系统化管理对遗传病高危孕妇疾病认知度及不确定感的影响

Influence of Systematic Management for Disease Awareness and Uncertainty of Pregnant Women With High Risk of Genetic Diseases

目的探究及分析系统化管理对遗传病高危孕妇疾病认知度及不确定感的影响。方法将2020年9月—2021年12月的160例遗传病高危孕妇根据随机数字表法分为对照组80例和观察组80例。对照组进行常规管理干预,观察组则进行系统化管理干预。比较两组管理干预前后的疾病认知度、疾病不确定感(Mishel uncertainty in illness scale,MUIS)、医学应对方式问卷(medical coping mode questionnaire,MCMQ)、规范产检情况、对管理模式的满意度。结果管理干预前两组的疾病认知度、MUIS量表及MCMQ问卷评估结果比较,差异无统计学意义(P>0.05),管理干预后观察组的疾病认知度显著高于对照组,MUIS量表及MCMQ问卷评估结果显著优于对照组,规范产检情况显著优于对照组,对管理模式的满意度显著高于对照组,差异有统计学意义(P<0.05)。结论系统化管理可显著提升遗传病高危孕妇的疾病认知度及控制其疾病不确定感,因此有助于改善其应对方式及提升其满意度,在遗传病高危孕妇中的应用价值较高。

Objective To investigate and analyze the influence of systematic management for disease awareness and uncertainty of pregnant women with high risk of genetic diseases.Methods A total of 160 pregnant women with high risk of genetic diseases from September 2020 to December 2021 were divided into the control group 80 cases and the observation group 80 cases by the method of random number table.The control group was treated with routine management intervention,the observation group was treated with systematic management intervention.The disease cognition,Mishel uncertainty in illness scale(MUIS),medical coping mode questionnaire(MCMQ),standardized obstetric examination,and satisfaction with the management mode were compared between the two groups before and after management intervention.Results There was no significant difference in disease cognition,MUIS scale and MCMQ questionnaire evaluation results between the two groups before management intervention(P>0.05).After management intervention,the disease cognition in the observation group was significantly higher than that in the control group.The evaluation results of the MUIS scale and MCMQ questionnaire were significantly better than those of the control group,the standardized obstetric examination was significantly better than that of the control group,and the satisfaction with the management mode was significantly higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Systematic management can significantly improve the disease awareness and control the uncertainty of the disease in pregnant women at high risk of genetic diseases,so it is helpful to improve their coping style and enhance their satisfaction,and has a high application value in pregnant women at high risk of genetic diseases.