新冠病毒检测呈阳性的孕妇的情绪困扰：一项来自印度克什米尔南部的横断面研究。
Emotional difficulties in pregnant females who tested positive for COVID-19: A cross-sectional study from South Kashmir, India.
作者信息
Nazir Tanzeela, Amin Rehana, Maqbool Masood
机构信息
Department of Gynecology and Obstetrics, GMC, Anantnag, Jammu and Kashmir, India.
Department of Psychiatry, GMC, Institute of Mental Health and Neurosciences-Kashmir, Srinagar, Jammu and Kashmir, India.
出版信息
J Educ Health Promot. 2022 Jan 31;11:13. doi: 10.4103/jehp.jehp_465_21. eCollection 2022.
BACKGROUND
It is evident that the novel coronavirus disease pandemic inevitably resulted in increased stress and anxiety in the general population. Pregnancy is a challenging period, and COVID-19 has added risk to women pregnant during the pandemic.
AIM
The present study was aimed to assess the emotional difficulties in pregnant females who tested positive for COVID-19. The current study estimated the prevalence of depression, anxiety, and stress among 63 pregnant ladies who tested positive for COVID-19.
MATERIALS AND METHODS
The study was conducted in Child and Maternity Hospital of GMC Anantnag, Kashmir, India, from April to December 2020. A total of 63 pregnant females who tested positive for COVID-19 participated in the study. The COVID-positive pregnant ladies were interviewed in the outpatient department of the child and maternity clinic 2 weeks after the infection. The interview scale used was Depression, Anxiety, and Stress Scale-21. The data were analyzed using Chi-square test and Fisher's exact test.
RESULTS
We found that the mean age of participants was 33.5 ± 7.4. We found that 38.1% of the females had positive bad obstetric history. The prevalence of depression, anxiety, and stress was 33.32%, 50.83%, and 60.3%, respectively. In correlation analysis, notably bad obstetric history and working females were significant independent factors for higher levels of depression, anxiety, and stress. The depression was also found more in literate females and the third trimester.
CONCLUSION
The study indicates high levels of depression, anxiety, and stress in pregnant females who tested positive for COVID-19. The emotional difficulties were found to be higher in educated and working females. The bad obstetric history was found to be an independent factor for higher levels of emotional difficulties in COVID-positive pregnant females. This calls for extra measures to promote the mental health and resilience of pregnant females, especially during a crisis.
背景
新型冠状病毒病大流行不可避免地导致普通人群的压力和焦虑增加，这一点很明显。怀孕是一个充满挑战的时期，而新冠疫情给大流行期间怀孕的女性增加了风险。
目的
本研究旨在评估新冠病毒检测呈阳性的怀孕女性的情绪困扰。本研究估计了63名新冠病毒检测呈阳性的怀孕女性中抑郁、焦虑和压力的患病率。
材料与方法
该研究于2020年4月至12月在印度克什米尔阿南特纳格政府医学院儿童医院进行。共有63名新冠病毒检测呈阳性的怀孕女性参与了该研究。新冠病毒检测呈阳性的怀孕女性在感染后2周在儿童和产科门诊接受访谈。使用的访谈量表是抑郁、焦虑和压力量表-21。数据采用卡方检验和费舍尔精确检验进行分析。
结果
我们发现参与者的平均年龄为33.5±7.4岁。我们发现38.1%的女性有不良产科史。抑郁、焦虑和压力的患病率分别为33.32%、50.83%和60.3%。在相关性分析中，不良产科史和职业女性是抑郁、焦虑和压力水平较高的显著独立因素。抑郁在受过教育的女性和孕晚期也更为常见。
结论
该研究表明，新冠病毒检测呈阳性的怀孕女性中抑郁、焦虑和压力水平较高。受过教育和职业女性的情绪困扰更高。不良产科史被发现是新冠病毒检测呈阳性的怀孕女性情绪困扰水平较高的独立因素。这就需要采取额外措施来促进怀孕女性的心理健康和恢复力，尤其是在危机期间。
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