Öztaş Hatice Gül, Taş Filiz
Department of Midwifery, Faculty of Health Sciences, Kahramanmaraş Sütçü Imam University, Kahramanmaraş, Türkiye, Turkey.
Department of Nurse, Faculty of Health Sciences, Kahramanmaraş Sütçü Imam University, Kahramanmaraş, Türkiye, Turkey.
BMC Pregnancy Childbirth. 2025 Aug 30;25(1):905. doi: 10.1186/s12884-025-07925-1.
The aim of this study is to determine the relationship between perceived stress levels and healthy lifestyle behaviors in women with high-risk pregnancy based on Neumannn Systems Model.
This descriptive study was conducted between July and October 2024 with 402 pregnant women who were admitted to a public hospital in southern Turkey. The research data were collected using "Pregnancy Introduction Form," "High-Risk Pregnancy Assessment Form," "Perceived Stress Scale for High-Risky Pregnancies Based on the Neumannn Systems Model (PSS-HRPNSM)," and "Healthy Lifestyle Behaviors in Pregnancy Scale (HLBPS)." The research data were analyzed using independent samples t-test, ANOVA, Pearson correlation coefficient and multiple linear regression analysis.
The mean score of perceived stress levels of pregnant women with high-risk pregnancies based on the Neumann Systems Model was 83.55 ± 19.20, and the mean score for healthy lifestyle behaviors was 100.82 ± 15.84. The participants's scores were at moderate levels in all three subdimensions of the perceived stress scale: 22.52 ± 6.25 in the physiological domain, 29.23 ± 9.54 in the psychological domain, and 31.79 ± 7.94 in the sociocultural, developmental, and spiritual domain, respectively. Significant differences were found between participants' age, education level, and their total scores on the healthy lifestyle behaviors scale. A weak but statistically significant negative correlation (r = -0.158; p < 0.001) was found between perceived stress levels and healthy lifestyle behaviors during pregnancy.
The study found that perceived stress levels in women with high-risk pregnancies were moderate while healthy lifestyle behaviors were at an excellent level. It was observed that as perceived stress levels decreased, healthy lifestyle behaviors improved during pregnancy.
本研究旨在基于诺伊曼系统模型确定高危妊娠女性感知压力水平与健康生活方式行为之间的关系。
本描述性研究于2024年7月至10月对402名入住土耳其南部一家公立医院的孕妇进行。研究数据通过“妊娠情况介绍表”、“高危妊娠评估表”、“基于诺伊曼系统模型的高危妊娠感知压力量表（PSS-HRPNSM）”和“孕期健康生活方式行为量表（HLBPS）”收集。研究数据采用独立样本t检验、方差分析、皮尔逊相关系数和多元线性回归分析进行分析。
基于诺伊曼系统模型的高危妊娠孕妇感知压力水平的平均得分为83.55±19.20，健康生活方式行为的平均得分为100.82±15.84。参与者在感知压力量表的所有三个子维度中的得分均处于中等水平：生理领域为22.52±6.25，心理领域为29.23±9.54，社会文化、发展和精神领域分别为31.79±7.94。在参与者的年龄、教育水平与他们在健康生活方式行为量表上的总分之间发现了显著差异。在孕期，感知压力水平与健康生活方式行为之间发现了微弱但具有统计学意义的负相关（r = -0.158；p < 0.001）。
研究发现，高危妊娠女性的感知压力水平处于中等程度，而健康生活方式行为处于优秀水平。观察到随着感知压力水平的降低，孕期的健康生活方式行为有所改善。
