Department of Health Management, The Third Xiangya Hospital and Xiangya School of Nursing, Central South University, Changsha, China.
Xiangya School of Nursing, Central South University, Changsha, Hunan, China.
Front Public Health. 2023 Apr 6;11:1055562. doi: 10.3389/fpubh.2023.1055562. eCollection 2023.
Many women experience severe emotional distress (such as grief, depression, and anxiety) following a diagnosis of fetal anomaly. The ability to cope with stressful events and regulate emotions across diverse situations may play a primary role in psychological wellbeing. This study aims to present coping strategies after disclosing a fetal anomaly to pregnant women.
This is a scoping review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews (PRISMA-ScR). Electronic databases, including Web of Science (WOS, BCI, KJD, MEDLINE, RSCI, SCIELO), CINAHL, and EBSCO PsycARTICLES, were used to search for primary studies from the inception of each database to 2021. The keywords were determined by existing literature and included: "fetal anomaly," "fetal abnormality," "fetal anomaly," "fetal abnormality" AND "cope," "coping," "deal," "manage," "adapt," "emotion regulate," with the use of Boolean operators AND/OR. A total of 16 articles were reviewed, followed by advancing scoping review methodology of Arksey and O'Malley's framework.
In this review, we identified 52 coping strategies using five questionnaires in seven quantitative studies and one mixed-method study. The relationship between coping strategies and mental distress was explored. However, the results were inconsistent and incomparable. We synthesized four coping categories from qualitative studies and presented them in an intersection.
This scoping review identified the coping strategies of women with a diagnosis of a fetal anomaly during pregnancy. The relationship between coping strategies and mental distress was uncertain and needs more exploration. We considered an appropriate measurement should be necessary for the research of coping in women diagnosed with fetal anomaly pregnancy.
许多女性在胎儿畸形诊断后会经历严重的情绪困扰（如悲伤、抑郁和焦虑）。应对压力事件和调节情绪的能力可能在心理健康中起着主要作用。本研究旨在为孕妇提供胎儿异常披露后的应对策略。
这是一项基于系统评价和荟萃分析的首选报告项目（PRISMA）扩展的范围综述（PRISMA-ScR）。电子数据库，包括 Web of Science（WOS、BCI、KJD、MEDLINE、RSCI、SCIELO）、CINAHL 和 EBSCO PsycARTICLES，用于从每个数据库的创建到 2021 年搜索原始研究。关键词由现有文献确定，包括：“胎儿异常”、“胎儿异常”、“胎儿异常”、“胎儿异常”和“应对”、“应对”、“处理”、“管理”、“适应”、“情绪调节”，使用布尔运算符 AND/OR。共回顾了 16 篇文章，然后采用 Arksey 和 O'Malley 框架的扩展范围审查方法。
在本综述中，我们使用五个问卷在七项定量研究和一项混合方法研究中确定了 52 种应对策略。探讨了应对策略与精神困扰之间的关系。然而，结果不一致且不可比。我们从定性研究中综合了四种应对类别，并将它们呈现在交点处。
本范围综述确定了诊断为胎儿异常妊娠的女性的应对策略。应对策略与精神困扰之间的关系不确定，需要进一步探讨。我们认为对于诊断为胎儿异常妊娠的女性的应对研究，应该有一个适当的测量方法。
