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探索孕期的自我感知压力与焦虑:一项纵向研究

Exploring Self-Perceived Stress and Anxiety Throughout Pregnancy: A Longitudinal Study.

作者信息

Redondo Mar Miguel, Liebana-Presa Cristina, Pérez-Rivera Javier, Martín-Vázquez Cristian, Calvo-Ayuso Natalia, García-Fernández Rubén

机构信息

Centro de Salud Roces Montevil, Gijón, Servicio de Salud del Principado de Asturias, 33001 Asturias, Spain.

HeQoL Research Group, Faculty of Health Sciences, Universidad de León, Campus Universitario de Vegazana, 24071 León, Spain.

出版信息

Diseases. 2025 Apr 19;13(4):121. doi: 10.3390/diseases13040121.

Abstract

BACKGROUND

Anxiety and stress are common during pregnancy and can impact the health of the pregnant woman and the newborn. There is a lack of research focused on identifying weaknesses that promote equity in the care of pregnant women. The objective of this study was to describe the levels of anxiety and stress during the three trimesters of pregnancy and to compare whether there are differences according to obstetric and gynecological variables.

METHODS

A descriptive prospective longitudinal and correlational observational study was carried out. Non-probability sampling was carried out with 176 women. The Pregnancy-Related Anxiety Questionnaire and the Perceived Stress Scale were used.

RESULTS

The prevalence of anxiety was 23.9%, 17%, and 17.6%, and mean stress scores reached 32.24, 33.02, and 49.74 in the first, second, and third trimesters, respectively. In comparison, without miscarriages, anxiety was higher during the first trimester. In multiparous women who had suffered a miscarriage, anxiety was higher in the first trimester.

CONCLUSIONS

Anxiety is higher during the first trimester. Mean stress levels are higher during the third trimester compared to the other two trimesters. Care for these vulnerable pregnant women can impact society's health system and align with the Sustainable Development Goals of Health and Well-being and Gender Equality in others.

摘要

背景

孕期焦虑和压力较为常见,会影响孕妇及新生儿的健康。目前缺乏针对确定促进孕妇护理公平性的薄弱环节的研究。本研究的目的是描述孕期三个阶段的焦虑和压力水平,并比较根据妇产科变量是否存在差异。

方法

开展了一项描述性前瞻性纵向相关性观察研究。对176名女性进行了非概率抽样。使用了妊娠相关焦虑问卷和感知压力量表。

结果

焦虑症的患病率在孕早期、孕中期和孕晚期分别为23.9%、17%和17.6%,平均压力得分分别达到32.24、33.02和49.74。相比之下,未发生流产的孕妇在孕早期焦虑程度更高。有流产史的经产妇在孕早期焦虑程度更高。

结论

孕早期焦虑程度更高。与其他两个孕期相比,孕晚期的平均压力水平更高。对这些脆弱孕妇的护理会影响社会卫生系统,并与健康与福祉及性别平等方面的可持续发展目标相契合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/307f/12026303/ce69fbefe605/diseases-13-00121-g001.jpg

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