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Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing最新文献

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Reproductive Agency in an Era of Falling Fertility Rates 生育率下降时代的生殖机构。
IF 2 4区 医学 Q2 NURSING
Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing
Pub Date : 2025-09-01 DOI: 10.1016/j.jogn.2025.07.002
Joyce K. Edmonds (Editor in Chief)
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引用次数: 0
At Your Service 随时为您服务
IF 2 4区 医学 Q2 NURSING
Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing
Pub Date : 2025-09-01 DOI: 10.1016/S0884-2175(25)00238-2
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引用次数: 0
Effects of Sociospatial Inequality on Exposure to Stress, Symptoms of Depression, and Cortisol Rhythms in Pregnancy 社会空间不平等对妊娠期压力暴露、抑郁症状和皮质醇节律的影响
IF 2 4区 医学 Q2 NURSING
Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing
Pub Date : 2025-09-01 DOI: 10.1016/j.jogn.2025.06.002
Crystal Modde Epstein, Thomas P. McCoy, Angela M. Kabbe, Kierra Sattler

Objective

To investigate the effect of sociospatial inequality on exposure to stress, symptoms of depression, and cortisol rhythms during pregnancy.

Design

Secondary analysis of a cross-sectional observational study.

Setting

Outpatient women’s health clinic in an urban midwestern region of the United States.

Participants

Pregnant women in the second trimester of pregnancy (N = 67).

Methods

We performed a secondary analysis of salivary cortisol samples to compute average daily cortisol rhythms (diurnal slope, area under the curve, mesor, amplitude, and acrophase). We measured sociospatial inequality using the index of concentration at the extremes based on zip-code-level data from the American Community Survey. We used mixed-effects cosinor regression to examine the association among sociospatial inequality, exposure to stress, symptoms of depression, and cortisol rhythms, adjusting for multiple covariates.

Results

Sociospatial inequality was significantly associated with demographic variables (age, race, and education) and mental health variables (exposure to stress and symptoms of depression). We found a statistically significant curvilinear association between income-related sociospatial inequality and cortisol rhythms.

Conclusions

Participants who lived in areas of extreme income-related deprivation and privilege had higher amplitude cortisol rhythms, which potentially reflects heightened biological sensitivity to context, whereas women living in more moderate environments showed buffered cortisol rhythms.
目的：探讨社会空间不平等对妊娠期应激暴露、抑郁症状和皮质醇节律的影响。设计：对横断面观察性研究进行二次分析。背景：美国中西部某城市妇女健康门诊诊所。参与者：妊娠中期的孕妇（N = 67）。方法：我们对唾液皮质醇样本进行了二次分析，以计算平均每日皮质醇节律（日斜率、曲线下面积、中速、振幅和顶相）。我们根据美国社区调查（American Community Survey）的邮政编码级数据，使用极端集中度指数来衡量社会空间不平等。我们使用混合效应余弦回归来检验社会空间不平等、压力暴露、抑郁症状和皮质醇节律之间的关系，并对多个协变量进行了调整。结果：社会空间不平等与人口统计变量（年龄、种族和教育）和心理健康变量（压力暴露和抑郁症状）显著相关。我们发现与收入相关的社会空间不平等与皮质醇节律之间存在统计学上显著的曲线关联。结论：生活在与收入相关的极端剥夺和特权地区的参与者有更高幅度的皮质醇节律，这可能反映了对环境更高的生物敏感性，而生活在更温和环境中的女性则表现出缓冲的皮质醇节律。
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引用次数: 0
Discrimination and Regular Source of Care as Equity Factors Associated With Health and Stress During the Extended Postpartum Period 歧视和常规护理来源是与产后延长期健康和压力相关的公平因素。
IF 2 4区 医学 Q2 NURSING
Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing
Pub Date : 2025-09-01 DOI: 10.1016/j.jogn.2025.06.004
Lorraine O. Walker, Nicole Murry, Heather Becker

Objective

To estimate the frequency of racial/ethnic and gender discrimination and lack of a regular source of care in the postpartum period and to examine how these factors were related to health and stress in the postpartum period.

Design

Cross-sectional survey study.

Setting

Online research panels in the United States.

Participants

Survey respondents (N = 427: 424 women, 1 transgender man, 1 non-binary individual, and 1 individual for whom gender was missing).

Methods

Equity items included racial/ethnic discrimination, gender discrimination, and lack of a regular care source. Health outcomes included a global measure of physical and mental health, perceived stress, and postpartum-specific stress. We analyzed the data using correlational and hierarchical regression analyses adjusted for covariates.

Results

Racial/ethnic discrimination was reported by 15.2% of respondents, gender discrimination was reported by 45.9% of respondents, and lack of a regular source of care was reported by 13.8% of respondents. After adjusting for covariates, equity factors accounted for 1.8% of the variance in physical health (p < .05), 3.4% in mental health (p = .001), 5.0% in perceived stress (p < .001), and 7.8% in postpartum-specific stress (p < .001). The only significant equity factor significantly associated with physical and mental outcomes was gender discrimination.

Conclusion

Nearly half of respondents reported that they experienced gender discrimination. Gender discrimination was significantly related to worse health and higher stress. Nurses can aid women in dealing with gender discrimination by providing information about rights and resources.
目的：估计产后种族/民族歧视和性别歧视以及缺乏定期护理来源的频率，并研究这些因素如何与产后健康和压力相关。设计：横断面调查研究。背景：美国在线研究小组。参与者：调查对象（N = 427）：女性424人，变性男性1人，非二元个体1人，性别缺失者1人。方法：公平项目包括种族/民族歧视、性别歧视和缺乏正规护理来源。健康结果包括对身心健康、感知压力和产后特定压力的全球衡量。我们使用相关和层次回归分析对协变量进行校正。结果：15.2%的受访者报告了种族/民族歧视，45.9%的受访者报告了性别歧视，13.9%的受访者报告了缺乏正规护理来源。在调整协变量后，公平因素在身体健康方面占1.8% (p < 0.05)，在心理健康方面占3.4% (p = 0.001)，在感知压力方面占5.0% (p < 0.001)，在产后特异性压力方面占7.8% （p < 0.001）。唯一与生理和心理结果显著相关的公平因素是性别歧视。结论：近一半的受访者表示他们经历过性别歧视。性别歧视与较差的健康状况和较高的压力显著相关。护士可以通过提供有关权利和资源的信息，帮助妇女处理性别歧视问题。
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引用次数: 0
Common Methodological Challenges in Health Care Quality and Improvement Studies and Related Solutions 卫生保健质量和改进研究中的常见方法挑战及相关解决方案。
IF 2 4区 医学 Q2 NURSING
Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing
Pub Date : 2025-09-01 DOI: 10.1016/j.jogn.2025.08.001
Oliwier Dziadkowiec PhD
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引用次数: 0
Need for Nursing Advocacy to Address the Effects of Climate Change on Maternal and Neonatal Care. 需要护理宣传，以解决气候变化对孕产妇和新生儿护理的影响。
IF 2 4区 医学 Q2 NURSING
Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing
Pub Date : 2025-08-18 DOI: 10.1016/j.jogn.2025.07.006
Sarah B Bucic

Extreme heat and air pollution, which are exacerbated by climate change, worsen maternal and neonatal health, especially for non-White women. Because of the wide array of health risks related to climate change, advocating for individual patients alone is not sufficient to create necessary change. Although nurses experience numerous barriers to engaging in public policy, their engagement remains a critical aspect to improving maternal and neonatal health outcomes related to climate change. Professional nursing organizations can provide nurses with resources and offer the necessary skills to effectively advocate and participate in public policy at the local, state, or national level. In this commentary, I review the importance of nurse engagement in climate change advocacy and public policy.

气候变化加剧了极端高温和空气污染，使孕产妇和新生儿健康状况恶化，特别是对非白人妇女而言。由于与气候变化有关的各种各样的健康风险，仅为个别患者进行宣传不足以产生必要的变化。尽管护士在参与公共政策方面遇到许多障碍，但她们的参与仍然是改善与气候变化有关的孕产妇和新生儿健康结果的关键方面。专业护理组织可以为护士提供资源，并提供必要的技能，以有效地倡导和参与地方、州或国家层面的公共政策。在这篇评论中，我回顾了护士参与气候变化宣传和公共政策的重要性。
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引用次数: 0
Speaking the Same Fetal Heart Monitoring Language 说同样的胎儿心脏监测语言
IF 1.8 4区 医学 Q2 NURSING
Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing
Pub Date : 2025-07-01 DOI: 10.1016/j.jogn.2025.05.024
Angela Jaynes MSN, RNC-OB, C-EFM, CPLC, NPD-BC, Emily Phelps MSN, RN, RNC-OB, C-EFM, CBC, Allison Rodriguez MS, RN, RNC-OB, C-EFM, Brianna Nelson BSN, RNC-OB, C-EFM, HCA
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引用次数: 0
Improving Exclusive Breastfeeding Rates 提高纯母乳喂养率
IF 1.8 4区 医学 Q2 NURSING
Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing
Pub Date : 2025-07-01 DOI: 10.1016/j.jogn.2025.05.075
Wendy LeValley MSN, RN, RNC-MNN
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引用次数: 0
The Implications of Immersion Swaddle Bathing on Newborn Thermoregulation 浸没式襁褓浴对新生儿体温调节的影响
IF 1.8 4区 医学 Q2 NURSING
Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing
Pub Date : 2025-07-01 DOI: 10.1016/j.jogn.2025.05.078
Katherine Dalton DNP, MSN, BSN RN
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引用次数: 0
Screening for Traumatic Birth Experiences 分娩创伤性经历筛查
IF 1.8 4区 医学 Q2 NURSING
Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing
Pub Date : 2025-07-01 DOI: 10.1016/j.jogn.2025.05.065
Lauren Pelesky DNP, RN, CNE, Nicole Hall EdD, MBA, RN, CNE, CHSE
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引用次数: 0
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Jognn-Journal of Obstetric Gynecologic and Neonatal Nursing
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