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产后妇女的应对策略:探究人口统计学和孕产因素的影响。

Coping strategies in postpartum women: exploring the influence of demographic and maternity factors.

机构信息

Community Nursing Department, College of Nursing, Imam Abdulrahman Bin Faisal University, P. O. Box 1982, Dammam, Saudi Arabia.

Fundamental of Nursing Department, College of Nursing, Imam Abdulrahman Bin Faisal University, P. O. Box 1982, Dammam, Saudi Arabia.

出版信息

BMC Womens Health. 2023 Nov 8;23(1):582. doi: 10.1186/s12905-023-02751-z.

Abstract

BACKGROUND

Postpartum depression is a frequent mental health issue that affects many women due to this stressful phase. The aim of the study is to gain insight into the coping strategies employed by postpartum women and to explore how these strategies are influenced by various demographic and maternity factors.

METHODS

The study adopted a quantitative, cross-sectional design. Data were collected from 239 postpartum women receiving care at a Gynecology and Obstetrics Clinic using self-reported tools, which include the Brief COPE survey and the socio-demographics and obstetric/maternal history form from October 2022 to April 2023.

RESULTS

The study findings indicate that individuals aged over 40 tend to use more emotional-focused coping compared to those aged 21-30 (p = 0.002) and 31-40. Additionally, both genders of children were associated with more emotional-focused coping (p = 0.007) compared to only having boys. Cesarean section delivery (p = 0.001) was associated with more avoidant-focused coping than normal vaginal delivery. Avoidant-focused coping was significantly predicted by problem-focused coping (p < 0.001), emotional-focused coping (p = 0.034), age (p = 0.003), and gender of children (only boys, p < 0.001; both boys and girls, p = 0.019). Furthermore, problem-focused coping was significantly predicted by age (p = 0.004), gender of children (male child, p = 0.002; both boy and girl: p = 0.014), and avoidant-focused coping (p < 0.001).

CONCLUSIONS

The study examined how postpartum women cope with the challenges of motherhood and how this relates to their demographic and maternity factors. The results suggest that healthcare professionals should promote effective coping strategies and discourage avoidance-oriented approaches in postpartum interventions.

摘要

背景

产后抑郁症是一种常见的心理健康问题,由于这一压力阶段,许多女性都会受到影响。本研究旨在深入了解产后女性所采用的应对策略,并探讨这些策略如何受到各种人口统计学和孕产因素的影响。

方法

本研究采用定量、横断面设计。2022 年 10 月至 2023 年 4 月期间,通过自陈式工具(包括 Brief COPE 调查和社会人口学及产科/产妇史表格),从一家妇产科诊所收集了 239 名接受护理的产后女性的数据。

结果

研究结果表明,与 21-30 岁(p=0.002)和 31-40 岁的女性相比,40 岁以上的个体更倾向于使用情绪聚焦应对方式。此外,与仅生男孩的情况相比,拥有男女孩的家庭更倾向于使用情绪聚焦应对方式(p=0.007)。与正常阴道分娩相比,剖宫产分娩(p=0.001)与更多的回避聚焦应对方式相关。回避聚焦应对方式显著预测问题聚焦应对方式(p<0.001)、情绪聚焦应对方式(p=0.034)、年龄(p=0.003)和孩子的性别(仅男孩,p<0.001;男孩和女孩,p=0.019)。此外,问题聚焦应对方式显著预测年龄(p=0.004)、孩子的性别(男孩,p=0.002;男孩和女孩,p=0.014)和回避聚焦应对方式(p<0.001)。

结论

本研究探讨了产后女性如何应对母亲身份带来的挑战,以及这些应对方式如何与她们的人口统计学和孕产因素相关。结果表明,医疗保健专业人员应该在产后干预中促进有效的应对策略,并避免采用回避导向的方法。

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