泰国城市地区接受产前护理的孕妇的感知压力及相关因素
Perceived Stress and Associated Factors Among Pregnant Women Attending Antenatal Care in Urban Thailand.
作者信息
Thongsomboon Wassapol, Kaewkiattikun Kasemsis, Kerdcharoen Nitchawan
机构信息
Department of Obstetrics & Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.
Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.
出版信息
Psychol Res Behav Manag. 2020 Dec 1;13:1115-1122. doi: 10.2147/PRBM.S290196. eCollection 2020.
BACKGROUND
Perceived stress during pregnancy is associated with adverse obstetric outcomes. Antenatal perceived stress is still unaware and under-diagnosed during routine antenatal care. There has not yet been a study of prevalence and associated factors among pregnant women living in urban areas in Thailand. Understanding antenatal perceived stress is important to improve maternal and neonatal outcomes.
OBJECTIVE
To identify the prevalence, associated factors, and predictive factors of perceived stress in pregnant women living in an urban area.
MATERIALS AND METHODS
This cross-sectional study was conducted from December 1, 2019 to February 29, 2020 among pregnant women attending antenatal care at the Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Bangkok, Thailand. The participants were interviewed using a structured questionnaire which included demographic data, obstetric data, serious life event data, and a Thai language version of the 10-item Perceived Stress Scale (T-PSS-10) to assess perceived stress symptoms.
RESULTS
Of a total 403 pregnant women, the prevalence of perceived stress symptoms in antenatal pregnant women was 23.6%. Perceived stress symptoms were significantly associated with divorce (p=0.001), separation from spouse (p=0.005), physical or psychological trauma from family (p=0.005), marital conflict (p<0.001), and family conflict (p<0.001). Results from multiple logistic regression found that significant predictive factors for perceived stress symptoms in pregnant women were marital conflict (AOR 3.10, 95% CI 1.74-5.52, p<0.001) and family conflict (AOR 3.24, 95% CI 1.59-6.60, p=0.001).
CONCLUSION
This study demonstrated that the prevalence of perceived stress symptoms in pregnant women living in an urban area in Thailand was 23.6%. Perceived stress symptoms were significantly associated with divorce, separation from spouse, physical or psychological trauma from family, marital conflict, and family conflict. Predictive factors for perceived stress symptoms were marital conflict and family conflict.
背景
孕期感知到的压力与不良产科结局相关。在常规产前检查中，产前感知到的压力仍未被察觉且诊断不足。泰国城市地区孕妇的患病率及相关因素尚未有研究。了解产前感知到的压力对于改善母婴结局很重要。
目的
确定城市地区孕妇感知到的压力的患病率、相关因素和预测因素。
材料与方法
这项横断面研究于2019年12月1日至2020年2月29日在泰国曼谷瓦吉拉医院医学院妇产科接受产前检查的孕妇中进行。使用结构化问卷对参与者进行访谈，问卷包括人口统计学数据、产科数据、重大生活事件数据以及泰语版的10项感知压力量表（T-PSS-10）以评估感知压力症状。
结果
在总共403名孕妇中，产前孕妇感知压力症状的患病率为23.6%。感知压力症状与离婚（p=0.001）、与配偶分居（p=0.005）、来自家庭的身体或心理创伤（p=0.005）、婚姻冲突（p<0.001）和家庭冲突（p<0.001）显著相关。多因素逻辑回归结果发现，孕妇感知压力症状的显著预测因素是婚姻冲突（优势比3.10，95%置信区间1.74-5.52，p<0.001）和家庭冲突（优势比3.24，95%置信区间1.59-6.60，p=0.001）。
结论
本研究表明，泰国城市地区孕妇感知压力症状的患病率为23.6%。感知压力症状与离婚、与配偶分居、来自家庭的身体或心理创伤、婚姻冲突和家庭冲突显著相关。感知压力症状的预测因素是婚姻冲突和家庭冲突。
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