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围产期育龄妇女社会支持与生活质量的关系。

Relationship between social support and quality of life in childbearing women during the perinatal period.

作者信息

Emmanuel Elizabeth, St John Winsome, Sun Jing

机构信息

School of Nursing, Midwifery & Nutrition, James Cook University, Cairns, Australia.

出版信息

J Obstet Gynecol Neonatal Nurs. 2012 Nov-Dec;41(6):E62-70. doi: 10.1111/j.1552-6909.2012.01400.x. Epub 2012 Aug 3.

Abstract

OBJECTIVE

To explore demographic and social support predictors of health-related quality of life (HRQoL) (mental and physical) for childbearing women in the perinatal period.

DESIGN

Longitudinal.

SAMPLE

Three public hospitals in metropolitan Brisbane, Australia.

PARTICIPANTS

Four hundred seventy-three (473) women recruited at 36 weeks of pregnancy, and 6 and 12 weeks following childbirth.

METHODS

The Short Form-12 (SF-12) Version 2 Health Survey was used to measure the mental and physical domains of HRQoL. Social support was measured using the Maternal Social Support Scale (MSSS).

RESULTS

Mean scores for the mental and physical domains of HRQoL were lower than population norms. Social support was found to be a significant and consistent predictor of higher HRQoL scores, particularly in the physical domain at 12 weeks following child birth and mental domain during the perinatal period. The relationship between social support and HRQoL was found to be independent of other factors including education, length of relationship with partner, age, parity, and antenatal visit. The only other significant predictor was length of relationship with partner in the mental domain at 36 weeks of pregnancy.

CONCLUSION

Social support is a significant and consistent predictor of a mother's HRQoL during the perinatal period. Nurses and midwives need to assess social support, rather than making assumptions based on demographic factors.

摘要

目的

探讨围产期生育期妇女健康相关生活质量(HRQoL)(心理和生理方面)的人口统计学和社会支持预测因素。

设计

纵向研究。

样本

澳大利亚布里斯班市的三家公立医院。

参与者

在妊娠36周、产后6周和12周招募的473名妇女。

方法

使用简明健康调查简表12(SF-12)第2版测量HRQoL的心理和生理领域。使用孕产妇社会支持量表(MSSS)测量社会支持。

结果

HRQoL心理和生理领域的平均得分低于总体标准。社会支持被发现是较高HRQoL得分的显著且一致的预测因素,尤其是在产后12周的生理领域和围产期的心理领域。社会支持与HRQoL之间的关系被发现独立于其他因素,包括教育程度、与伴侣的关系时长、年龄、产次和产前检查。唯一的其他显著预测因素是妊娠36周时心理领域与伴侣的关系时长。

结论

社会支持是围产期母亲HRQoL的显著且一致的预测因素。护士和助产士需要评估社会支持,而不是基于人口统计学因素进行假设。

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