{"title":"产后妇女生活质量的轨迹和决定因素。","authors":"Li-Chun Lee, Chich-Hsiu Hung, Wan-Ru Wu","doi":"10.1177/01939459241257869","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The postpartum period is a critical phase in which postpartum women experience dynamic changes in their physiology, psychology, and family status.</p><p><strong>Objective: </strong>This study investigated the changes in women's quality of life (QoL) during the first, third, and sixth months of the postpartum period and their associated factors.</p><p><strong>Methods: </strong>A single-group repeated-measure design was used to collect data from 282 postpartum women recruited from a regional hospital in Taiwan. We used the brief World Health Organization Quality of Life scale, Social Support Scale, and Edinburgh Postnatal Depression Scale to assess postpartum women's quality of life, social support, and postpartum depressive symptoms, respectively. The data were analyzed using trajectory analysis and generalized estimating equations.</p><p><strong>Results: </strong>The trajectory analysis indicated that postpartum women could be categorized into low, medium, and high QoL groups. Although the medium and high QoL groups maintained stable QoL levels, the low QoL group experienced a linear decrease in QoL over time. Moreover, the determinants of postpartum women's QoL were immigrant status, employment status, family type, social support, and postpartum depression.</p><p><strong>Conclusions: </strong>Health care providers should assess these determinants of postpartum QoL in perinatal women to identify those at risk of low postpartum quality of life. Early assessment and intervention by health care providers could significantly improve the health status of women after childbirth.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Trajectory and Determinants of Quality of Life Among Postpartum Women.\",\"authors\":\"Li-Chun Lee, Chich-Hsiu Hung, Wan-Ru Wu\",\"doi\":\"10.1177/01939459241257869\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The postpartum period is a critical phase in which postpartum women experience dynamic changes in their physiology, psychology, and family status.</p><p><strong>Objective: </strong>This study investigated the changes in women's quality of life (QoL) during the first, third, and sixth months of the postpartum period and their associated factors.</p><p><strong>Methods: </strong>A single-group repeated-measure design was used to collect data from 282 postpartum women recruited from a regional hospital in Taiwan. We used the brief World Health Organization Quality of Life scale, Social Support Scale, and Edinburgh Postnatal Depression Scale to assess postpartum women's quality of life, social support, and postpartum depressive symptoms, respectively. The data were analyzed using trajectory analysis and generalized estimating equations.</p><p><strong>Results: </strong>The trajectory analysis indicated that postpartum women could be categorized into low, medium, and high QoL groups. Although the medium and high QoL groups maintained stable QoL levels, the low QoL group experienced a linear decrease in QoL over time. Moreover, the determinants of postpartum women's QoL were immigrant status, employment status, family type, social support, and postpartum depression.</p><p><strong>Conclusions: </strong>Health care providers should assess these determinants of postpartum QoL in perinatal women to identify those at risk of low postpartum quality of life. 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引用次数: 0
摘要
背景:产褥期是产后妇女生理、心理和家庭状况发生动态变化的关键阶段:本研究调查了产后第一、第三和第六个月妇女生活质量(QoL)的变化及其相关因素:方法:本研究采用单组重复测量设计,收集了从台湾一家地区医院招募的 282 名产后妇女的数据。我们使用世界卫生组织简明生活质量量表、社会支持量表和爱丁堡产后抑郁量表分别评估产后妇女的生活质量、社会支持和产后抑郁症状。数据采用轨迹分析法和广义估计方程进行分析:轨迹分析表明,产后妇女可分为低、中、高生活质量组。虽然中、高QoL组的QoL水平保持稳定,但低QoL组的QoL随着时间的推移呈线性下降。此外,决定产后妇女 QoL 的因素还包括移民身份、就业状况、家庭类型、社会支持和产后抑郁:结论:医疗服务提供者应评估围产期妇女产后生活质量的这些决定因素,以识别产后生活质量低下的高危人群。医疗服务提供者的早期评估和干预可显著改善产后妇女的健康状况。
Trajectory and Determinants of Quality of Life Among Postpartum Women.
Background: The postpartum period is a critical phase in which postpartum women experience dynamic changes in their physiology, psychology, and family status.
Objective: This study investigated the changes in women's quality of life (QoL) during the first, third, and sixth months of the postpartum period and their associated factors.
Methods: A single-group repeated-measure design was used to collect data from 282 postpartum women recruited from a regional hospital in Taiwan. We used the brief World Health Organization Quality of Life scale, Social Support Scale, and Edinburgh Postnatal Depression Scale to assess postpartum women's quality of life, social support, and postpartum depressive symptoms, respectively. The data were analyzed using trajectory analysis and generalized estimating equations.
Results: The trajectory analysis indicated that postpartum women could be categorized into low, medium, and high QoL groups. Although the medium and high QoL groups maintained stable QoL levels, the low QoL group experienced a linear decrease in QoL over time. Moreover, the determinants of postpartum women's QoL were immigrant status, employment status, family type, social support, and postpartum depression.
Conclusions: Health care providers should assess these determinants of postpartum QoL in perinatal women to identify those at risk of low postpartum quality of life. Early assessment and intervention by health care providers could significantly improve the health status of women after childbirth.
期刊介绍:
Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).