评估罗马尼亚孕妇的生活质量:社会经济、健康和产科因素以及WHOQOL-BREF工具的验证

IF 2.4 Q1 NURSING
Mihaela Corina Radu, Sebastian Mihai Armean, Laura Ioana Chivu, Justin Aurelian, Cosmin Medar, Loredana Sabina Cornelia Manolescu
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引用次数: 0

摘要

怀孕是女性生命中的一个变革阶段,标志着身体、情感和社会的重大变化。本研究有三个主要目标:(1)评估罗马尼亚孕妇的生活质量(QoL),(2)确定影响她们生活质量的社会人口、健康和产科因素,(3)在罗马尼亚背景下检查WHOQOL-BREF问卷的心理测量特性,确定其在评估怀孕期间生活质量方面的有效性。方法:在2023年1月至7月期间对罗马尼亚的孕妇进行了横断面分析调查,目标是来自城市和农村地区的不同地理位置的样本。合格的参与者是年满18岁的罗马尼亚公民。数据通过使用谷歌表格的在线自我管理问卷收集,并以电子方式获得知情同意。该调查包括人口统计、产科和健康相关变量以及WHOQOL-BREF工具,该工具从四个方面评估生活质量:身体、心理、社会关系和环境。统计分析包括验证性因子分析、信度检验(Cronbach’s α和McDonald’s ω),以及使用Welch’st检验和方差分析进行比较。结果:共分析有效问卷1550份。WHOQOL-BREF具有良好的内部一致性(Cronbach's α > 0.9)。高等教育和稳定就业的女性在生理和心理维度上的生活质量得分明显更高。没有发现基于怀孕三个月,以前的分娩,或参加产前课程的显著差异,尽管趋势表明产前教育的参与者略有优势。据报告,在私立医院或非医院分娩的妇女的心理和生理生活质量优于在公立医院分娩的妇女。伴侣支持和城市居住对感知生活质量有正向影响。结论:WHOQOL-BREF是评估罗马尼亚孕妇生活质量的可靠工具。该研究强调了教育、就业和分娩地点在影响生活质量方面的作用,强调需要在怀孕期间为弱势群体提供有针对性的支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the Quality of Life of Pregnant Women in Romania: Socioeconomic, Health, and Obstetric Factors and the Validation of the WHOQOL-BREF Instrument.

Pregnancy is a transformative stage in a woman's life, marked by significant physical, emotional, and social changes. This study had three main objectives: (1) to assess the quality of life (QoL) of pregnant women in Romania, (2) to identify the sociodemographic, health, and obstetric factors influencing their QoL and (3) to examine the psychometric properties of the WHOQOL-BREF questionnaire within the Romanian context, determining its effectiveness in evaluating QoL during pregnancy. Methods: A cross-sectional analytical survey was conducted between January and July 2023 among pregnant women in Romania, targeting a geographically diverse sample from urban and rural areas. Eligible participants were Romanian citizens aged 18 or older. Data were collected through an online self-administered questionnaire using Google Forms, with informed consent obtained electronically. The survey included demographic, obstetric, and health-related variables alongside the WHOQOL-BREF tool, which evaluates QoL across four dimensions: Physical, Psychological, Social Relationships, and Environment. Statistical analysis involved confirmatory factor analysis, reliability testing (Cronbach's α and McDonald's ω), and comparisons using Welch's t-tests and ANOVA. Results: A total of 1550 valid responses were analyzed. The WHOQOL-BREF demonstrated excellent internal consistency (Cronbach's α > 0.9 across all dimensions). Women with higher education and stable employment reported significantly higher QoL scores in physical and psychological dimensions. No significant differences were found based on pregnancy trimester, previous births, or participation in prenatal classes, although trends suggested slight advantages for participants in prenatal education. Women delivering in private hospitals or non-hospital settings reported better psychological and physical QoL than those delivering in public hospitals. Support from partners and urban residency positively influenced perceived QoL. Conclusions: The WHOQOL-BREF is a reliable tool for assessing QoL in pregnant women in Romania. The study highlights the role of education, employment, and delivery location in influencing QoL, emphasizing the need for targeted support for vulnerable groups during pregnancy.

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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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