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被诊断为胎儿异常的孕妇的感知社会支持与抑郁、焦虑和压力

Perceived Social Support and Depression, Anxiety and Stress in Pregnant Women Diagnosed With Foetal Anomaly.

作者信息

Kaydırak Meltem Mecdi, Balkan Elif, Bacak Nilgul, Kızoglu Filiz

机构信息

Florence Nightingale Faculty of Nursing, Department of Women Health and Diseases Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey.

Faculty of Health Sciences, Department of Obstetrics and Gynecology Nursing, Yalova University, Yalova, Turkey.

出版信息

J Adv Nurs. 2025 Aug;81(8):4591-4599. doi: 10.1111/jan.16587. Epub 2024 Nov 4.

DOI:10.1111/jan.16587
PMID:39494755
Abstract

AIM

To examine the relationship between perceived social support level and depression, anxiety and stress in pregnant women diagnosed with foetal anomaly.

DESIGN/METHODS: This descriptive and correlational study was conducted in an advanced prenatal evaluation unit of a university hospital between December 2021 and May 2022. The study data collected from 131 pregnant women through a personal information form, depression, anxiety and stress scale (DASS-42) and multidimensional scale of perceived social support (MSPSS).

RESULTS

Most of the pregnant women were in the second trimester of pregnancy, and more than half had been advised by a healthcare professional to terminate their pregnancy. Overall, the pregnant women reported moderate levels of social support, while their depression, anxiety and stress levels varied. There was a weak negative correlation between perceived social support from family, friends and multidimensional sources with stress, but the effect rate was low.

CONCLUSION

Most pregnant women diagnosed with foetal anomaly have normal levels of depression, stress and anxiety. There is a weak negative correlation between perceived social support and stress, with family and friend support affecting stress levels at a low rate. Professional support should be provided, and both the woman's mental health and social support mechanisms must be evaluated.

IMPACT

This study highlights the importance of social support in managing stress among pregnant women with foetal anomalies. While most women had normal levels of depression, anxiety and stress, increased social support from family and friends was shown to reduce stress. The findings underscore the need for healthcare professionals to assess and strengthen mental health and social support systems in this vulnerable population, informing interventions to improve psychosocial outcomes.

REPORTING METHOD

This descriptive and correlational study adhered to the CONSORT guidelines for reporting non-randomised trials.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

摘要

目的

探讨被诊断为胎儿异常的孕妇所感知的社会支持水平与抑郁、焦虑和压力之间的关系。

设计/方法:本描述性相关性研究于2021年12月至2022年5月在一所大学医院的高级产前评估单元进行。通过个人信息表、抑郁、焦虑和压力量表(DASS - 42)以及多维感知社会支持量表(MSPSS)从131名孕妇中收集研究数据。

结果

大多数孕妇处于妊娠中期,超过半数的孕妇被医疗保健专业人员建议终止妊娠。总体而言,孕妇报告的社会支持水平为中等,而她们的抑郁、焦虑和压力水平各不相同。来自家人、朋友和多维度来源的感知社会支持与压力之间存在微弱的负相关,但影响率较低。

结论

大多数被诊断为胎儿异常的孕妇抑郁、压力和焦虑水平正常。感知社会支持与压力之间存在微弱的负相关,家人和朋友的支持对压力水平的影响率较低。应提供专业支持,并且必须评估孕妇的心理健康和社会支持机制。

影响

本研究强调了社会支持在管理患有胎儿异常的孕妇压力方面的重要性。虽然大多数女性的抑郁、焦虑和压力水平正常,但家人和朋友增加的社会支持被证明可以减轻压力。研究结果强调了医疗保健专业人员评估和加强这一弱势群体心理健康和社会支持系统的必要性,为改善心理社会结果的干预措施提供依据。

报告方法

本描述性相关性研究遵循了报告非随机试验的CONSORT指南。

患者或公众贡献

无患者或公众贡献。

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Fetal Diagn Ther. 2023;50(4):282-288. doi: 10.1159/000531180. Epub 2023 Jun 5.
2
Coping strategies following the diagnosis of a fetal anomaly: A scoping review.胎儿畸形诊断后应对策略的研究:范围综述。
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3
The impact of diagnosed fetal anomaly, diagnostic severity and prognostic ambiguity on parental depression and traumatic stress: a prospective longitudinal cohort study.
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Acta Obstet Gynecol Scand. 2022 Nov;101(11):1291-1299. doi: 10.1111/aogs.14453. Epub 2022 Sep 14.
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Postpartum Depression Risk following Prenatal Diagnosis of Major Fetal Structural Anomalies.产前诊断胎儿主要结构异常后发生产后抑郁症的风险。
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