Department of Obstetrics and Gynecology, BP Koirala Institute of Health Sciences, Dharan, Nepal.
Department of Psychiatric Nursing, BP Koirala Institute of Health Sciences, Dharan, Nepal.
J Nepal Health Res Counc. 2022 Jun 2;20(1):234-240. doi: 10.33314/jnhrc.v20i01.4063.
Mental health of pregnant individuals has been profoundly affected by the COVID-19 pandemic. Effective coping strategies are found to be associated with better psychological wellbeing during the COVID-19 pandemic. The objective of the present study is to assess psychological distress and coping among pregnant women during the COVID-19 pandemic.
A descriptive cross sectional study was conducted from May 2020 to July 2020 among 115 pregnant women attending obstetric unit of a tertiary care centre using convenience sampling technique. Ethical approval was obtained from the Institutional Review Committee of the Institute. Covid-19 Peritraumatic Distress Index and Brief COPE inventory was used to collect the data. Data entry was done in Microsoft Office Excel 2007 and analysed in SPSS version 16.
Psychological distress was found in 2.6% of the participants. Psychological distress was significantly associated with occupation, fear of ANC visit, fear of visit to hospital for other health problems and fear of being alone or without help around delivery. Emotion focused coping was the most commonly used coping strategies among the pregnant women with the mean score of 21.37±3.130. Psychological distress and over all coping strategies had a positive correlation (<0.001).
Psychological distress was found to be low among the pregnant women in this study. Fear of being without help and fear of contacting the virus during the visit to the hospital during the Covid-19 pandemic were the likely reasons of the psychological distress in the pregnant women.
新冠疫情对孕妇的心理健康产生了深远影响。研究发现，有效的应对策略与新冠疫情期间更好的心理健康有关。本研究旨在评估新冠疫情期间孕妇的心理困扰和应对方式。
本研究采用描述性横断面研究设计，于 2020 年 5 月至 2020 年 7 月，使用便利抽样技术，选取 115 名在三级医疗中心产科就诊的孕妇。本研究获得了机构审查委员会的伦理批准。采用新冠创伤后应激障碍指数和简明应对方式量表收集数据。数据录入使用 Microsoft Office Excel 2007，数据分析使用 SPSS 版本 16。
2.6%的参与者存在心理困扰。职业、对 ANC 就诊的恐惧、对因其他健康问题就诊医院的恐惧、对分娩时无人陪伴或无助的恐惧与心理困扰显著相关。情绪聚焦应对是孕妇最常用的应对策略，平均得分为 21.37±3.130。心理困扰和整体应对策略呈正相关（<0.001）。
本研究中孕妇的心理困扰程度较低。在新冠疫情期间，对就诊时无人帮助和接触病毒的恐惧可能是孕妇心理困扰的原因。
