初产妇和多产妇在怀孕期间感知到的心理健康和社会支持:一项比较研究

Mehwish Naz, Harpreet Kaur
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摘要

有心理健康问题的怀孕母亲不太可能充分照顾自己的个人需求,也不太可能寻求和接受产前或产后护理,或遵守规定的保健方案。社会支持,影响着与健康相关的行为,并能在适应妊娠过程中发挥重要作用。本研究旨在评估和比较初产妇和多产妇在怀孕期间感知到的心理健康和社会支持。材料这是一项比较研究。研究从旁遮普省库拉里(Kurali)社区医疗中心接受产前检查的孕妇中抽取样本。共选取了 300 名孕妇。其中,150 名母亲为早产,150 名母亲为多胎,她们都符合纳入标准。采用凯斯勒痛苦量表(k-10)评估感知心理健康,采用多维量表评估感知社会支持。结果:比较初产妇组和多产妇组孕妈妈的心理健康感知和社会支持得分,发现多产妇比初产妇有更多的心理困扰和更少的社会支持。据统计,初产妇和多产妇的心理健康感知和社会支持感知之间存在显著的负相关(分别为 r = -.454 和 p= 0.00* 和 r =-.526 和 0.00*)。结论本研究  的结果表明,与初产妇相比,多胎妊娠母亲在怀孕期间更容易患上精神疾病,并感到社会支持匮乏。因此,高社会支持可降低患精神疾病的风险。因此,卫生专业人员有必要开展各种与社会支持相关的项目,以帮助减少孕产妇的心理健康问题。
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PERCEIVED MENTAL HEALTH AND SOCIAL SUPPORT DURING PREGNANCY AMONG PRIMIGRAVIDA AND MULTIPARA MOTHERS: A COMPARATIVE STUDY
Pregnant mothers with mental health problems are less likely to care adequately for their personal needs, to seek and receive antenatal or postnatal care, or adhere to prescribed health regimens. Social support inuences health-related behaviors and can play an important role in adaptation to pregnancy. This study aimed to assess and compare the perceived mental health and social support during pregnancy among primigravida and multipara mothers. Materials: This was a ccomparative study. The accessible sample was recruited from pregnant mothers attending OPD at community health centre in Kurali, Punjab. Total 300 pregnant mothers were selected. Out of these, 150 mothers were primigravida and 150 were multipara mothers who met the inclusion criteria. Perceived mental health was assessed using the kessler distress scale (k-10) and perceived social support was assessed by multidimensional scale. Results: Comparing the perceived mental health and social support scores between pregnant mothers in primigravida and multipara group, it was found that multiparas had more psychological distress and less social support as compared to primigravidas. There was a negative statistically signicant correlations observed between perceived mental health and perceived social support of primigravida and multipara mothers (r = -.454 and p= 0.00* and r =-.526 and 0.00*) respectively. Conclusion: The ndings from this study suggested that multipara mothers during pregnancy are vulnerable for mental illness and perceiving scarcity of social support as compared to primigravida mothers. Hence, it was suggested that high social support lowers the risk of mental illness. Therefore, there is a need to conduct various programs by health professionals related to social support with a view to helping reduce mental health problems among pregnant mothers.
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