Özkan Şat Sultan, Yaman Sözbir Şengül
Faculty of Health Sciences, Nursing Department, Gazi University, Emek mah. Bişkek Cad. 6. Cad. (eski 81. sokak) No:2, Çankaya, 06490, Ankara, Turkey.
Matern Child Health J. 2021 Jul;25(7):1057-1068. doi: 10.1007/s10995-021-03162-y. Epub 2021 Apr 30.
Pregnancy and postpartum periods require continuity in care and counseling. During the pandemic process, telemedicine and telenursing applications have been used to meet the need for healthcare throughout the world, and skills in this area have been developed. This study aimed to identify the use of mobile applications by pregnant women in receiving health information, counseling, and healthcare during the COVID-19 pandemic and their distress levels during pregnancy.
This research was a descriptive cross-sectional study. The study was designed as an online survey administered between August 2020 and November 2020 via a questionnaire and the Tilburg Pregnancy Distress Scale (TPDS). A total of 376 women agreed to participate in the study. Women were included if they were literate, had a gestational age of ≥ 12th weeks, and accommodated within the Republic of Turkey's boundaries.
A total of 77.9% of participants reported using pregnancy-related mobile applications during the pandemic. The mean total Tilburg Pregnancy Distress Scale score was 24.09, and 37.2% of the participants were found to be at risk for high distress according to the cut-off point. There was a significant difference between the change in receiving health services and the anxiety about coronavirus transmission and the Tilburg Pregnancy Distress Scale total score. (p ≤ 0.05).
This study helped understand the pandemic's impact on pregnancy distress and usage of mobile health applications by pregnant women during the pandemic. Also, our results indicate that a decrease in pregnant women receiving health services during this period. Mobile health applications appear to be usable for prenatal follow-ups because mobile applications are common among pregnant women during the COVID-19 pandemic.
孕期和产后需要持续的护理与咨询。在疫情期间，远程医疗和远程护理应用已被用于满足全球医疗保健需求，并且该领域的技能也得到了发展。本研究旨在确定孕妇在新冠疫情期间使用移动应用获取健康信息、咨询和医疗保健的情况以及她们孕期的痛苦程度。
本研究为描述性横断面研究。研究设计为通过问卷和蒂尔堡孕期痛苦量表（TPDS）在2020年8月至2020年11月期间进行的在线调查。共有376名女性同意参与研究。纳入标准为识字、孕周≥12周且居住在土耳其共和国境内的女性。
共有77.9%的参与者报告在疫情期间使用过与孕期相关的移动应用。蒂尔堡孕期痛苦量表的平均总分是24.09，根据临界值，37.2%的参与者被发现有高度痛苦风险。接受健康服务的变化与对新冠病毒传播的焦虑和蒂尔堡孕期痛苦量表总分之间存在显著差异（p≤0.05）。
本研究有助于了解疫情对孕期痛苦的影响以及孕妇在疫情期间对移动健康应用的使用情况。此外，我们的结果表明在此期间接受健康服务的孕妇有所减少。移动健康应用似乎可用于产前随访，因为在新冠疫情期间移动应用在孕妇中很常见。
