Obstetric quality of recovery: A weak surrogate measure of psychological distress and psychological wellness for cesarean delivery parturients-A prospective observational study.

IF 2.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Health Psychology Pub Date : 2025-11-01 Epub Date: 2025-03-31 DOI:10.1177/13591053251328993

Luc Saulnier, Anthony Chau, Philip Crowell, Susan Bright, Simon Massey

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Abstract

The obstetric quality of recovery score (ObsQoR-11) is a widely used self-report assessment in obstetric settings following cesarean deliveries (CD). However, this measure may not assess psychological variables as originally intended, which may inform quality care. The primary aim of this study was to explore the relationship between ObsQoR-11 and validated scales that measure peritraumatic distress and psychological wellness. 220 Canadian patients who underwent scheduled or unscheduled CD (mean age = 35.00 years, SD = 4.18) completed self-report surveys assessing: obstetric quality of recovery, peritraumatic distress, and psychological wellness. ObsQoR-11 exhibited significant but weak correlations with peritraumatic distress and psychological wellness. Peritraumatic distress and psychological wellness are independent constructs that should be measured separately in clinical practice outside of routine assessments using ObsQoR-11. As there was low convergent construct validity with these two measures, these psychological assessments may assist in providing additional assessments of holistic outcomes following cesarean delivery.

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产科康复质量：对剖宫产产妇心理困扰和心理健康的一项弱替代测量——一项前瞻性观察研究。

产科恢复质量评分（ObsQoR-11）是在剖宫产（CD）后产科环境中广泛使用的自我报告评估。然而，这一措施可能不像最初预期的那样评估心理变量，而心理变量可能会影响护理质量。本研究的主要目的是探讨ObsQoR-11与测量创伤周围痛苦和心理健康的有效量表之间的关系。220名接受计划或非计划CD的加拿大患者（年龄35.00岁，SD = 4.18）完成了自我报告调查，评估：产科恢复质量、创伤周围窘迫和心理健康。ObsQoR-11与创伤周围窘迫和心理健康表现出显著但微弱的相关性。创伤周围窘迫和心理健康是独立的概念，应在临床实践中使用ObsQoR-11进行常规评估之外单独测量。由于这两种测量方法的收敛结构效度较低，这些心理评估可能有助于对剖宫产后的整体结果提供额外的评估。

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来源期刊

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.