{"title":"探讨妊娠期糖尿病妇女对妊娠的社会心理适应。","authors":"Makbule Nar, Cigdem Yucel Ozcirpan","doi":"10.1080/10376178.2023.2175699","DOIUrl":null,"url":null,"abstract":"<p><p><i>Background</i>: Gestational diabetes mellitus (GDM) is one of the most common medical complications of pregnancy. Diagnosis of GDM, that could be unexpected, may cause women to feel negative emotions such as fear, guilt, sadness, and loss of control and experience difficulties adapting to pregnancy.<i>Objective</i>: This study aimed to explore psychosocial adaptation to pregnancy in women with GDM.<i>Methods</i>: This observational cross-sectional study was conducted with women with GDM and healthy pregnant women who applied to the pregnancy and perinatology outpatient clinic of a university hospital. Groups were matched according to age, education level, and gestational week. The Prenatal Self-Evaluation Questionnaire (PSEQ) was used to collect data. Simple linear regression was performed to determine factors influenced psychosocial adaptation to pregnancy using average scores from the PSEQ.<i>Results</i>: Regression analysis indicated, GDM status (beta = -48.8, <i>p </i>≤ 0.001) and smoking status during pregnancy (beta = 11.0, <i>p</i> = 0.032) influenced the total score of the PSEQ.<i>Conclusions</i>: Nurses are encouraged to develop a multifaceted nursing care model that considers the physical and psychosocial problems and to provide care to increase the psychosocial adaptation of women with GDM to pregnancy.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"59 2","pages":"88-98"},"PeriodicalIF":1.2000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring psychosocial adaptation to pregnancy in women with gestational diabetes.\",\"authors\":\"Makbule Nar, Cigdem Yucel Ozcirpan\",\"doi\":\"10.1080/10376178.2023.2175699\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><i>Background</i>: Gestational diabetes mellitus (GDM) is one of the most common medical complications of pregnancy. Diagnosis of GDM, that could be unexpected, may cause women to feel negative emotions such as fear, guilt, sadness, and loss of control and experience difficulties adapting to pregnancy.<i>Objective</i>: This study aimed to explore psychosocial adaptation to pregnancy in women with GDM.<i>Methods</i>: This observational cross-sectional study was conducted with women with GDM and healthy pregnant women who applied to the pregnancy and perinatology outpatient clinic of a university hospital. Groups were matched according to age, education level, and gestational week. The Prenatal Self-Evaluation Questionnaire (PSEQ) was used to collect data. Simple linear regression was performed to determine factors influenced psychosocial adaptation to pregnancy using average scores from the PSEQ.<i>Results</i>: Regression analysis indicated, GDM status (beta = -48.8, <i>p </i>≤ 0.001) and smoking status during pregnancy (beta = 11.0, <i>p</i> = 0.032) influenced the total score of the PSEQ.<i>Conclusions</i>: Nurses are encouraged to develop a multifaceted nursing care model that considers the physical and psychosocial problems and to provide care to increase the psychosocial adaptation of women with GDM to pregnancy.</p>\",\"PeriodicalId\":55633,\"journal\":{\"name\":\"Contemporary Nurse\",\"volume\":\"59 2\",\"pages\":\"88-98\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Contemporary Nurse\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/10376178.2023.2175699\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contemporary Nurse","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10376178.2023.2175699","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景:妊娠期糖尿病(GDM)是妊娠期最常见的医学并发症之一。GDM的诊断可能出乎意料,可能会使女性感到恐惧、内疚、悲伤、失去控制等负面情绪,并经历适应怀孕的困难。目的:本研究旨在探讨GDM妇女对妊娠的社会心理适应。方法:本观察性横断面研究采用一所大学附属医院妊娠与围产期门诊的GDM妇女和健康孕妇为研究对象。各组按年龄、受教育程度和孕周进行配对。采用产前自我评价问卷(PSEQ)进行资料收集。使用PSEQ的平均得分进行简单线性回归,以确定影响怀孕心理社会适应的因素。结果:回归分析显示,妊娠期GDM状态(beta = -48.8, p≤0.001)和吸烟状态(beta = 11.0, p = 0.032)影响PSEQ总分。结论:鼓励护士发展一种考虑身体和社会心理问题的多方面护理模式,并提供护理,以提高GDM妇女对妊娠的社会心理适应。
Exploring psychosocial adaptation to pregnancy in women with gestational diabetes.
Background: Gestational diabetes mellitus (GDM) is one of the most common medical complications of pregnancy. Diagnosis of GDM, that could be unexpected, may cause women to feel negative emotions such as fear, guilt, sadness, and loss of control and experience difficulties adapting to pregnancy.Objective: This study aimed to explore psychosocial adaptation to pregnancy in women with GDM.Methods: This observational cross-sectional study was conducted with women with GDM and healthy pregnant women who applied to the pregnancy and perinatology outpatient clinic of a university hospital. Groups were matched according to age, education level, and gestational week. The Prenatal Self-Evaluation Questionnaire (PSEQ) was used to collect data. Simple linear regression was performed to determine factors influenced psychosocial adaptation to pregnancy using average scores from the PSEQ.Results: Regression analysis indicated, GDM status (beta = -48.8, p ≤ 0.001) and smoking status during pregnancy (beta = 11.0, p = 0.032) influenced the total score of the PSEQ.Conclusions: Nurses are encouraged to develop a multifaceted nursing care model that considers the physical and psychosocial problems and to provide care to increase the psychosocial adaptation of women with GDM to pregnancy.
期刊介绍:
Contemporary Nurse is an international peer-reviewed journal designed to increase nursing skills, knowledge and communication, assist in professional development and to enhance educational standards by publishing stimulating, informative and useful articles on a range of issues influencing professional nursing research, teaching and practice.
Contemporary Nurse is a forum for nursing educators, researchers and professionals who require high-quality, peer-reviewed research on emerging research fronts, perspectives and protocols, community and family health, cross-cultural research, recruitment, retention, education, training and practitioner perspectives.
Contemporary Nurse publishes original research articles, reviews and discussion papers.