单一的教育干预措施可提高妊娠或备孕的炎症性肠病女性的妊娠相关知识和情绪健康水平。

A Single Educational Intervention Improves Pregnancy-Related Knowledge and Emotional Health Among Women With IBD Who Are Pregnant or Wish to Conceive.

机构信息

Department of Gastroenterology, St. Vincent's Hospital, Melbourne, Australia.

Department of Medicine, University of Melbourne, Melbourne, Australia.

出版信息

Inflamm Bowel Dis. 2021 Nov 15;27(12):1909-1918. doi: 10.1093/ibd/izab021.

DOI:10.1093/ibd/izab021

PMID:33704467

Abstract

BACKGROUND

There is considerable interest in improving the education and care of women with inflammatory bowel disease (IBD) to improve pregnancy outcomes. Despite increased awareness, not all women with IBD have access to pregnancy-related education and the quality of counseling is variable. We aimed to assess the effectiveness of a simple educational intervention for improving pregnancy-related knowledge and to evaluate the effect of education on patient outcomes including anxiety, depression, and quality of life in women with IBD.

METHODS

This prospective study of women with IBD who were pregnant or planning a pregnancy evaluated the effectiveness of a single gastroenterologist-led educational intervention in improving pregnancy-related knowledge, measured using the Crohn's and Colitis Pregnancy Knowledge score 1 month postintervention. Secondary outcomes included the effect on anxiety and depression, quality of life, medication adherence, and patient satisfaction.

RESULTS

One hundred women with IBD were recruited. Fifty percent were pregnant at the time of the intervention. Baseline knowledge scores were similar independent of the patients' pregnancy status or whether they had previously received counseling from their gastroenterologist. Median Crohn's and Colitis Pregnancy Knowledge scores postintervention (n = 82) were higher than preintervention scores (14/17 vs 10/17; P < 0.001). In addition, 32% of patients had poor knowledge at baseline (score ≤7/17), compared to only 5% after the intervention (P < 0.001). There was a significant improvement in total anxiety and depression and quality of life scores postintervention. Medication adherence and patient satisfaction were excellent.

CONCLUSIONS

Uptake of this gastroenterologist-led educational intervention has the potential to improve pregnancy knowledge, promote medication adherence, and enhance quality of life for women with IBD globally.

摘要

背景

人们对改善炎症性肠病（IBD）女性的教育和护理以改善妊娠结局非常感兴趣。尽管意识有所提高，但并非所有患有 IBD 的女性都能获得与妊娠相关的教育，并且咨询质量也参差不齐。我们旨在评估一种简单的教育干预措施对改善与妊娠相关的知识的有效性，并评估教育对患者结局的影响，包括 IBD 女性的焦虑、抑郁和生活质量。

方法

这项针对患有 IBD 且正在妊娠或计划妊娠的女性的前瞻性研究评估了单一胃肠病学家主导的教育干预措施对改善与妊娠相关的知识的有效性，该措施使用克罗恩病和结肠炎妊娠知识评分在干预后 1 个月进行评估。次要结局包括对焦虑和抑郁、生活质量、药物依从性和患者满意度的影响。

结果

共招募了 100 名患有 IBD 的女性。有 50%的女性在干预时处于妊娠状态。基线知识评分与患者的妊娠状态或是否已从胃肠病学家处获得咨询无关。干预后（n = 82）的克罗恩病和结肠炎妊娠知识评分中位数（14/17 分）高于干预前评分（10/17 分；P < 0.001）。此外，基线时有 32%的患者知识水平较差（评分 ≤7/17），而干预后仅为 5%（P < 0.001）。干预后总焦虑和抑郁评分以及生活质量评分均显著改善。药物依从性和患者满意度均很高。