关键词: depression postpartum postpartum women quality of life social support trajectory analysis

来  源:   DOI:10.1177/01939459241257869

Abstract:
UNASSIGNED: The postpartum period is a critical phase in which postpartum women experience dynamic changes in their physiology, psychology, and family status.
UNASSIGNED: This study investigated the changes in women\'s quality of life (QoL) during the first, third, and sixth months of the postpartum period and their associated factors.
UNASSIGNED: A single-group repeated-measure design was used to collect data from 282 postpartum women recruited from a regional hospital in Taiwan. We used the brief World Health Organization Quality of Life scale, Social Support Scale, and Edinburgh Postnatal Depression Scale to assess postpartum women\'s quality of life, social support, and postpartum depressive symptoms, respectively. The data were analyzed using trajectory analysis and generalized estimating equations.
UNASSIGNED: The trajectory analysis indicated that postpartum women could be categorized into low, medium, and high QoL groups. Although the medium and high QoL groups maintained stable QoL levels, the low QoL group experienced a linear decrease in QoL over time. Moreover, the determinants of postpartum women\'s QoL were immigrant status, employment status, family type, social support, and postpartum depression.
UNASSIGNED: Health care providers should assess these determinants of postpartum QoL in perinatal women to identify those at risk of low postpartum quality of life. Early assessment and intervention by health care providers could significantly improve the health status of women after childbirth.
摘要:
产后是产后妇女生理动态变化的关键时期,心理学,和家庭地位。
这项研究调查了女性生活质量(QoL)的变化,第三,产后6个月及其相关因素。
使用单组重复测量设计来收集从台湾地区医院招募的282名产后妇女的数据。我们使用了简短的世界卫生组织生活质量量表,社会支持量表,和爱丁堡产后抑郁量表评估产后妇女的生活质量,社会支持,产后抑郁症状,分别。使用轨迹分析和广义估计方程对数据进行了分析。
轨迹分析表明,产后妇女可以分为低,中等,和高QoL群体。尽管中、高QoL组保持了稳定的QoL水平,低QoL组的QoL随时间线性下降。此外,产后妇女生活质量的决定因素是移民身份,就业状况,家庭类型,社会支持,和产后抑郁症。
卫生保健提供者应评估围产期妇女产后QoL的这些决定因素,以确定那些有产后生活质量低下风险的妇女。卫生保健提供者的早期评估和干预可以显着改善分娩后妇女的健康状况。
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