COVID-19 大流行期间孕妇的健康和担忧：一项横断面研究。
Pregnant women's well-being and worry during the COVID-19 pandemic: a cross-sectional study.
机构信息
Non-Communicable Diseases Research Center, Sabzevar University of Medical Sciences, Pardis Building, Towhid Blvd, Sabzevar, Khorasan Razavi, Iran.
Health Chancellery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
出版信息
BMC Pregnancy Childbirth. 2021 Jan 15;21(1):59. doi: 10.1186/s12884-021-03548-4.
BACKGROUND
COVID-19 caused some worries among pregnant women. Worries during pregnancy can affect women's well-being. We investigated worry and well-being and associated factors among pregnant women during the COVID-19 pandemic.
METHODS
This descriptive cross-sectional study was conducted on 484 pregnant women using an online questionnaire. Sampling was performed in a period between May 5 and Aug 5, 2020. Inclusion criteria were having a single healthy fetus and having no significant psychological disorder. We collected the data using the Persian versions of the World Health Organization's Well-Being Index (WHO-5 Well-Being Index) and the Cambridge Worry Scale. We used univariate and multivariate logistic regression analyses to identify predictors of women's worry and well-being.
RESULTS
The mean total scores of the WHO-5 Well-Being Index and the percentage of WHO-5 score < 50 were 64.9 ± 29.0 and 24.4%, respectively. Predictors of women's worry are the increased level of fear of COVID-19 (OR = 6.40, p < 0.001), a low family income (OR = 3.41, p < 0.001), employment status (OR = 1.86, p = 0.019), nulliparity (OR = 1.68, p = 0.024), having a COVID-19 infected person among relatives (OR = 2.45, p = 0.036), having a history of abortion (OR = 1.86, p = 0.012), having participated in the study after the first wave of COVID-19 outbreak (OR = 2.328, p = 0.003), and women's age < 30 year (OR = 2.11, p = 0.002). Predictors of low level of well-being in pregnant women are worry about their own health and relationships (OR = 1.789, p = .017), worry about fetus health (OR = 1.946, p = 0.009), and having at least one infected person with COVID-19 among relatives (OR = 2.135, p = 0.036).
CONCLUSIONS
The percentage of women experiencing a low well-being state was relatively high. This result is worthy of attention by health care providers and policy makers. Providing care and support to pregnant women should have high priority during the COVID-19 pandemic.
背景
COVID-19 引起了孕妇的一些担忧。怀孕期间的担忧会影响妇女的健康。我们调查了 COVID-19 大流行期间孕妇的担忧和幸福感及其相关因素。
方法
本研究采用横断面描述性研究，使用在线问卷对 484 名孕妇进行了调查。抽样时间为 2020 年 5 月 5 日至 8 月 5 日。纳入标准为怀有单胎健康胎儿且无明显心理障碍。我们使用世界卫生组织幸福感量表（WHO-5 幸福感量表）和剑桥担忧量表的波斯语版本收集数据。我们使用单变量和多变量逻辑回归分析来确定女性担忧和幸福感的预测因素。
结果
WHO-5 幸福感量表的总分均值和得分<50 的百分比分别为 64.9±29.0 和 24.4%。女性担忧的预测因素是对 COVID-19 的恐惧程度增加（OR=6.40，p<0.001）、家庭收入低（OR=3.41，p<0.001）、就业状况（OR=1.86，p=0.019）、初产妇（OR=1.68，p=0.024）、亲属中有 COVID-19 感染者（OR=2.45，p=0.036）、有流产史（OR=1.86，p=0.012）、在 COVID-19 爆发的第一波后参与研究（OR=2.328，p=0.003）以及年龄<30 岁的女性（OR=2.11，p=0.002）。孕妇幸福感水平较低的预测因素是担心自己的健康和人际关系（OR=1.789，p=0.017）、担心胎儿健康（OR=1.946，p=0.009）以及亲属中有至少一名 COVID-19 感染者（OR=2.135，p=0.036）。
结论
经历低幸福感状态的女性比例相对较高。这一结果值得医疗保健提供者和政策制定者关注。在 COVID-19 大流行期间，应优先为孕妇提供护理和支持。
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