Wheeler Jenna M, Misra Dawn P, Giurgescu Carmen
College of Nursing, University of Central Florida, Orlando, FL, USA.
Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, MI, USA.
Public Health Nurs. 2021 Jul;38(4):596-602. doi: 10.1111/phn.12909. Epub 2021 Apr 12.
This study explored stress and coping among pregnant Black women prior to and during the COVID-19 pandemic.
Prospective, longitudinal, cohort study.
Thirty-three women enrolled in the Biosocial Impact on Black Births study prior to the COVID-19 pandemic and who were still pregnant during the pandemic.
Questionnaires included the Perceived Stress Scale, Prenatal Coping Inventory, and questions related to sociodemographic characteristics, worry about COVID-19, and coping strategies used during the pandemic.
Women reported very much being worried about my child getting COVID-19 (46%) and my family member getting COVID-19 (46%). Women reported specific active coping strategies very much reduced their feelings of discomfort during COVID-19: God, religion, or spirituality (24%), social media (24%), and following government advice (24%). Higher use of avoidance coping prior to the pandemic was associated with higher levels of stress both prior to (r = 0.60, p < .001) and during (r = 0.47, p < .01) the pandemic.
Women reported worries about COVID-19 and used various strategies to cope with feelings of discomfort due to the pandemic. Nurses should assess the stress level of pregnant Black women and recommend active coping strategies during the pandemic.
本研究探讨了新冠疫情之前及期间，怀孕的黑人女性的压力及应对方式。
前瞻性纵向队列研究。
33名在新冠疫情之前参与“黑人出生的生物社会影响”研究且在疫情期间仍处于孕期的女性。
问卷包括感知压力量表、产前应对量表，以及与社会人口学特征、对新冠疫情的担忧和疫情期间使用的应对策略相关的问题。
女性报告称非常担心自己的孩子感染新冠病毒（46%）以及家人感染新冠病毒（46%）。女性报告称特定的积极应对策略在很大程度上减轻了她们在新冠疫情期间的不适感：信仰上帝、宗教或精神寄托（24%）、社交媒体（24%）以及遵循政府建议（24%）。疫情之前更多地使用回避应对方式与疫情之前（r = 0.60，p <.001）和疫情期间（r = 0.47，p <.01）的更高压力水平相关。
女性报告了对新冠疫情的担忧，并采用了各种策略来应对疫情带来的不适感。护士应评估怀孕黑人女性的压力水平，并在疫情期间推荐积极的应对策略。
