Black Kathleen D
Department of Nursing at the Temple University College of Health Professions, Philadelphia, PA 19140, USA.
J Obstet Gynecol Neonatal Nurs. 2007 Sep-Oct;36(5):419-29. doi: 10.1111/j.1552-6909.2007.00173.x.
To investigate the relationships of psychological stress, preeclampsia/gestational hypertension symptoms, confidence in self-monitoring, well-being, and perceived social support with preeclampsia/gestational hypertension disease progression in outpatient women. Women with mild and severe preeclampsia/gestational hypertension were compared for differences in these variables.
A retrospective, correlational, and comparative design.
Postpartum units of three urban hospitals in Philadelphia, Pennsylvania.
One hundred postpartum women with preeclampsia/gestational hypertension.
Psychological stress measured by the Perceived Stress Scale, preeclampsia/gestational hypertension symptoms by the Preeclampsia/Gestational Hypertension Checklist, confidence in self-monitoring by the Self-Confidence in Self-Monitoring Scale, well-being by the Index of Well-Being, and social support by the Interpersonal Support Evaluation List.
Women with worsening/severe preeclampsia/gestational hypertension reported a significantly higher number of symptoms than women with mild preeclampsia/gestational hypertension (p= .02). Psychological stress was significantly higher (p= .04) in women with worsening/severe preeclampsia/gestational hypertension. There were no differences in well-being, self-confidence in self-monitoring, or perceived social support between women with mild preeclampsia/gestational hypertension and those with worsening preeclampsia/gestational hypertension.
Worsening/severe preeclampsia/gestational hypertension was associated with increasing psychological stress and a higher number of preeclampsia/gestational hypertension symptoms.
探讨心理压力、子痫前期/妊娠期高血压症状、自我监测信心、幸福感和感知社会支持与门诊子痫前期/妊娠期高血压疾病进展之间的关系。比较轻度和重度子痫前期/妊娠期高血压女性在这些变量上的差异。
回顾性、相关性和比较性设计。
宾夕法尼亚州费城三家城市医院的产后病房。
100名患有子痫前期/妊娠期高血压的产后女性。
用感知压力量表测量心理压力，用子痫前期/妊娠期高血压检查表测量子痫前期/妊娠期高血压症状，用自我监测自信量表测量自我监测信心，用幸福感指数测量幸福感，用人际支持评估量表测量社会支持。
子痫前期/妊娠期高血压病情恶化/严重的女性报告的症状数量明显多于轻度子痫前期/妊娠期高血压的女性（p = 0.02）。子痫前期/妊娠期高血压病情恶化/严重的女性心理压力明显更高（p = 0.04）。轻度子痫前期/妊娠期高血压女性与子痫前期/妊娠期高血压病情恶化的女性在幸福感、自我监测信心或感知社会支持方面没有差异。
子痫前期/妊娠期高血压病情恶化/严重与心理压力增加和子痫前期/妊娠期高血压症状数量增多有关。
