Jelly Prasuna, Chadha Lisa, Kaur Navjeet, Sharma Suresh, Sharma Rakesh, Stephen Shine, Rohilla Jitendra
College of Nursing, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
College of Nursing, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.
Cureus. 2021 Jan 23;13(1):e12875. doi: 10.7759/cureus.12875.
Introduction Pregnancy is a beautiful phase in every woman's life in which she undergoes several physical and psychological transformations. The level of stress and anxiety may increase due to a sudden outbreak of contagious diseases. Objective To evaluate the psychological status of pregnant women during the coronavirus disease-2019 (COVID-19) outbreak. Materials and methods A cross-sectional survey was conducted from July 15, 2020, to September 15, 2020, in Dehradun, Haridwar, and Nainital districts of Uttarakhand, India. A total of 333 pregnant women were surveyed through an online platform. The psychological impact of the COVID-19 pandemic was measured using the Impact of Event-Revised (IES-R) scale, and anxiety levels were measured using the Generalized Anxiety Disorder-7 (GAD-7) scale. Data were analysed using descriptive and inferential statistics. Results The survey results revealed that around three-fourths (73.6%) of the pregnant women reported minimal psychological impact, with a mean IES-R score of 16.93±11.23, whereas 69.4% of respondents had a minimal level of anxiety, with a mean GAD-7 score of 3.09±3.73. Multivariate linear regression found a positive association between psychological impact and gestational age, occupation, religion, locality, conception, history of abortion (p<0.05). Also, the level of anxiety was significantly associated with education, occupation, monthly income, religion, marital and family support, history of mental illness (p<0.01), conception type, and awareness regarding COVID-19 (p<0.05). Conclusion Psychological impact and anxiety levels were found to be minimal in pregnant women residing in Uttarakhand. Early identification of high-risk women is important to formulate necessary strategic planning to reduce the complications associated with maternal psychological stress on developing fetus.
引言
怀孕是每位女性生命中的美好阶段，在此期间，她们会经历多种生理和心理变化。由于传染病的突然爆发，压力和焦虑水平可能会增加。
目的
评估2019冠状病毒病（COVID-19）疫情期间孕妇的心理状况。
材料与方法
2020年7月15日至2020年9月15日，在印度北阿坎德邦的德拉敦、哈里瓦和奈尼塔尔地区进行了一项横断面调查。通过在线平台对总共333名孕妇进行了调查。使用事件影响修订版（IES-R）量表测量COVID-19大流行的心理影响，使用广泛性焦虑障碍-7（GAD-7）量表测量焦虑水平。采用描述性和推断性统计方法对数据进行分析。
结果
调查结果显示，约四分之三（73.6%）的孕妇报告心理影响最小，IES-R平均得分为16.93±11.23，而69.4%的受访者焦虑水平最低，GAD-7平均得分为3.09±3.73。多变量线性回归发现，心理影响与孕周、职业、宗教、地区、受孕情况、流产史之间存在正相关（p<0.05）。此外，焦虑水平与教育程度、职业、月收入、宗教、婚姻和家庭支持、精神疾病史（p<0.01）、受孕类型以及对COVID-19的认知程度（p<0.05）显著相关。
结论
发现北阿坎德邦孕妇的心理影响和焦虑水平最小。尽早识别高危女性对于制定必要的战略规划以减少与母亲心理压力对发育中胎儿相关的并发症非常重要。
