妊娠合并慢性乙型肝炎患者自我认识及分娩相关影响因素分析

摘要/Abstract

摘要： 目的探析妊娠合并慢性乙型肝炎患者的自我认识与分娩相关因素。方法随机选择2020年2月—2022年8月在连云港市第一人民医院进行妊娠合并慢性乙型肝炎的患者,共筛取样本281例,根据生产史将合并慢性乙型肝炎患者分为初次妊娠患者和有产史患者,所有患者均予以问卷调查,了解患者对妊娠合并慢性乙型肝炎的认知状况,同时进行单因素与多因素分析,明确患者关注的问题。结果问卷调查结果显示初次妊娠合并慢性乙型肝炎母婴传播认知评分、乙型肝炎病毒相关认知评分、预防知识评分低于有产史的患者,差异有统计学意义（P<0.05）;单因素分析结果显示年龄、产史、受教育程度、慢性乙型肝炎筛查史等因素影响母婴传播相关知识了解情况;多因素logistic回归分析显示年龄、受教育程度、慢性乙型肝炎筛查史和产史因素是妊娠合并慢性乙型肝炎患者对母婴传播相关知识了解情况的影响因素（P<0.05）。患者关注母乳喂养、药物治疗安全性、阻断方法和成功率以及可运用的治疗方法问题的占比明显较高。结论妊娠合并慢性乙型肝炎问卷调查表明,有产史的患者多项认知评分明显较高,多项因素会影响患者的认知能力,患者主要关注安全性、母乳喂养、治疗方法、阻断成功率问题,在临床中需要特别针对相关因素进行预防和相应的干预。

关键词: 妊娠, 慢性乙型肝炎, 自我认识, 分娩, 相关因素

Abstract: Objective To explore the self-knowledge and delivery related factors of pregnant women with chronic hepatitis B. Methods A total of 281 patients with pregnancy complicated with chronic hepatitis B were randomly selected from the First People's Hospital of Lianyungang City from February 2020 to August 2022. A questionnaire survey was conducted on all patients to understand their cognitive status of pregnancy complicated with chronic hepatitis B. Univariate and multivariate analysis was conducted at the same time to identify patients' concerns. According to the birth history, the patients with chronic hepatitis B were divided into the first pregnancy patients and the patients with birth history. Results The results of the questionnaire showed that the cognitive score of mother-to-child transmission of chronic hepatitis B during the first pregnancy, the cognitive score of hepatitis B virus related, and the score of prevention knowledge were shorter than those of the patients with childbirth history, and the difference was statistically significant (P<0.05). Univariate analysis showed significant differences in age, birth history, education level, chronic hepatitis B screening history and other factors, with statistical significance (P<0.05). Multiple logistic regression analysis showed that age, education level, chronic hepatitis B screening history and delivery history were factors influencing the knowledge of mother-to-child transmission in pregnant patients with chronic hepatitis B (P<0.05). Patients were significantly more concerned about breast-feeding, drug safety, blocking methods and success rates, and available treatments. Conclusion In pregnancy with chronic hepatitis B questionnaire survey showed that patients with labor history multiple cognitive score significantly higher, there are many factors can affect the patient's cognitive ability, patients focus on safety, breastfeeding, treatment, blocking the success rate of several problems, in the clinical need for prevention and the corresponding intervention.

Key words: pregnancy, chronic hepatitis B, self knowledge, delivery, related factors

中图分类号:

R181

张国强. 妊娠合并慢性乙型肝炎患者自我认识及分娩相关影响因素分析[J]. 中华养生保健, 2023, 41(13): 15-18.

ZHANG Guo-qiang. Analysis of Self-concept and Delivery Related Factors in Pregnancy with Chronic Hepatitis B[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(13): 15-18.

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