Scott and White Healthcare, Temple, Texas, USA.
Pediatrics. 2012 May;129(5):e1269-74. doi: 10.1542/peds.2011-1702. Epub 2012 Apr 9.
To determine if maternal knowledge of prematurity is improved when verbal gestational age-specific counseling is supplemented with written gestational age-specific information.
Prospective, randomized study of 60 pregnant participants assessed to be at risk for premature delivery between 23 and 34 weeks' gestation. Counseling in the control group consisted of gestational age-specific verbal information, and counseling in the intervention group consisted of written gestational age-specific information 1 hour before the verbal gestational age-specific information. Both groups completed a Prematurity Knowledge Questionnaire after counseling and the State-Trait Anxiety Inventory before and after counseling. The Prematurity Knowledge Questionnaire consisted of questions regarding short-term problems (immature lungs, intraventricular hemorrhage, retinopathy, feeding problems, infection, apnea, and jaundice), long-term problems (chronic lung disease, postdischarge respiratory infections, visual impairment, hearing impairment, brain damage, and learning and behavior problems), and numerical outcome data (probabilities of survival, survival without significant morbidity, severe intraventricular hemorrhage, severe retinopathy, and chronic lung disease).
Knowledge of short-term problems was not statistically different between the intervention (82%) and control groups (67%). Knowledge of long-term problems was better in the intervention (71%) than the control group (45%). Knowledge of numerical data was better in the intervention (48%) than the control group (29%). State-Trait Anxiety Inventory scores decreased after counseling in the intervention group.
Supplementation of face-to-face verbal counseling with written information improved knowledge of long-term problems and knowledge of numerical outcome data, and it also decreased anxiety in women expecting a premature delivery.
确定口头特定孕周咨询辅以书面特定孕周信息是否能提高产妇对早产的认识。
对 60 名被评估为有早产风险的孕妇进行前瞻性随机研究，这些孕妇的孕周在 23 至 34 周之间。对照组接受特定孕周的口头咨询，干预组在接受口头特定孕周信息前 1 小时接受书面特定孕周信息。两组在咨询后均完成早产知识问卷，在咨询前后均完成状态-特质焦虑量表。早产知识问卷包括关于短期问题（不成熟的肺部、脑室内出血、视网膜病变、喂养问题、感染、呼吸暂停和黄疸）、长期问题（慢性肺部疾病、出院后呼吸道感染、视力障碍、听力障碍、脑损伤和学习和行为问题）和数值结果数据（存活率、无显著发病率存活率、严重脑室内出血、严重视网膜病变和慢性肺部疾病）的问题。
干预组（82%）和对照组（67%）的短期问题知识无统计学差异。干预组的长期问题知识（71%）优于对照组（45%）。干预组的数值数据知识（48%）优于对照组（29%）。干预组的状态-特质焦虑量表评分在咨询后下降。
面对面口头咨询辅以书面信息可提高对长期问题和数值结果数据的认识，还可降低期待早产的女性的焦虑。
