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生育期的社会支持与心理健康:COVID-19 大流行的影响。

Social support and mental health in maternity: Effects of the COVID-19 pandemic.

机构信息

Gerencia Regional de Salud (SACyL), Leon, Spain.

SALBIS Research Group, Facultad de Ciencias de la Salud, Universidad de León, Campus de Ponferrada s/n, Leon, Spain.

出版信息

Midwifery. 2023 Mar;118:103580. doi: 10.1016/j.midw.2022.103580. Epub 2022 Dec 24.

Abstract

BACKGROUND

Motherhood involves a process of adaptation and the perception of social support influences mental health, breastfeeding or newborn care among others. The COVID-19 pandemic has generated a distancing from family, friends and health professionals.

METHODS

Quantitative, descriptive, cross-sectional study. The present study aims to describe and analyze the social support and mental health of mothers during this period.

METHODS

The sample were 179 women with children older than 6 months. The questionnaires used were the DUKE-UNC-11 and GHQ-12. Data analysis was carried out with Spearman's Rho and Mann Whitney U test.

RESULTS

75.8% of the sample perceived normal social support during the pandemic. Within the dimensions of social support, women reported perceiving satisfactory confidential support, while affective support was perceived as low. Correlational analysis reported a significant relationship between mental health, confidential support and affective support. Group comparison noted greater confidential support in primiparous.

CONCLUSIONS

The sample is sensitive to changes originated by COVID-19 constraints influencing perceived social support and mental health. Affective and confidential support as well as the involvement of health professionals and the environment are fundamental for mental health during the first year of maternity.

RELEVANCE TO CLINICAL PRACTICE

Mothers' mental health is sensitive and vulnerable to social changes, in this case, those that occurred as a consequence of the COVID-19 outbreak.

摘要

背景

母亲身份涉及适应过程,社会支持的感知会影响心理健康、母乳喂养或新生儿护理等方面。COVID-19 大流行导致与家人、朋友和卫生专业人员的距离疏远。

方法

定量、描述性、横断面研究。本研究旨在描述和分析在此期间母亲的社会支持和心理健康状况。

方法

样本为 179 名有 6 个月以上孩子的女性。使用的问卷是 DUKE-UNC-11 和 GHQ-12。使用 Spearman's Rho 和 Mann Whitney U 检验进行数据分析。

结果

75.8%的样本在大流行期间感知到正常的社会支持。在社会支持的维度中,女性报告说感知到满意的保密支持,而情感支持则被认为较低。相关分析报告称,心理健康、保密支持和情感支持之间存在显著关系。组间比较表明,初产妇的保密支持更大。

结论

该样本对 COVID-19 限制引起的变化敏感,这些变化会影响感知到的社会支持和心理健康。情感和保密支持以及卫生专业人员和环境的参与对于母婴第一年的心理健康至关重要。

临床相关性

母亲的心理健康对社会变化敏感且脆弱,在这种情况下,这些变化是 COVID-19 爆发的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee9/9789545/c5248fdf1068/gr1_lrg.jpg

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