Reproductive Health, Counseling and Reproductive Health Research Center, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
BMC Pregnancy Childbirth. 2023 Dec 6;23(1):838. doi: 10.1186/s12884-023-06131-1.
Given the critical importance of mental health in mothers of preterm neonates during the postpartum period for Population Youth Programs, our research aims to ascertain the correlation between postnatal distress and corona-induced anxiety in women who have hospitalized preterm neonates.
This descriptive-analytical study was conducted with a sample of 275 mothers of preterm neonates, were hospitalized in Gorgan city in 2020. Data collection was facilitated through the Corona Anxiety (CA) and Postnatal Distress Measured Scale (PDM). For data analysis, Spearman's correlation and univariate and multiple linear regression were employed.
The average age of the participating mothers was 28.61 ± 6.173 years, and the average gestational age of the neonates was 32.8 ± 2.89 weeks. The study found a significant, positive correlation between CA and PDM. Controlling for other variables through multiple regression analysis, the factors that significantly influenced PDM were employment status (β = 3.88, p < 0.01), education level (β = 1.96, p = 0.032), and gestational age (β=-0.60, p < 0.001). Furthermore, number of living children (β=-4.77, p = 0.01), education (β=-2.37, p = 0.01), and gestational age (β=-0.91, p < 0.001) were the factors that were significantly associated with CA scores.
The correlation between CA and PDM suggests that preterm neonate's mothers experienced increased anxiety during the pandemic. Considering the factors influencing these anxieties, targeted programs should be developed to enhance the mental health of these mothers in future pandemics. The finding that women with more children experienced less CA could serve as evidence of the positive impact of having children on the mental health of women with premature infants during a pandemic.
鉴于产后母亲的心理健康对于人口青年计划的重要性，我们的研究旨在确定在因新冠疫情住院的早产儿母亲中，产后困扰与新冠引起的焦虑之间的相关性。
本研究采用描述性分析方法，对 2020 年在戈尔甘市住院的 275 名早产儿母亲进行了抽样调查。通过新冠焦虑量表（CA）和产后困扰量表（PDM）收集数据。采用 Spearman 相关分析和单变量及多变量线性回归进行数据分析。
参与母亲的平均年龄为 28.61±6.173 岁，新生儿的平均胎龄为 32.8±2.89 周。研究发现 CA 和 PDM 之间存在显著正相关。通过多元回归分析控制其他变量后，显著影响 PDM 的因素有就业状况（β=3.88，p<0.01）、教育水平（β=1.96，p=0.032）和胎龄（β=-0.60，p<0.001）。此外，孩子数量（β=-4.77，p=0.01）、教育程度（β=-2.37，p=0.01）和胎龄（β=-0.91，p<0.001）与 CA 评分显著相关。
CA 和 PDM 之间的相关性表明，早产儿母亲在疫情期间经历了更高的焦虑。考虑到这些焦虑的影响因素，未来应制定有针对性的方案，以提高这些母亲在未来大流行期间的心理健康水平。研究发现，孩子数量较多的女性经历的 CA 较少，这可以证明在大流行期间，生育对早产儿母亲的心理健康有积极影响。
