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识别早孕期和晚孕期孕妇的症状群。

Identifying symptom clusters among pregnant women during early and late pregnancy.

机构信息

School of Nursing and Rehabilitation, Shandong University, Jinan, China.

Department of Psychiatry, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Int J Gynaecol Obstet. 2023 Aug;162(2):656-663. doi: 10.1002/ijgo.14712. Epub 2023 Feb 24.

DOI:10.1002/ijgo.14712
PMID:36728592
Abstract

OBJECTIVES

To investigate the status of multiple psychosomatic symptoms among women and identify symptom clusters at different gestational stages.

METHODS

This was a cross-sectional study and a consecutive sample of 557 pregnant women were recruited. They were asked to complete the Memorial Symptom Assessment Scale, and to supply sociodemographic and clinical information. Spearman correlation analysis, partial correlation networks, and hierarchical cluster analysis were carried out to identify the optimal number of symptom clusters.

RESULTS

The top five scores for symptoms in early pregnancy were nausea, lack of appetite, feeling drowsy, lack of energy, and vomiting. Weight gain, difficulty sleeping, sweating, lack of energy, and dry mouth scored high in late pregnancy. Four clusters were identified in early pregnancy, and three clusters were determined in late pregnancy.

CONCLUSIONS

Women experience multiple psychosomatic symptoms during pregnancy, and the manifestation of symptoms varies at different stages. The present study has provided new insights into symptom clusters in pregnant women.

摘要

目的

调查女性多种身心症状的现状,并确定不同妊娠阶段的症状群。

方法

这是一项横断面研究,连续招募了 557 名孕妇。他们被要求完成纪念症状评估量表,并提供社会人口学和临床信息。采用 Spearman 相关分析、偏相关网络和层次聚类分析来确定最佳的症状群数量。

结果

孕早期症状得分最高的前五项是恶心、食欲不振、嗜睡、乏力和呕吐。孕晚期体重增加、睡眠困难、出汗、乏力和口干得分较高。在孕早期确定了 4 个症状群,在孕晚期确定了 3 个症状群。

结论

女性在怀孕期间会经历多种身心症状,症状的表现在不同阶段有所不同。本研究为孕妇的症状群提供了新的见解。

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