Gulick Elsie E, Kim Sun
Rutgers, the State University of New Jersey, College of Nursing, 180 University Avenue, Newark, NJ 07102, USA.
J Obstet Gynecol Neonatal Nurs. 2004 Nov-Dec;33(6):729-38. doi: 10.1177/0884217504270666.
To determine the impact of multiple sclerosis (MS)-related symptoms and both received social support and perceived deficits in social support on emotional distress in mothers with MS at 1, 3, and 6 months postpartum.
Longitudinal correlation descriptive study.
Community-residing women in North America.
Convenience sample of 174 postpartum mothers with MS.
Mothers completed the MS-Related Symptom Scale and Postpartum Support Questionnaire at 1, 3, and 6 months postpartum. Bivariate correlations and hierarchical regression analyses determined relationships between the dependent variable, emotional distress, and independent variables: participant characteristics, MS-related symptoms, and social support.
The authors found moderately strong positive correlations between MS-related symptoms and emotional distress at each assessment. Significant negative correlations existed between received social support and emotional distress at 1 month but not at 3 and 6 months. Significant positive correlations existed between MS-related symptoms and social support deficits at each assessment. Explained variance in emotional distress across the three assessments ranged between 2% and 4% for participant characteristics, 49% and 60% for MS-related symptoms, 2% and 7% for social support, and 57% and 66% for total variance.
MS-related symptoms created considerable emotional distress in mothers that was minimally alleviated by the support given them. In fact, many needed more support than they received.
确定多发性硬化症(MS)相关症状、所获得的社会支持以及社会支持感知不足对产后1个月、3个月和6个月的MS母亲情绪困扰的影响。
纵向相关性描述性研究。
北美社区居住女性。
174名产后MS母亲的便利样本。
母亲们在产后1个月、3个月和6个月完成MS相关症状量表和产后支持问卷。双变量相关性和分层回归分析确定了因变量情绪困扰与自变量(参与者特征、MS相关症状和社会支持)之间的关系。
作者发现在每次评估中,MS相关症状与情绪困扰之间存在中度较强的正相关。在1个月时,所获得的社会支持与情绪困扰之间存在显著负相关,但在3个月和6个月时不存在。在每次评估中,MS相关症状与社会支持不足之间存在显著正相关。在三次评估中,参与者特征对情绪困扰的解释方差在2%至4%之间,MS相关症状为49%至60%,社会支持为2%至7%,总方差为57%至66%。
MS相关症状给母亲们带来了相当大的情绪困扰,而给予她们的支持只能在最小程度上缓解这种困扰。事实上,许多母亲需要的支持比她们所获得的更多。