An explanatory model of quality of life in high-risk pregnant women in Korea: a structural equation model

IF 1 Q3 NURSING
Mihyeon Park, Sukhee Ahn
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Abstract

Purpose: This study aimed to develop and validate a structural model for the quality of life (QoL) among high-risk pregnant women, based on Roy’s adaptation model.Methods: This cross-sectional study collected data from 333 first-time mothers diagnosed with a high-risk pregnancy in two obstetrics and gynecology clinics in Cheonan, Korea, or participating in an online community, between October 20, 2021 and February 20, 2022. Structured questionnaires measured QoL, contextual stimuli (uncertainty), coping (adaptive or maladaptive), and adaptation mode (fatigue, state anxiety, antenatal depression, maternal identity, and marital adjustment).Results: The mean age of the respondents was 35.29±3.72 years, ranging from 26 to 45 years. The most common high-risk pregnancy diagnosis was gestational diabetes (26.1%). followed by preterm labor (21.6%). QoL was higher than average (18.63±3.80). Above-moderate mean scores were obtained for all domains (psychological/baby, 19.03; socioeconomic, 19.00; relational/spouse-partner, 20.99; relational/family-friends, 19.18; and health and functioning, 16.18). The final model explained 51% of variance in QoL in high-risk pregnant women, with acceptable overall model fit. Adaptation mode (β=–.81, p=.034) and maladaptive coping (β=.46 p=.043) directly affected QoL, and uncertainty (β=–. 21, p=.004), adaptive coping (β=.36 p=.026), and maladaptive coping (β=–.56 p=.023) indirectly affected QoL.Conclusion: It is essential to develop nursing interventions aimed at enhancing appropriate coping strategies to improve QoL in high-risk pregnant women. By reinforcing adaptive coping strategies and mitigating maladaptive coping, these interventions can contribute to better maternal and fetal outcomes and improve the overall well-being of high-risk pregnant women.
韩国高危孕妇生活质量的解释模型:结构方程模型
目的:本研究旨在以罗伊适应模型为基础,开发并验证高危孕妇生活质量(QoL)结构模型:这项横断面研究收集了 333 名在韩国天安市两家妇产科诊所确诊为高危妊娠的初产妇的数据,或在 2021 年 10 月 20 日至 2022 年 2 月 20 日期间参与在线社区的数据。结构化问卷测量了QoL、情境刺激(不确定性)、应对(适应性或不适应性)和适应模式(疲劳、状态焦虑、产前抑郁、母亲身份和婚姻适应):受访者的平均年龄为(35.29±3.72)岁,从 26 岁到 45 岁不等。最常见的高危妊娠诊断是妊娠糖尿病(26.1%),其次是早产(21.6%)。孕妇的生活质量高于平均水平(18.63±3.80)。所有领域的平均得分均高于中等水平(心理/婴儿,19.03;社会经济,19.00;关系/配偶-伴侣,20.99;关系/家人-朋友,19.18;健康和功能,16.18)。最终模型解释了高危孕妇 QoL 变异的 51%,模型的整体拟合度可以接受。适应模式(β=-.81,p=.034)和不良应对(β=.46,p=.043)直接影响 QoL,不确定性(β=-. 21,p=.004)、适应性应对(β=.36,p=.026)和不良应对(β=-.56,p=.023)间接影响 QoL:制定旨在加强适当应对策略的护理干预措施以改善高危孕妇的 QoL 至关重要。通过加强适应性应对策略和减轻不良适应性应对策略,这些干预措施有助于改善孕产妇和胎儿的预后,并改善高危孕妇的整体福祉。
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来源期刊
Korean Journal of Women Health Nursing
Korean Journal of Women Health Nursing Nursing-Maternity and Midwifery
CiteScore
1.50
自引率
33.30%
发文量
28
审稿时长
8 weeks
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