关键词: Anxiety Gestational diabetes High-risk pregnancy Mental health Premature obstetric labor Anxiety Gestational diabetes High-risk pregnancy Mental health Premature obstetric labor

来  源:   DOI:10.4069/kjwhn.2021.09.17   PDF(Pubmed)

Abstract:
UNASSIGNED: This study aimed to summarize the current evidence on the effects of nonpharmacological interventions on psychological health outcomes for women with high-risk pregnancies due to conditions such as preeclampsia, gestational diabetes, or preterm labor.
UNASSIGNED: The following databases were searched from January 2000 to December 2020: PubMed, Ovid Embase, CINAHL, Web of Science, DBpia, RISS, and KISS. Two investigators independently reviewed and selected articles according to the inclusion/exclusion criteria. RoB 2 and the ROBINS-I checklist were used to evaluate study quality.
UNASSIGNED: Twenty-nine studies with a combined total of 1,806 pregnant women were included in the systematic review and meta-analysis. Psychological health improvements were found in women with preeclampsia (Hedges\' g=-0.67; 95% confidence interval [CI], -0.91 to -0.44), gestational diabetes (Hedges\' g=-0.38; 95% CI, -0.54 to -0.12), and preterm labor (Hedges\' g=-0.73; 95% CI, -1.00 to -0.46). The funnel plot was slightly asymmetrical, but the fail-safe N value and the trim-and-fill method showed no publication bias.
UNASSIGNED: Nonpharmacological interventions for women with high-risk pregnancies due to conditions such as preeclampsia, gestational diabetes, and preterm labor can improve psychological parameters such as anxiety, stress, and depression. Nurses can play a pivotal role in the nursing management of pregnant women with high-risk conditions and apply various types of nonpharmacological interventions to meet their needs in uncertain and anxious times during pregnancy.
摘要:
UNASSIGNED:本研究旨在总结目前关于非药物干预措施对先兆子痫等高危妊娠妇女心理健康结局影响的证据。妊娠期糖尿病,或早产。
UNASSIGNED:从2000年1月至2020年12月搜索了以下数据库:PubMed,OvidEmbase,CINAHL,WebofScience,DBpia,RISS,和吻。两名研究者根据纳入/排除标准独立审查和选择文章。使用RoB2和ROBINS-I检查表评估研究质量。
UNASSIGNED:29项研究共1,806名孕妇纳入系统评价和荟萃分析。在患有先兆子痫的女性中发现了心理健康的改善(Hedges\'g=-0.67;95%置信区间[CI],-0.91至-0.44),妊娠期糖尿病(对冲=-0.38;95%CI,-0.54至-0.12),和早产(对冲=-0.73;95%CI,-1.00至-0.46)。漏斗图有点不对称,但是故障安全N值和修剪填充方法没有发表偏倚。
未经批准:针对先兆子痫等高危妊娠妇女的非药物干预措施,妊娠期糖尿病,早产可以改善心理参数,如焦虑,压力,和抑郁症。护士可以在高危孕妇的护理管理中发挥关键作用,并在怀孕期间不确定和焦虑的时期应用各种类型的非药物干预措施来满足他们的需求。
公众号