关键词: cesarean section pregnant woman psychological experience public health emergency

来  源:   DOI:10.2147/IJWH.S418959   PDF(Pubmed)

Abstract:
UNASSIGNED: The COVID-19 pandemic used to be a major public health emergency which affected people worldwide, and it affected individuals\' body, mood, work and lifestyle to some extent. The pregnant woman affected by the unstable hormone will be more sensitive than normal ones. Long-term depression and anxiety could feedback on their body and lead to a host of pregnancy complications. Because pregnant women who choose cesarean section are awake during the perioperative period, to ensure safety, the degree of cooperation about psychology and behavior is relatively high, so we should know the psychological state of such a group of people.
UNASSIGNED: This study aims to explore psychological experience and influential factors of pregnant women who decided elective caesarean section after the COVID-19 pandemic.
UNASSIGNED: This is a cross-sectional study carried out in a hospital in Shanghai, according to the inclusion and exclusion criteria, we selected pregnant women who selected elective cesarean section as the study objects, all participants provided informed consent and completed questionnaires, including sociodemographic questionnaire, Generalized Anxiety Disorder scale (GAD-7) and General Well-Being Schedule (GWBS). Software SPSS 23.0 was used to analyze and explore the influencing factors.
UNASSIGNED: Eligible 595 questionnaires were included in the study, the mean score of GAD-7 was 4.855 ± 3.254 and 90.699 ± 13.807 of GWBS. Generalized linear regression analysis revealed several factors that were statistically significant with the two scales, including birthplace, average monthly income, number of abortion and pregnancy complication (p < 0.01).
UNASSIGNED: The COVID-19 infection status and symptoms around infection have no statistical difference in anxiety level and general well-being after they experience the COVID-19 pandemic. However, through this study, we found some influencing factors that worth further exploration. In the future, we will expand the sample size to explore the different situation of multi-center, and we hope provide psychological nursing interventions based on existing results to offer a better delivery experience.
摘要:
COVID-19大流行曾经是影响全世界人民的重大公共卫生紧急情况,它影响了个体的身体,心情,在某种程度上,工作和生活方式。受不稳定激素影响的孕妇会比正常人更敏感。长期的抑郁和焦虑可能会对他们的身体产生反馈,并导致一系列怀孕并发症。因为选择剖宫产的孕妇在围手术期处于清醒状态,为了确保安全,心理和行为的合作程度相对较高,所以我们应该知道这样一群人的心理状态。
本研究旨在探讨COVID-19大流行后决定择期剖宫产的孕妇的心理体验及影响因素。
这是一项在上海一家医院进行的横断面研究,根据纳入和排除标准,我们选择选择择期剖宫产的孕妇作为研究对象,所有参与者都提供了知情同意书并填写了问卷,包括社会人口调查问卷,广义焦虑症量表(GAD-7)和一般幸福感量表(GWBS)。采用SPSS23.0软件对影响因素进行分析和探讨。
研究中纳入了合格的595份问卷,GAD-7的平均得分为4.855±3.254和GWBS的90.699±13.807。广义线性回归分析揭示了两个量表有统计学意义的几个因素,包括出生地,月平均收入,流产次数和妊娠并发症(p<0.01)。
经历COVID-19大流行后,COVID-19感染状态和感染周围的症状在焦虑水平和总体幸福感上没有统计学差异。然而,通过这项研究,我们发现了一些值得进一步探索的影响因素。在未来,我们将扩大样本量,探索多中心的不同情况,我们希望根据现有结果提供心理护理干预措施,以提供更好的分娩体验。
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