Ph.D. Of Reproductive Health. Department of Midwifery, Faculty of Nursing and , Midwifery Islamic Azad University, Rasht, Iran.
Medical Students, Student Research Committee, Islamic Azad University, Tabriz, Iran.
Psychol Health Med. 2022 Feb;27(2):289-300. doi: 10.1080/13548506.2021.1894344. Epub 2021 Feb 25.
Pandemic COVID-19 has negative effects on the mental health of all people, especially pregnant women. This study aimed to determine the psychological effects of COVID-19 on self-care in pregnant women. The Cross-sectional study using the Multistage sampling technique was conducted among 215 pregnant women selected randomly from the Iranian Integrated Health System in 2020. Data were collected using demographic and obstetrics questionnaires, Pregnancy Self-Care Scale, Fear of COVID-19, COVID-19 Anxiety Scale(CDAS), and Perceived Stress Scale (PSS) by the self-report method. Data analysis was performed using SPSS software version 21 with Pearson correlation test and multivariable linear regression.The Mean (Standard Deviation (SD)) of Fear, anxiety, perceived stress, and self-care was 20.85(6.45), 18.20(10.45), 31.16 (7.65) and 40.84(4.11), respectively. The correlational analyses showed small positive significant associations between Fear (r=0.20; P=0.004) and anxiety of COVID-19 (r=0.14; P=0.03)with self-car but the association between perceived stress and self-care was small negative significant (r= -0.14; P=0.04). Based on regression analysis, 11% of the self-care changes could be explained by three independent variables (β= 0.130, SE= 0.043, P=0.002). Based on the findings, pregnant women may benefit from psychoeducation that focuses on the effect of mental health problems on pregnant women.
大流行 COVID-19 对所有人的心理健康都有负面影响，尤其是孕妇。本研究旨在确定 COVID-19 对孕妇自我护理的心理影响。这项横断面研究使用多阶段抽样技术，于 2020 年从伊朗综合卫生系统中随机选择了 215 名孕妇。使用人口统计学和产科问卷、妊娠自我护理量表、对 COVID-19 的恐惧、COVID-19 焦虑量表(CDAS)和感知压力量表(PSS)通过自我报告法收集数据。使用 SPSS 软件版本 21 进行数据分析，采用 Pearson 相关检验和多变量线性回归。恐惧、焦虑、感知压力和自我护理的平均值(标准差(SD))分别为 20.85(6.45)、18.20(10.45)、31.16(7.65)和 40.84(4.11)。相关性分析显示，对 COVID-19 的恐惧(r=0.20；P=0.004)和焦虑(r=0.14；P=0.03)与自我护理呈小正相关，但感知压力与自我护理呈小负相关(r=-0.14；P=0.04)。基于回归分析，三个自变量可以解释自我护理变化的 11%(β=0.130，SE=0.043，P=0.002)。根据研究结果，孕妇可能会受益于心理健康问题对孕妇影响的心理教育。
