J Obstet Gynecol Neonatal Nurs. 2021 Sep;50(5):525-538. doi: 10.1016/j.jogn.2021.04.012. Epub 2021 Jun 16.
The United States has greater prevalence of mental illness and substance use disorders than other developed countries, and pregnant women are disproportionately affected. The current global COVID-19 pandemic, through the exacerbation of psychological distress, unevenly affects the vulnerable population of pregnant women. Social distancing measures and widespread closures of businesses secondary to COVID-19 are likely to continue for the foreseeable future and to further magnify psychosocial risk factors. We propose the use of a social determinants of health framework to integrate behavioral health considerations into prenatal care and to guide the implementation of universal and comprehensive psychosocial assessment in pregnancy. As the most numerous and well-trusted health care professionals, nurses are ideally positioned to influence program and policy decisions at the community and regional levels and to advocate for the full integration of psychosocial screening and behavioral health into prenatal and postpartum care as core components.
美国的精神疾病和物质使用障碍的患病率高于其他发达国家，而孕妇的受影响比例不成比例。当前的全球 COVID-19 大流行通过加剧心理困扰，对孕妇这一弱势群体产生了不均衡的影响。社交距离措施和因 COVID-19 而广泛关闭企业的情况可能在可预见的未来内持续存在，并进一步放大社会心理风险因素。我们建议使用健康的社会决定因素框架，将行为健康因素纳入产前护理，并指导在怀孕期间进行普遍和全面的社会心理评估。护士作为数量最多且最受信任的医疗保健专业人员，非常适合在社区和地区层面影响计划和政策决策，并倡导将心理筛查和行为健康作为核心内容全面纳入产前和产后护理。
