Bello Oluwasomidoyin, Oni Olaolu, Ajekola Dorcas, Ogunkuade Margaret
Obstetrics and Gynaecology, University of Ibadan, Ibadan, NGA.
Nursing, University of Ibadan, Ibadan, NGA.
Cureus. 2024 Oct 22;16(10):e72133. doi: 10.7759/cureus.72133. eCollection 2024 Oct.
Background Pregnant women's psychological and physical states may be greatly impacted by pregnancy-related changes, especially those with medical disorders. This study aimed to determine the quality of life (QoL) of pregnant women with medical disorder(s), associated factors, and the most affected domain. Methodology A cross-sectional study was conducted among 337 antenatal attendees with at least one medical disorder in a tertiary hospital using a self-administered questionnaire. The World Health Organization Quality of Life Brief Version standardized questionnaire was used to assess the QoL of pregnant women across various domains. Data were analyzed using SPSS version 27 (IBM Corp., Armonk, NY, USA). Univariate and bivariate analyses were used to examine the differences in QoL scores across various domains and maternal variables with the level of statistical significance set at p-values <0.05. Results The mean age of the participants was 32.43 (±4.74) years and the mean overall QoL score was 85.04 ± 9.61 with high health satisfaction at 84.10 ± 10.74. The psychological domain was most affected with a QoL of 62.78 ± 9.26. Hypertensive disorders were most prevalent 77 (23.0%). Those who had a single medical disorder had a better QoL compared to those with multiple medical disorders, 85.15 ± 9.67 vs. 84.06 ± 9.11, respectively. Educational status (p = 0.04) and occupation (p < 0.01) were significantly associated with overall QoL. Gestational age was associated with the women's QoL in the physical health domain (p = 0.01). Conclusions The QoL of pregnant women with medical disorder(s) was good; however, there is a need to improve their socioeconomic and psychological support. Educating a girl child might improve her QoL during pregnancy.
背景 孕妇的心理和身体状态可能会受到与妊娠相关变化的极大影响，尤其是那些患有疾病的孕妇。本研究旨在确定患有疾病的孕妇的生活质量（QoL）、相关因素以及受影响最大的领域。方法 使用自填式问卷对一家三级医院的337名至少患有一种疾病的产前就诊者进行了横断面研究。采用世界卫生组织生活质量简表标准化问卷评估孕妇在各个领域的生活质量。使用SPSS 27版（美国纽约州阿蒙克市IBM公司）进行数据分析。单因素和双因素分析用于检验各个领域的生活质量得分以及母亲变量之间的差异，设定统计学显著性水平为p值<0.05。结果 参与者的平均年龄为32.43（±4.74）岁，平均总体生活质量得分为85.04±9.61，健康满意度较高，为84.10±10.74。心理领域受影响最大，生活质量为62.78±9.26。高血压疾病最为普遍，有77例（23.0%）。与患有多种疾病的孕妇相比，患有单一疾病的孕妇生活质量更好，分别为85.15±9.67和84.06±9.11。教育程度（p = 0.04）和职业（p < 0.01）与总体生活质量显著相关。孕周与女性在身体健康领域的生活质量相关（p = 0.01）。结论 患有疾病的孕妇生活质量良好；然而，需要改善她们的社会经济和心理支持。女童接受教育可能会改善其孕期生活质量。
