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分娩恐惧与青少年妊娠的社会支持。

The Fear of Childbirth and Social Support in Adolescent Pregnancy.

机构信息

Department of Obstetrics. and Gynaecologic Nursing, Faculty of Nursing, Mersin University, Mersin, Turkey.

Department of Obstetrics. and Gynaecologic Nursing, Faculty of Nursing, Mersin University, Mersin, Turkey.

出版信息

J Pediatr Adolesc Gynecol. 2021 Dec;34(6):839-846. doi: 10.1016/j.jpag.2021.06.005. Epub 2021 Jun 25.

Abstract

OBJECTIVE

Social support may be effective in alleviating fear associated with childbirth in pregnant adolescent women. This study was conducted to determine the relationship between social support and fear of childbirth in adolescent pregnancy.

DESIGN

The study was designed to assess any relationships between the social support perceived by pregnant adolescent women and the fear of childbirth that they experienced. through a cross-sectional analysis.

SETTING

The study was carried out in the obstetrics outpatient clinics of a public hospital.

PATIENTS

The study was conducted with 100 pregnant adolescents.

MEASUREMENTS

A personal information form, the Multidimensional Scale for Perceived Social Support (MSPSS), and the Wijma Birth Expectancy/Experience Scale Version A (WDEQ-A) were applied for data collection. The Pearson correlation coefficient was used to determine relationships between 2 continuous variables.

RESULTS

There was a significant negative correlation between the mean scores on the MSPSS and the WDEQ-A (r = -0.345, P < .01). The MSPSS score was found to be associated with gestational age, residence area, and type of marriage. The WDEQ-A score was associated with educational status.

CONCLUSION

The results demonstrate that social support is highly important for pregnant adolescents, especially considering the fact that the social support received from the spouse was relatively lower among adolescent women with lower gestational age. Nurses should evaluate the family of the pregnant adolescent, especially their partner, in terms of the social support that they provide to the pregnant woman and should support these women with necessary counseling.

摘要

目的

社会支持可能有助于减轻青少年孕妇对分娩的恐惧。本研究旨在确定青少年妊娠中孕妇感知的社会支持与对分娩的恐惧之间的关系。

设计

通过横断面分析评估了青少年孕妇感知的社会支持与经历的分娩恐惧之间的关系。

地点

在一家公立医院的妇产科门诊进行。

患者

研究对象为 100 名孕妇。

测量方法

采用个人信息表、多维感知社会支持量表(MSPSS)和 Wijma 分娩期望/经验量表 A 版(WDEQ-A)进行数据收集。采用 Pearson 相关系数来确定两个连续变量之间的关系。

结果

MSPSS 与 WDEQ-A 的平均得分呈显著负相关(r=-0.345,P<.01)。MSPSS 得分与孕周、居住地区和婚姻类型有关。WDEQ-A 得分与教育程度有关。

结论

研究结果表明,社会支持对青少年孕妇非常重要,特别是考虑到低胎龄青少年孕妇从配偶那里获得的社会支持相对较低的情况。护士应该评估孕妇的家庭,特别是其伴侣,提供给孕妇的社会支持,并应提供必要的咨询,以支持这些妇女。

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