西班牙人怀孕期间的生活质量和社会支持。一项纵向研究。

IF 2.6 3区医学 Q1 NURSING Midwifery Pub Date : 2024-07-23 DOI:10.1016/j.midw.2024.104119

Cristian Martín-Vázquez , Jose David Urchaga-Litago , Rubén García-Fernández , Natalia Calvo-Ayuso , Enedina Quiroga-Sánchez , Cristina Liébana-Presa

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引用次数: 0

摘要

背景：孕期生活质量和社会支持是影响孕妇和新生儿健康的两个变量。目的：调查孕妇在怀孕初期和末期的生活质量和社会支持的变化情况，并研究这些变量之间的关系：拟议的纵向研究包括来自西班牙北部地区的 188 名孕妇。参与者是在 2021 年 9 月至 2023 年 4 月期间通过连续抽样选出的。将分别使用 SF-36 问卷和 MOS-SSS 问卷在妊娠期的前三个月和后三个月对生活质量和社会支持进行评估：调查结果：这两份问卷显示出很强的内部一致性（α = 0.91 和 0.97）。生活质量在妊娠期间会发生变化，身体部分会下降，而精神部分在妊娠末期会上升。初产妇的生活质量更高。妊娠头三个月的抑郁风险为 29.8%，妊娠三个月时降至 22.9%。社会支持在妊娠三个月时会减少，尤其是未婚妇女。生活质量和社会支持之间存在显著的正相关关系：本研究强调了孕期生活质量和社会支持的显著差异，这对孕妇和新生儿的健康产生了影响。建议在产前检查中对这些因素进行标准化监测，以改善孕妇和新生儿的身心健康。

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Quality of life and social support during pregnancy in Spanish population. A longitudinal study

Background

The quality of life and social support during pregnancy are two variables influencing the health of pregnants and neonates. The documented impact of these variables on mental health, specifically the risk of depression, is notable.

Aim

To investigate the evolution of quality of life and social support at the beginning and end of pregnancy in pregnant women, and to examine the relationship between these variables.

Methods

The proposed longitudinal study includes 188 pregnants from a northern region of Spain. Participants were selected through consecutive sampling from September 2021 to April 2023. Quality of life and social support will be assessed in the first and third trimesters of pregnancy using the SF-36 questionnaire and MOS-SSS questionnaire, respectively.

Findings

The questionnaires show strong internal consistency (α = 0.91 and 0.97). Quality of life changes during pregnancy, declining in the physical component and rising in the mental component towards the end. Primiparous women have higher quality of life. Depression risk is 29.8 % in the 1st trimester, dropping to 22.9 % in the 3rd trimester. Social support decreases in the 3rd trimester, particularly among unmarried women. Significant positive correlations exist between quality of life and social support.

Conclusion

This study emphasizes notable variations in quality of life and social support during pregnancy, impacting the health of pregnant individuals and neonates. Proposing standardization in monitoring these factors during prenatal check-ups aims to improve the physical and mental health of pregnant individuals and newborns.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.