Sauvé Nadine, Powrie Raymond O, Larson Lucia, Phipps Maureen G, Weitzen Sherry, Fitzpatrick Donna, Rosene-Montella Karen
Division of Internal Medicine, Department of Medicine , Centre Hospitalier Universitaire de Sherbrooke, Affiliated to Université de Sherbrooke , Québec , Canada.
Division of Obstetric and Consultative Medicine, Department of Medicine.
Obstet Med. 2008 Sep;1(1):11-7. doi: 10.1258/om.2008.070001. Epub 2008 Sep 1.
This study was undertaken to evaluate whether or not an educational pamphlet could improve knowledge without increasing anxiety in women with preeclampsia.
One hundred women recruited from an inpatient setting with suspected or proven preeclampsia were asked to answer a questionnaire assessing demographics, knowledge (primary outcome), anxiety and satisfaction (secondary outcomes) after being randomized to an intervention group (who received a pamphlet) or a control group (who did not received a pamphlet). The pamphlet and questionnaire, both designed by a multidisciplinary team, were read and answered at the same time.
Baseline and demographic characteristics were similar between the two groups. Knowledge about the symptoms of pre-eclampsia was excellent in both groups (61% to 100% correct answers). Women in both groups were well aware that preeclampsia in the past (P = 0.22) and a family history of preeclampsia (P = 0.57) were risk factors. There was a significant difference in knowledge about the risk of some fetal complications, including death (90% versus 39%, P < 0.01) and all maternal complications (P < 0.05) favouring the intervention group. Despite increased knowledge about preeclampsia and its risks, anxiety was not greater in the intervention group. Overall, there was a trend towards less knowledge in vulnerable subgroups (non-white, low income and schooling levels), but the improvement of knowledge with the pamphlet was equivalent. Baseline anxiety was higher in the vulnerable groups, but was generally not increased by the pamphlet.
An educational pamphlet for women with suspected preeclampsia was able to increase knowledge without increasing anxiety.
本研究旨在评估一份教育宣传册能否在不增加子痫前期女性焦虑情绪的情况下提高其知识水平。
从住院部招募了100名疑似或确诊子痫前期的女性，将她们随机分为干预组（收到宣传册）和对照组（未收到宣传册），然后要求她们回答一份评估人口统计学、知识水平（主要结果）、焦虑情绪和满意度（次要结果）的问卷。宣传册和问卷均由多学科团队设计，同时进行阅读和回答。
两组的基线和人口统计学特征相似。两组关于子痫前期症状的知识掌握情况都很好（正确答案率为61%至100%）。两组女性都清楚地知道既往子痫前期病史（P = 0.22）和子痫前期家族史（P = 0.57）是危险因素。在一些胎儿并发症风险的知识方面存在显著差异，包括死亡风险（90%对39%，P < 0.01）和所有母体并发症风险（P < 0.05），干预组表现更优。尽管干预组对子痫前期及其风险的知识有所增加，但焦虑情绪并未更严重。总体而言，弱势群体（非白人、低收入和低教育水平）的知识水平有降低趋势，但宣传册对知识的提升效果相当。弱势群体的基线焦虑水平较高，但宣传册一般不会使其进一步升高。
一份针对疑似子痫前期女性的教育宣传册能够在不增加焦虑的情况下提高知识水平。
