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传染病暴发对孕妇心理影响的快速证据综述。

Psychological impact of infectious disease outbreaks on pregnant women: rapid evidence review.

机构信息

Department of Psychological Medicine, King's College London, Weston Education Centre, London, SE5 9RJ, UK.

Behavioural Science Team, Emergency Response Department Science & Technology, Public Health England, Porton Down, Salisbury, SP4 0JG, UK.

出版信息

Public Health. 2020 Dec;189:26-36. doi: 10.1016/j.puhe.2020.09.006. Epub 2020 Nov 1.

Abstract

OBJECTIVES

Infectious disease outbreaks can be distressing for everyone, especially those deemed to be particularly vulnerable such as pregnant women, who have been named a high-risk group in the current COVID-19 pandemic. This paper aimed to summarise existing literature on the psychological impact of infectious disease outbreaks on women who were pregnant at the time of the outbreak.

STUDY DESIGN

The design of this study is a rapid review.

METHODS

Five databases were searched for relevant literature, and main findings were extracted.

RESULTS

Thirteen articles were included in the review. The following themes were identified: negative emotional states; living with uncertainty; concerns about infection; concerns about and uptake of prophylaxis or treatment; disrupted routines; non-pharmaceutical protective behaviours; social support; financial and occupational concerns; disrupted expectations of birth, prenatal care and postnatal care and sources of information.

CONCLUSIONS

Pregnant women have unique needs during infectious disease outbreaks and could benefit from up-to-date, consistent information and guidance; appropriate support and advice from healthcare professionals, particularly with regards to the risks and benefits of prophylaxis and treatment; virtual support groups and designating locations or staff specifically for pregnant women.

摘要

目的

传染病的爆发会给所有人带来困扰,尤其是孕妇等被认为是高危人群的群体,在当前的 COVID-19 大流行中,孕妇被列为高风险群体。本文旨在总结目前关于传染病爆发对孕妇心理影响的文献。

研究设计

本研究是一个快速综述。

方法

在五个数据库中搜索相关文献,并提取主要发现。

结果

共有 13 篇文章被纳入综述。确定了以下主题:负面情绪状态;生活在不确定中;对感染的担忧;对预防或治疗的关注和采用;日常生活规律被打乱;非药物预防行为;社会支持;经济和职业问题;对分娩、产前和产后护理的期望以及信息来源的担忧。

结论

孕妇在传染病爆发期间有特殊需求,他们可以从最新、一致的信息和指导中受益;需要医护人员提供适当的支持和建议,特别是关于预防和治疗的风险和收益;建立虚拟支持小组,并指定专门为孕妇服务的地点或人员。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c3b/7605787/1b8c95b9f99e/gr1_lrg.jpg

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