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社会支持与妊娠压力之间的关联:一项关于邻里互动的横断面研究

Association between social support and pregnancy stress: a cross-sectional study of neighbors' interactions.

作者信息

Abdi Sadaf, Faramarzi Mahbobeh, Bouzari Zinatossadat, Chehrazi Mohammad, Esfandyari Maria

机构信息

Student Research Committee, Babol University of Medical Sciences, Babol, Iran.

Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

出版信息

J Egypt Public Health Assoc. 2022 Sep 12;97(1):15. doi: 10.1186/s42506-022-00113-5.

DOI:10.1186/s42506-022-00113-5
PMID:36089617
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9464484/
Abstract

BACKGROUND

Pregnancy is associated with substantial stressful experiences. There are controversies concerning the positive and negative roles of social support during pregnancy. This research aimed to study the association of social support with the pregnancy-related stress.

METHODS

In the current cross-sectional research, 200 pregnant women were recruited through convenience sampling from two teaching hospitals affiliated with Babol University of Medical Sciences and a private obstetric clinic. The women completed two self-reported questionnaires during prenatal care appointments. The questionnaires included the Revised Prenatal Distress Questionnaire (NuPDQ) and Social Support Questionnaire (SSQ).

RESULTS

A significantly positive association was observed between the social support of neighbors and the total score of pregnancy stress (P<0.001), as well as the scores of its four subscales, namely medical problems (P<0.001), parenting (P=0.25), infant health stress (P=0.006), and pregnancy symptoms (P=0.001). Based on the linear regression models, the social support of neighbors was significantly related to the medical problem-associated stress in pregnant women (β = 0.147, 95% CI: 0.14 to 0.62, p = 0.047), pregnancy symptom (β = 0.203, 95% CI: -0.01 to 0.327, p = 0.017), and fear of childbirth (β = 0.164, 95% CI: 0.05 to 0.38, p = 0.046). Furthermore, the neighbors' social support (β = 0.172, 95% CI: 0.02 to 0.32, p = 0.04) and the total score of social support (β = 0.155, 95% CI: 0.01 to 0.304, p = 0.046) were significantly associated with the total score of pregnancy stress.

CONCLUSIONS

Neighbors' support, as a component of social support, was found to be significantly related to pregnancy stress. This study recommends that healthcare providers consider the positive and negative impacts of social support during the pregnancy period.

摘要

背景

怀孕与大量压力体验相关。关于孕期社会支持的积极和消极作用存在争议。本研究旨在探讨社会支持与妊娠相关压力之间的关联。

方法

在当前的横断面研究中,通过便利抽样从巴博尔医科大学附属的两家教学医院和一家私立产科诊所招募了200名孕妇。这些女性在产前检查预约期间完成了两份自我报告问卷。问卷包括修订后的产前困扰问卷(NuPDQ)和社会支持问卷(SSQ)。

结果

观察到邻居的社会支持与妊娠压力总分(P<0.001)及其四个子量表的得分之间存在显著正相关,这四个子量表分别是医疗问题(P<0.001)、育儿(P=0.25)、婴儿健康压力(P=0.006)和妊娠症状(P=0.001)。基于线性回归模型,邻居的社会支持与孕妇的医疗问题相关压力(β = 0.147,95% CI:0.14至0.62,p = 0.047)、妊娠症状(β = 0.203,95% CI:-0.01至0.327,p = 0.017)以及分娩恐惧(β = 0.164,95% CI:0.05至0.38,p = 0.046)显著相关。此外,邻居的社会支持(β = 0.172,95% CI:0.02至0.32,p = 0.04)和社会支持总分(β = 0.155,95% CI:0.01至0.304,p = 0.046)与妊娠压力总分显著相关。

结论

发现邻居的支持作为社会支持的一个组成部分与妊娠压力显著相关。本研究建议医疗保健提供者在孕期考虑社会支持的积极和消极影响。

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