Cannella Barbara L, Yarcheski Adela, Mahon Noreen E
1 Rutgers, The State University of New Jersey, Newark, NJ, USA.
West J Nurs Res. 2018 Mar;40(3):425-446. doi: 10.1177/0193945916682212. Epub 2016 Dec 21.
The aims of this study were to identify predictors of health practices of pregnant women in the literature reviewed, to use meta-analysis to ascertain the mean effect size (ES) across studies between each predictor and health practices, and to examine four moderators on each predictor-health practices relationship. Using preferred reporting items for systematic reviews and meta-analyses guidelines for the literature assessed, 32 published studies or doctoral dissertations completed between 1992 and 2015 met the inclusion criteria. Twelve predictors were identified, and each predictor in relation to health practices was subjected to meta-analysis. One predictor (maternal-fetal attachment) of health practices had a large ES, two predictors (depression and stress) had medium ESs, six predictors (income, education, parity, social support, employment, and age) had small ESs, and three predictors (gestational age, marital status, and race) had trivial ESs. Findings are interpreted relative to health practices in pregnant women.
本研究的目的是在回顾的文献中确定孕妇健康行为的预测因素,使用荟萃分析确定各预测因素与健康行为之间跨研究的平均效应量(ES),并检验各预测因素与健康行为关系的四个调节变量。根据系统评价和荟萃分析的首选报告项目对评估的文献进行指导,1992年至2015年间完成的32项已发表研究或博士论文符合纳入标准。确定了12个预测因素,并对每个与健康行为相关的预测因素进行荟萃分析。健康行为的一个预测因素(母婴依恋)具有较大的效应量,两个预测因素(抑郁和压力)具有中等效应量,六个预测因素(收入、教育程度、产次、社会支持、就业和年龄)具有较小的效应量,三个预测因素(孕周、婚姻状况和种族)具有微小的效应量。研究结果是相对于孕妇的健康行为来解释的。