Investigating the Effects of COVID-19 Pandemic on Stress, Anxiety, Depression, Self-care Behaviors, and the Quality of Life of Women at Risk of Preterm Labor

IF 0.8 Q4 REPRODUCTIVE BIOLOGY
R. Dargahi, Zahra Bahrami-asl, A. Dorosti, F. Mallah
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Abstract

Objectives: The coronavirus disease 2019 (COVID-19) pandemic increased the severity of the psychological problems of pregnant women, which can have severe consequences. The current study aimed to investigate the effects of COVID-19 on the stress, anxiety, depression, self-care behaviors, and the quality of the life of women at the risk of preterm labor. Materials and Methods: The current descriptive-analytical study was conducted from March 20, 2020 to June 21, 2020. In total, 88 women who were at risk of preterm labor in Tabriz (Iran) participated in this study. The association between the Depression, Anxiety and Stress Scale-21 Items (DASS-21) questionnaire, Hart’s self-care behaviors during pregnancy, and SF-36 (for the quality of life) were investigated using Pearson and Spearman correlations in SPSS 20 at P<0.05. Results: Based on the results of the Pearson correlation test, stress and self-care scores (P=0.003, r=-482), self-care and depression scores (P=0.006, r=-396), as well as anxiety and self-care scores (P=0.001, r=-511) had significant inverse linear correlations. According to the regression model, only the stress variable had a significant association with self-care (P=0.039). There was a positive and significant (P<0.05) correlation between self-care behaviors and three dimensions of marital quality including physical function, mental function, and the feeling of pain and discomfort. Conclusions: The results of the current study showed the significant inverse association between self-care and depression and stress and anxiety during pregnancy in women at risk of preterm labor during the COVID-19 pandemic. Low quality self-care behaviors also led to a decrease in the quality of life of these women.
调查COVID-19大流行对有早产风险妇女的压力、焦虑、抑郁、自我保健行为和生活质量的影响
目的:2019冠状病毒病(COVID-19)大流行增加了孕妇心理问题的严重程度,并可能产生严重后果。本研究旨在调查COVID-19对有早产风险妇女的压力、焦虑、抑郁、自我护理行为和生活质量的影响。材料和方法:本描述性分析研究于2020年3月20日至2020年6月21日进行。在大不里士(伊朗)共有88名有早产风险的妇女参加了这项研究。采用SPSS 20的Pearson和Spearman相关分析分析抑郁、焦虑和压力量表21 (DASS-21)问卷、Hart孕期自我护理行为和SF-36(生活质量)的相关性,P<0.05。结果:Pearson相关检验结果显示,压力与自我照顾得分(P=0.003, r=-482)、自我照顾得分与抑郁得分(P=0.006, r=-396)、焦虑与自我照顾得分(P=0.001, r=-511)呈显著的线性负相关。回归模型显示,只有应激变量与自我照顾有显著相关(P=0.039)。自我照顾行为与婚姻质量的生理功能、心理功能、疼痛不适感三个维度存在显著正相关(P<0.05)。结论:本研究结果显示,在COVID-19大流行期间,有早产风险的妇女在怀孕期间的自我护理与抑郁、压力和焦虑呈显著负相关。低质量的自我护理行为也导致了这些女性生活质量的下降。
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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
8
期刊介绍: All kind of knowledge contributing to the development of science by its content, value, level and originality will be covered by IJWHR. Problems of public health and their solutions are at the head of the windows opening us to the world. The "International Journal of Women''s Health and Reproduction Sciences” is a modern forum for scientific communication, covering all aspects women health and reproduction sciences, in basic and clinical sciences, mainly including: -Medical Education in Women Health and Reproduction Sciences -Cardiology in Women Health-Related Reproductive Problems -Sports Medicine in Women Health and Reproduction Sciences -Psychiatry in Women Health-Related Reproductive Problems -Antioxidant Therapy in Reproduction Medicine Sciences -Nutrition in Women Health and Reproduction Sciences -Defense Androgen and Estrogen -Fertility and Infertility -Urogynecology -Endometriosis -Endocrinology -Breast Cancer -Menopause -Puberty -Eroticism -Pregnancy -Preterm Birth -Vaginal Diseases -Sex-Based Biology -Surgical Procedures -Nursing in Pregnancy -Obstetrics/Gynecology -Polycystic Ovary Syndrome -Hyperandrogenism in Females -Menstrual Syndrome and Complications -Oncology of Female Reproductive Organs -Traditional Medicine in Women Reproductive Health -Ultrasound in Women Health Reproduction sciences -Stem Cell Research In Women Reproduction Sciences -Complementary Medicine in Women Reproductive Health -Female Sexual Dysfunction: Pathophysiology & Treatment
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