Mirtabar Seyyedeh M, Kheirkhah Farzan, Basirat Zahra, Barat Shahnaz, Pahlavan Zeynab, Ghadimi Reza, Gholinia Hemmat, Fateri Nooshin, ZarinKamar Banafsheh, Faramarzi Mahbobeh
Student Research Committee, Health Research Institute Babol University of Medical Sciences Babol Iran.
Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute Babol University of Medical Sciences Babol Iran.
Health Sci Rep. 2022 Jul 11;5(4):e711. doi: 10.1002/hsr2.711. eCollection 2022 Jul.
Although previous studies have reported some psychological factors to prevent the worry of vaccination against COVID-19 in pregnant women, the role of psychological self-care is unclear. The present study aimed to investigate the role of psychological self-care in pregnant women on the depressive symptoms, psychological distress, and worry of vaccination against COVID-19.
The present cross-sectional study was conducted during the peak of the Delta variant of COVID-19 in Babol city (North, Iran) from August to November 2021. Two hundred pregnant women referring to three prenatal clinics completed five questionnaires including; demographic characteristics, Edinburgh postnatal depression scale, psychological self-care, brief symptom inventory 18, corona disease anxiety scale, and acceptance of vaccination-3 inventory.
Pregnant women were in relatively good condition based on psychological self-care but were not significantly associated with demographic characteristics, such as age, gestational age, educational background, pregnancy, and risk of parity. It was psychological self-care of pregnant women which negatively predicted the depressive symptoms ( = -0.311, < 0.001), anxiety symptoms ( = -0.269, < 0.001), psychological distress ( = -0.269, < 0.001), and worry of vaccination against COVID-19 ( = -0.214, < 0.001).
Women's psychological self-care plays a protective role against the depressive symptoms, anxiety symptoms, psychological distress, and worry of vaccination against COVID-19 during pregnancy. Clinicians need to pay more attention to the role of psychological self-care as an important factor in preventing the symptoms of anxiety and depression during regular pregnancy visits.
尽管先前的研究报告了一些心理因素可预防孕妇对新冠疫苗接种的担忧，但心理自我护理的作用尚不清楚。本研究旨在探讨心理自我护理在孕妇中对抑郁症状、心理困扰以及新冠疫苗接种担忧的作用。
本横断面研究于2021年8月至11月在伊朗北部巴博勒市新冠病毒德尔塔变异株流行高峰期进行。200名前往三家产前诊所就诊的孕妇完成了五份问卷，包括人口统计学特征、爱丁堡产后抑郁量表、心理自我护理、简明症状量表18项、新冠疾病焦虑量表以及疫苗接种接受度-3量表。
基于心理自我护理，孕妇状况相对良好，但与年龄、孕周、教育背景、妊娠次数和产次风险等人口统计学特征无显著关联。孕妇的心理自我护理对抑郁症状（β = -0.311，p < 0.001）、焦虑症状（β = -0.269，p < 0.001）、心理困扰（β = -0.269，p < 0.001）以及新冠疫苗接种担忧（β = -0.214，p < 0.001）具有负向预测作用。
女性的心理自我护理在孕期对抑郁症状、焦虑症状、心理困扰以及新冠疫苗接种担忧起到保护作用。临床医生在常规孕期检查中需要更加关注心理自我护理作为预防焦虑和抑郁症状的重要因素的作用。
