{"title":"对不明原因复发性妊娠丢失的知识、态度和做法。","authors":"Zuoping Shi, Huiping Liu, Jie Han, Xueqing Wu","doi":"10.2147/RMHP.S518739","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>To explore the knowledge, attitudes, and practices (KAP) regarding recurrent pregnancy loss (RPL) of women with unexplained RPL.</p><p><strong>Methods: </strong>This cross-sectional study enrolled women with unexplained RPL in the Reproductive Medicine Centre of Shanxi Maternal and Child Health Hospital between August 28<sup>th</sup> and September 28<sup>th</sup>, 2024. Data were collected through a self-designed questionnaire encompassing sociodemographic characteristics and three dimensions of KAP.</p><p><strong>Results: </strong>A total of 485 valid questionnaires were included, with knowledge, attitude, and practice scores of 13.05 ± 6.24, 39.30 ± 3.09, and 41.11 ± 4.37, respectively. The multivariable logistic regression analysis showed that knowledge scores (OR = 1.05, 95% CI: 1.02-1.09, P = 0.001; beneficial), attitude scores (OR = 1.30, 95% CI: 1.20-1.41, P < 0.001), and urban residence (OR = 0.64, 95% CI: 0.41-0.99, P = 0.049) were independently associated with the proactive practice. The structural equation modeling (SEM) showed that knowledge directly (β = 0.20, P = 0.001) and indirectly (β = 0.15, P < 0.001) influenced practices.</p><p><strong>Conclusion: </strong>Women with unexplained RPL demonstrated insufficient knowledge, moderate attitude, and proactive practice towards RPL. Targeted educational interventions could be needed to enhance knowledge related to RPL, which may help women form proper expectations toward pregnancy.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1857-1867"},"PeriodicalIF":2.7000,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166855/pdf/","citationCount":"0","resultStr":"{\"title\":\"Knowledge, Attitudes, and Practices Toward Unexplained Recurrent Pregnancy Loss Among Afflicted Women.\",\"authors\":\"Zuoping Shi, Huiping Liu, Jie Han, Xueqing Wu\",\"doi\":\"10.2147/RMHP.S518739\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>To explore the knowledge, attitudes, and practices (KAP) regarding recurrent pregnancy loss (RPL) of women with unexplained RPL.</p><p><strong>Methods: </strong>This cross-sectional study enrolled women with unexplained RPL in the Reproductive Medicine Centre of Shanxi Maternal and Child Health Hospital between August 28<sup>th</sup> and September 28<sup>th</sup>, 2024. Data were collected through a self-designed questionnaire encompassing sociodemographic characteristics and three dimensions of KAP.</p><p><strong>Results: </strong>A total of 485 valid questionnaires were included, with knowledge, attitude, and practice scores of 13.05 ± 6.24, 39.30 ± 3.09, and 41.11 ± 4.37, respectively. The multivariable logistic regression analysis showed that knowledge scores (OR = 1.05, 95% CI: 1.02-1.09, P = 0.001; beneficial), attitude scores (OR = 1.30, 95% CI: 1.20-1.41, P < 0.001), and urban residence (OR = 0.64, 95% CI: 0.41-0.99, P = 0.049) were independently associated with the proactive practice. The structural equation modeling (SEM) showed that knowledge directly (β = 0.20, P = 0.001) and indirectly (β = 0.15, P < 0.001) influenced practices.</p><p><strong>Conclusion: </strong>Women with unexplained RPL demonstrated insufficient knowledge, moderate attitude, and proactive practice towards RPL. Targeted educational interventions could be needed to enhance knowledge related to RPL, which may help women form proper expectations toward pregnancy.</p>\",\"PeriodicalId\":56009,\"journal\":{\"name\":\"Risk Management and Healthcare Policy\",\"volume\":\"18 \",\"pages\":\"1857-1867\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-06-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166855/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Risk Management and Healthcare Policy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/RMHP.S518739\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Risk Management and Healthcare Policy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/RMHP.S518739","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
摘要
背景：探讨不明原因复发性妊娠丢失（RPL）妇女的知识、态度和实践（KAP）。方法：采用横断面研究方法，于2024年8月28日至9月28日在山西省妇幼保健院生殖医学中心就诊的不明原因RPL妇女。数据通过自行设计的问卷收集，包括社会人口学特征和KAP的三个维度。结果：共收回有效问卷485份，知识、态度、实践得分分别为13.05±6.24分、39.30±3.09分、41.11±4.37分。多变量logistic回归分析显示，知识得分(OR = 1.05, 95% CI: 1.02-1.09, P = 0.001；有益)、态度评分（OR = 1.30, 95% CI: 1.20-1.41, P < 0.001）和城市居住（OR = 0.64, 95% CI: 0.41-0.99, P = 0.049）与积极实践独立相关。结构方程模型（SEM）显示知识直接（β = 0.20, P = 0.001）和间接（β = 0.15, P < 0.001）影响实践。结论：不明原因RPL患者对RPL的认识不足，态度温和，积极主动。可能需要有针对性的教育干预，以提高与生殖生殖和生殖生殖有关的知识，这可能有助于妇女对怀孕形成适当的期望。
Knowledge, Attitudes, and Practices Toward Unexplained Recurrent Pregnancy Loss Among Afflicted Women.
Background: To explore the knowledge, attitudes, and practices (KAP) regarding recurrent pregnancy loss (RPL) of women with unexplained RPL.
Methods: This cross-sectional study enrolled women with unexplained RPL in the Reproductive Medicine Centre of Shanxi Maternal and Child Health Hospital between August 28th and September 28th, 2024. Data were collected through a self-designed questionnaire encompassing sociodemographic characteristics and three dimensions of KAP.
Results: A total of 485 valid questionnaires were included, with knowledge, attitude, and practice scores of 13.05 ± 6.24, 39.30 ± 3.09, and 41.11 ± 4.37, respectively. The multivariable logistic regression analysis showed that knowledge scores (OR = 1.05, 95% CI: 1.02-1.09, P = 0.001; beneficial), attitude scores (OR = 1.30, 95% CI: 1.20-1.41, P < 0.001), and urban residence (OR = 0.64, 95% CI: 0.41-0.99, P = 0.049) were independently associated with the proactive practice. The structural equation modeling (SEM) showed that knowledge directly (β = 0.20, P = 0.001) and indirectly (β = 0.15, P < 0.001) influenced practices.
Conclusion: Women with unexplained RPL demonstrated insufficient knowledge, moderate attitude, and proactive practice towards RPL. Targeted educational interventions could be needed to enhance knowledge related to RPL, which may help women form proper expectations toward pregnancy.
期刊介绍：
Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include:
Public and community health
Policy and law
Preventative and predictive healthcare
Risk and hazard management
Epidemiology, detection and screening
Lifestyle and diet modification
Vaccination and disease transmission/modification programs
Health and safety and occupational health
Healthcare services provision
Health literacy and education
Advertising and promotion of health issues
Health economic evaluations and resource management
Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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