调查并比较伊朗初产妇在妊娠各期的担忧维度。
Investigating and comparing the dimensions of worry of Iranian primiparous women in each trimester of pregnancy.
机构信息
Department of Midwifery and Reproductive, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Rashid Yasemi St., Valiasr St., Tehran, 1996713883, Iran.
出版信息
Eur J Med Res. 2023 Aug 16;28(1):285. doi: 10.1186/s40001-023-01258-5.
BACKGROUND
Pregnancy and childbirth are considered natural events in the life cycle of women. However, it is also a stressful experience along with physiological and psychological changes. Therefore, it is important to study the dimensions that cause more worry in each of the pregnant trimesters. This study aimed to determine and compare the dimensions of worry of Iranian primiparous women in each trimester of pregnancy.
METHODS
This cross-sectional study was conducted on 300 primiparous women (n = 100 in each trimester) referred to seven health centers affiliated with the Iran University of Medical Sciences, Tehran, Iran. The sampling was multistage. We collected data from a demographic and fertility questionnaire and the Cambridge Worry Scale (CWS).
RESULTS
The mean score of worry during the entire pregnancy was 28.16. The mean and standard deviation of the worry score in the first trimester was (27.35 ± 12.22). The second trimester was (27.80 ± 12.53) and the third trimester was (29.34 ± 11.11). The highest mean score of worry in the first and third trimmers was the dimension of own health. The second trimester was the dimension of socio-medical. The lowest mean score of worry in all trimmers was the dimension of relationships. Among CWS-related items, the highest mean score of worry in the first trimester was giving birth (3.34) and the possibility of miscarriage (3.22). In the second trimester was the possibility of going into labour too early (3.3) and the possibility of miscarriage (3.12), and in the third trimester was the possibility of going into labour too early (3.33) and giving birth (3.27). The lowest mean score of worry in all three trimesters was related to problems with the law.
CONCLUSION
pregnancy worry in the third trimester was more than the other two trimesters, and worrying about own health was the most important dimension of worry for pregnant women. Paying attention to the dimensions of worry of pregnant women helps design appropriate interventions to increase the mental and physical health of pregnant women.
背景
怀孕和分娩被认为是女性生命周期中的自然事件。然而，这也是一个充满压力的经历，伴随着生理和心理变化。因此，研究每个孕期中导致更多担忧的维度很重要。本研究旨在确定并比较伊朗初产妇在孕期每个阶段的担忧维度。
方法
这是一项横断面研究，对象为 300 名初产妇（每个孕期 100 名），她们均来自伊朗德黑兰伊朗医科大学附属的 7 个医疗中心。采用多阶段抽样。我们从人口统计学和生育问卷以及剑桥担忧量表（CWS）中收集数据。
结果
整个孕期的担忧平均得分为 28.16。第一孕期的担忧平均得分为（27.35±12.22），第二孕期为（27.80±12.53），第三孕期为（29.34±11.11）。第一和第三孕期担忧得分最高的维度是自身健康，第二孕期为社会医学。所有孕期中担忧得分最低的维度是人际关系。在 CWS 相关项目中，第一孕期担忧得分最高的是分娩（3.34）和流产的可能性（3.22）。第二孕期是过早分娩的可能性（3.3）和流产的可能性（3.12），第三孕期是过早分娩的可能性（3.33）和分娩（3.27）。所有三个孕期中担忧得分最低的是与法律有关的问题。
结论
第三孕期的妊娠担忧比其他两个孕期更严重，对自身健康的担忧是孕妇最关注的担忧维度。关注孕妇的担忧维度有助于设计适当的干预措施，以提高孕妇的身心健康。
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