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社会支持与主观评估在妊娠丢失后妇女的身心状况、健康和生活质量满意度中的作用。

Social support and subjective assessment of psychophysical condition, health, and satisfaction with quality of life among women after pregnancy loss.

机构信息

Chair and Department of Development in Midwifery, Faculty of Health Sciences, Medical University of Lublin, 4-6 Staszica St., 20-081, Lublin, Poland.

Obstetrics and Gynecology Department and Clinic, Cardinal S. Wyszyński Regional Specialist Hospital in Lublin, Lublin, Poland.

出版信息

BMC Pregnancy Childbirth. 2021 Nov 5;21(1):750. doi: 10.1186/s12884-021-04093-w.

Abstract

BACKGROUND

The task of modern medicine is not just to heal, but also to improve the patient's well-being and achieve non-medical goals in the therapy process that enable effective physical, mental and social functioning of the patient. Social support in difficult situations mobilizes an individual's strength and resources to cope with problems. Research on social support and women's condition after pregnancy loss reflects a holistic approach to the patient and is important from the perspective of increasing the level of hospital care.

OBJECTIVE

The aim of our study was to assess the impact of social support on the psychophysical condition, health, and satisfaction with quality of life among women after miscarriage and ectopic pregnancy.

METHODS

The cross-sectional study was carried out in a group of 500 patients after miscarriage and 110 with ectopic pregnancy, hospitalized in hospitals in Lublin (Poland). The study was conducted with the use of a diagnostic survey, comprising the Berlin Social Support Scales (BSSS) and an original survey questionnaire (psychophysical condition, satisfaction with health and quality of life on a scale of 1-4, sources of support on a scale of 1-10, with 1 being the poorest rating).

RESULTS

Respondents after miscarriage and those after ectopic pregnancy assigned the highest scores to the degree of perceived available instrumental support (respectively, miscarriage: M = 3.79, EP: M = 3.77). Women after pregnancy loss assigned the highest score to the support obtained from their partner (respectively, miscarriage: M = 9.26, EP: M = 9.23). Social support was significantly correlated with the condition of patients hospitalized as a result of pregnancy loss (p < 0.05). The assessment of psychophysical condition, health, and QoL of the respondents is determined by their education, financial standing, and obstetric history (p < 0.05).

CONCLUSIONS

Women hospitalized due to miscarriage and ectopic pregnancy assigned high scores to the level of perceived available instrumental, emotional, and actually received social support. There is a positive relationship between social support and subjective opinion about psychophysical condition, health and satisfaction with quality of life among women after pregnancy loss. The assessment is determined by sociodemographic factors and the respondents' obstetric history.

摘要

背景

现代医学的任务不仅是治愈,还要改善患者的幸福感,并在治疗过程中实现非医疗目标,使患者能够有效地进行身体、心理和社会功能。在困难情况下的社会支持可以调动个人的力量和资源来应对问题。关于社会支持和妊娠丢失后女性状况的研究反映了对患者的整体方法,并且从提高医院护理水平的角度来看是重要的。

目的

我们的研究旨在评估社会支持对流产和异位妊娠后女性的心理生理状况、健康和生活质量满意度的影响。

方法

这项横断面研究在波兰卢布林的医院中对 500 名流产后患者和 110 名异位妊娠后患者进行。研究采用诊断性调查,包括柏林社会支持量表(BSSS)和原始调查问卷(心理生理状况、对健康和生活质量的满意度评分 1-4 分、支持来源评分 1-10 分,其中 1 分为最差评分)。

结果

流产后和异位妊娠后患者分别对感知到的可用工具性支持程度给予最高分(分别为流产:M=3.79,异位妊娠:M=3.77)。妊娠丢失后的女性对伴侣获得的支持给予最高分(分别为流产:M=9.26,异位妊娠:M=9.23)。社会支持与因妊娠丢失而住院的患者的状况显著相关(p<0.05)。受访者的心理生理状况、健康和生活质量评估取决于他们的教育、经济状况和产科史(p<0.05)。

结论

因流产和异位妊娠而住院的女性对感知到的可用工具性、情感性和实际获得的社会支持给予高分。社会支持与妊娠丢失后女性的心理生理状况、健康和生活质量满意度之间存在正相关关系。评估取决于社会人口因素和受访者的产科史。

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