment day-center. General information questionnaires, the Chinese version of Crohn’s and Colitis Pregnancy Knowledge Score (CCPKnow), the Self-Rated Scale of Perceived Family Support（PSS-Fa）, and the Social Support Rating Scale （SSRS）were used for the investigation. Latent profile analysis was used to explore the categories of pregnancy knowledge among female IBD patients of reproductive age, and logistic regression analysis was used to explore the influencing factors of their latent profiles.?Results: The score of pregnancy knowledge among 219 female IBD patients of reproductive age was (7.100±3.552). They could be divided into 3 latent categories, namely the "comprehensive knowledge-deficient group" (61 cases, 27.9%), the "pre-pregnancy knowledge improving group" (78 cases, 35.6%), and the "multi-fertility period knowledge superior group" (80 cases, 36.5%). The results of Logistic regression analysis showed that perceived family support, social support, age, disease duration, drug use, and previous child-bearing history were the influencing factors of latent profiles of pregnancy knowledge among female IBD patients of reproductive age (P<0.05).?Conclusion: The holistically level of pregnancy knowledge among female IBD patients of reproductive age is at a relatively low level, and there is group heterogeneity. IBD specialized nurses should develop intervention strategies and educational plans according to the characteristics of different groups to promote the mastery of pregnancy knowledge and enhance the autonomous fertility willingness of IBD patients. |
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