被接受选择性剖腹产的妇女报告的更高焦虑分数的相关性
Fida Asali1, Ismaiel Abu Mahfouz2, Lujain Al-Marabhah3
1FRCOG, Obstetrics and Gynaecology, Department of Obstetrics and Gynaecology, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
Heliyon
|July 28, 2023
概括
接受选择性剖腹产 (CS) 的女性经常经历高度焦虑. 年龄较小,第一次怀孕和全身麻醉等因素与焦虑增加有关,这表明需要有针对性的支持.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 心理医学 心理医学
背景情况:
- 选择性剖腹产 (CS) 与孕妇的焦虑水平升高有关.
- 脑脊髓病患者的焦虑与母亲年龄较小,第一次怀孕 (primigravidae),高等教育和先前的麻醉经验相关.
- 了解这些关联对于在手术分娩期间管理患者健康至关重要.
研究的目的:
- 用两个经过验证的尺度来量化接受可选CS的妇女的焦虑水平.
- 确定与该人口中焦虑症增加相关的人口和产科因素.
- 在选择性CS患者中为减少焦虑的临床策略提供信息.
主要方法:
- 一项涉及300名在2019年11月至2020年11月期间接受选修CS的女性的横截面研究.
- 使用视觉模拟焦虑量表 (VASA) 和州道焦虑库存 (STAI-Y) 测量焦虑.
- 使用后勤回归分析来识别与焦虑得分升高相关的因素.
主要成果:
- 很大一部分女性 (55-61%) 报告焦虑得分高于VASA和STAI-Y子表中的平均值.
- 与更高焦虑相关的因素包括母亲年龄25-34岁,胎儿指示的CS,全身麻醉,以及来自非专业人士的信息.
- 在29.3%的参与者中发现了初级怀孕,而62.3%的CS是针对母亲的指示.
结论:
- 在接受可选CS的女性中,高焦虑是常见的.
- VASA和STAI-Y表现出良好的相关性,表明VASA在临床环境中作为更短的替代品的潜力.
- 识别有风险的个体可以促进实施减少焦虑的干预措施.
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