Inadequate pregnancy-specific knowledge among patients with inflammatory bowel disease: A multicenter survey in China

IF 2.3 3区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY Journal of Digestive Diseases Pub Date : 2024-04-10 DOI:10.1111/1751-2980.13258

Rui Xia Li, Tong Wu, Xiao Fei Li, He Zhou, Yan Ting Shi, Fang Wang, Jie Liang

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Abstract

Objectives

The perceptions and attitudes of inflammatory bowel disease (IBD) patients towards pregnancy may affect their fertility plan and disease progression. We performed a nationwide multicenter survey of pregnancy-related knowledge among gastroenterologists and IBD patients in China to investigate whether specific educational interventions could improve their understanding and broadly influence fertility plan.

Methods

A cross-sectional questionnaire regarding pregnancy-specific knowledge was carried out among 63 IBD centers in China. Questionnaires were collected from 185 physicians and 609 patients. The patients then received education regarding pregnancy during IBD and filled in the same questionnaire again. Their knowledge regarding pregnancy during IBD was compared before and after education.

Results

Compared to physicians, patients' knowledge regarding fertility (39.1% vs 70.8%), imaging examinations (22.8% vs 72.4%), endoscopy performed during pregnancy (19.9% vs 71.4%), and vaccination for infants (16.6% vs 46.5%) was significantly more limited (all P < 0.001). There was a lack of knowledge among gastroenterologists regarding the delivery mode (36.8%), medications (36.8%), and emergency surgery (26.5%) during pregnancy in patients with IBD. After education, the patients showed significant improvement in knowledge regarding medications (26.7% vs 51.7%), fertility (45.0% vs 63.3%), heritability (40.0% vs 58.3%), indications for emergency surgery (15.0% vs 53.3%), imaging examinations during pregnancy (20.0% vs 40.0%), and vaccinations for infants (26.7% vs 45.0%) (all P < 0.05).

Conclusions

Pregnancy-specific IBD knowledge needs to be improved among certain gastroenterologists and patients in China. Educational interventions can partially improve the knowledge levels of the patients.

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炎症性肠病患者对妊娠相关知识了解不足：中国多中心调查

目的炎症性肠病（IBD）患者对妊娠的看法和态度可能会影响他们的生育计划和疾病进展。我们在全国范围内对消化内科医生和 IBD 患者进行了一次妊娠相关知识的多中心调查，以研究特定的教育干预措施能否改善他们对妊娠的理解并广泛影响生育计划。方法在中国的 63 个 IBD 中心开展了关于妊娠相关知识的横断面问卷调查。共收集了 185 名医生和 609 名患者的问卷。随后，患者接受了有关 IBD 期间妊娠的教育，并再次填写了相同的问卷。比较教育前后患者对 IBD 期间妊娠的了解程度。结果与医生相比，患者对生育（39.1% 对 70.8%）、影像学检查（22.8% 对 72.4%）、妊娠期内镜检查（19.9% 对 71.4%）和婴儿疫苗接种（16.6% 对 46.5%）的了解明显有限（所有 P 均为 0.001）。消化内科医生对 IBD 患者妊娠期间的分娩方式（36.8%）、药物治疗（36.8%）和急诊手术（26.5%）缺乏了解。经过教育后，患者对药物（26.7% vs 51.7%）、生育（45.0% vs 63.3%）、遗传性（40.0% vs 58.3%）、急诊手术指征（15.0% vs 53.3%）、孕期影像学检查（20.0% vs 40.0%）和婴儿疫苗接种（26.7% vs 45.0%）的了解有了显著提高（所有 P 均为 0.05）。结论中国部分消化内科医生和患者对妊娠期特异性 IBD 的认识有待提高。教育干预可部分提高患者的知识水平。

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来源期刊

Journal of Digestive Diseases 医学-胃肠肝病学

CiteScore

5.40

自引率

2.90%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Digestive Diseases is the official English-language journal of the Chinese Society of Gastroenterology. The journal is published twelve times per year and includes peer-reviewed original papers, review articles and commentaries concerned with research relating to the esophagus, stomach, small intestine, colon, liver, biliary tract and pancreas.