Wilkinson Jessica, Cole Gene
a Health Science , Brigham Young University , Provo , USA.
Hypertens Pregnancy. 2018 Feb;37(1):18-24. doi: 10.1080/10641955.2017.1397691. Epub 2017 Nov 15.
Despite the benefits of preeclampsia (PE) education in improving health outcomes, little is known about how often healthcare providers in Utah include PE in prenatal education or how much information women retain. As such, the purpose of this study was to explore PE awareness among mothers in Utah and inquire how often PE is included in prenatal education. Factors associated with PE knowledge were also investigated.
A cross-sectional survey was conducted. Questions were created from two Preeclampsia Awareness Surveys developed by the Preeclampsia Foundation. PE knowledge was measured with 29 items from the 2014 Preeclampsia Awareness Survey, and a knowledge score was calculated.
A total of 340 women completed the survey. Over half (56.7%) of women reported their healthcare provider described the signs and symptoms of PE to them. The mean PE knowledge score was 17.07. Hearing of PE from a healthcare provider, having the signs and symptoms of PE described by a healthcare provider and having a history of PE were significantly associated with a higher PE knowledge score.
Patient awareness is essential to the successful management of PE. The need for improved PE education in Utah was evident in this survey. As not all healthcare providers are diligent in instructing patients regarding PE, more research is needed to fully assess the knowledge of mothers and examine the practices of providers. An explanation of PE signs and symptoms should be given to all women at prenatal care visits to improve health outcomes.
尽管子痫前期(PE)教育在改善健康结局方面具有诸多益处,但对于犹他州的医疗服务提供者在产前教育中纳入PE的频率以及女性记住了多少信息,我们知之甚少。因此,本研究的目的是探索犹他州母亲对子痫前期的认知情况,并询问产前教育中纳入PE的频率。还调查了与子痫前期知识相关的因素。
进行了一项横断面调查。问题源自子痫前期基金会制定的两份子痫前期认知调查问卷。子痫前期知识通过2014年子痫前期认知调查问卷中的29个项目进行测量,并计算知识得分。
共有340名女性完成了调查。超过一半(56.7%)的女性报告称其医疗服务提供者向她们描述了子痫前期的体征和症状。子痫前期知识的平均得分为17.07。从医疗服务提供者那里听说过子痫前期、医疗服务提供者描述了子痫前期的体征和症状以及有子痫前期病史与更高的子痫前期知识得分显著相关。
患者的认知对于子痫前期的成功管理至关重要。本次调查表明犹他州需要改进子痫前期教育。由于并非所有医疗服务提供者都认真指导患者了解子痫前期,因此需要更多研究来全面评估母亲的知识水平并检查提供者的做法。在产前检查时应向所有女性解释子痫前期的体征和症状,以改善健康结局。