Schaefer Malinda R, Holttum Jessica, Olson Megan, Westenberg Danielle, Rubin Nathan, Schleiss Mark R, Nyholm Jessica
Department of Obstetrics, Gynecology & Women's Health, University of Minnesota Medical School, Minneapolis, MN 55455, USA.
Biostatistics Core, Masonic Cancer Center, University of Minnesota Medical School, Minneapolis, MN 55455, USA.
Int J Womens Health. 2020 Dec 16;12:1205-1214. doi: 10.2147/IJWH.S276214. eCollection 2020.
Congenital CMV infection can result in serious sequelae in the newborn. The goal of this study was to assess pregnant women's knowledge and understanding of CMV infection during pregnancy and develop an educational tool about CMV infection to be utilized during prenatal care.
This is a prospective intervention study that assessed pregnant women's knowledge before and after receiving an educational handout about CMV infection in pregnancy and the perceived value of this education. Pre- and post-education questionnaires were utilized to assess knowledge. The pre-education questionnaire and CMV educational handout were given at the same clinic visit. The educational handout was given after the pre-education questionnaire had been completed. The post-education questionnaire was given at the next scheduled prenatal clinic appointment and included questions regarding the level of satisfaction with the education and the perceived value of the information. Pregnant women less than 34 weeks of gestation were eligible.
A total of 263 women were enrolled, 263 completed the pre-CMV educational questionnaire and 215 women completed both questionnaires. Some women only partially completed the questionnaires and those partial responses have been included. Prior to education, 33% (85/261) of participants had heard of CMV. This increased to 75% (160/214) after education. Participants scored each of the recommended hygiene practices between 1 and 5 (5 is the most acceptable) and each recommended hygiene practice received an average score between 3.8 and 5. 74% (134/180) of participants reported increasing their hygienic practices after education. 96% (180/188) of participants indicated they were satisifed to have received the education. 98% (187/190) thought more women should receive this education during prenatal care.
Pregnant women viewed education about CMV favorably and increased the frequency of recommended hygiene practices. Introducing an educational handout to routine prenatal care may be beneficial in increasing awareness of CMV infection in pregnancy.
先天性巨细胞病毒（CMV）感染可导致新生儿出现严重后遗症。本研究的目的是评估孕妇对孕期CMV感染的知识和理解，并开发一种关于CMV感染的教育工具，以便在产前护理中使用。
这是一项前瞻性干预研究，评估孕妇在收到关于孕期CMV感染的教育手册前后的知识以及对该教育的感知价值。使用教育前和教育后的问卷来评估知识。教育前问卷和CMV教育手册在同一次门诊就诊时发放。教育手册在完成教育前问卷后发放。教育后问卷在下一次预定的产前门诊预约时发放，包括关于对教育的满意度以及信息的感知价值的问题。孕周小于34周的孕妇符合条件。
共纳入263名女性，263名完成了CMV教育前问卷，215名女性完成了两份问卷。一些女性仅部分完成了问卷，这些部分回答也被纳入。在教育前，33%（85/261）的参与者听说过CMV。教育后这一比例增加到75%（160/214）。参与者对每项推荐的卫生习惯评分为1至5分（5分为最认可），每项推荐的卫生习惯平均得分在3.8至5分之间。74%（134/180）的参与者报告在教育后增加了卫生习惯。96%（180/188）的参与者表示对接受教育感到满意。98%（187/190）认为在产前护理期间应该有更多女性接受这种教育。
孕妇对CMV教育评价良好，并增加了推荐卫生习惯的频率。在常规产前护理中引入教育手册可能有助于提高对孕期CMV感染的认识。
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