摘要
目的调查孕妇羊膜腔穿刺接受度现状,并分析其影响因素,为临床产前诊断与遗传咨询工作提供指导。方法本研究以郑州大学第一附属医院2021年2月至2023年5月202例孕妇为研究对象,收集性别、年龄、受教育程度、民族、户籍、产次、职业、孕周、家庭人均月收入、接受专业产前诊断宣教情况、家庭关系、费用支付方式、是否存在家族遗传性病史、产前诊断认知水平、既往是否存在不良孕产史、社会支持水平、羊膜腔穿刺接受度等一般资料,采用单因素、多因素分析羊膜腔穿刺接受度影响因素。结果多重线性回归分析显示,羊膜腔穿刺接受度与既往存在不良孕产史、受教育程度、接受专业产前诊断宣教、产前诊断认知水平、家族遗传性病史、家庭关系与孕妇羊膜腔穿刺接受度相关(P<0.05)。结论孕妇羊膜腔穿刺接受度处于中等偏高水平,并受家庭遗传性病史、家庭关系及产前诊断认知水平影响,医护工作者可通过积极宣教增强羊膜腔穿刺认知程度,提升诊断接受度。
Objective To investigate the acceptances of amniocentesis in pregnant women and analyze its influencing factors,so as to provide guidance for prenatal diagnosis and genetic counseling.Methods A total of 202 pregnant women in the First Affiliated Hospital of Zhengzhou University from February 2021 to May 2023 were selected as the research objects.General data such as gender,age,education level,nationality,household registration,birth rate,occupation,gestational age,per capita monthly family income,professional prenatal diagnosis education,family relationship,payment method,whether there is family genetic history,prenatal diagnosis cognition level,history of adverse pregnancy,social support level,acceptance of amniocentesis were collected.The influence factors of amniocentesis acceptance were analyzed by single factor and multiple factor.Results Multiple linear regression analysis showed that the acceptance of amniocentesis was related to the history of adverse pregnancy,education level,professional prenatal diagnosis education,prenatal diagnosis cognition level,family genetic history,family relationship and the acceptance of amniocentesis in pregnant women(P<0.05).Conclusion The acceptance of amniocentesis in pregnant women is at a medium to high level,and is affected by family genetic history,family relationship and prenatal diagnosis cognition.Medical workers can enhance the awareness of amniocentesis through active education and promotion to improve diagnosis acceptance.
作者
吕丽红
LU Lihong(Genetics and Prenatal Diagnosis Center,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
2023年第23期4321-4324,共4页
Henan Medical Research
关键词
羊膜腔穿刺
孕妇
认知
影响因素
amniocentesis
pregnant women
cognition
influencing factor