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Article
Author(s)
Peijun Xu1, Ke Cheng1, Hui Ye1 and Wen Yang2
Full-Text PDF XML 5399 Views
DOI:10.17265/1548-6648/2020.06.004
Affiliation(s)
1. The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, Guangdong, China
2. The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, Guangdong, China
ABSTRACT
Object: Understand the status and needs
of pregnancy and breastfeeding in patients with rheumatoid arthritis of childbearing
age, and analyze the factors that affect the decision-making of patients. Methods: Using convenience sampling method,
53 patients with rheumatoid arthritis of childbearing age who visited our hospital’s
rheumatology and immunology clinic from June to December 2019 were selected for
investigation and study. Use general information questionnaires and self-made questionnaires
to conduct questionnaire surveys and data collection for this population. Results: Among the 53 patients,
the top three factors influencing the decision of whether to become pregnant or
breastfeeding were: worry that rheumatism would affect the fetus (80.6%), worry
that rheumatism would be passed on to offspring (66.5%), and worry about pregnancy
caused rheumatism recurrence (67.9%). Patients believe that during pregnancy and
breastfeeding, the need for help from medical workers mainly includes: medication
guidance (75.0%), condition monitoring (68.5%), pregnancy/pregnancy/lactation management
(64.5%) and mental care (55.3%). Conclusion: Rheumatoid arthritis patients of childbearing
age generally choose to abandon pregnancy or breastfeeding after delivery. Medical
staff should take effective measures to strengthen patient education based on factors
that affect patient decision-making, and provide targeted medication guidance to
patient groups with different needs, disease management and spiritual care to improve
the quality of life of patients and meet their fertility needs.
KEYWORDS
Rheumatoid arthritis, childbearing age, pregnancy, lactation decision-making factors.
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