随机对照试验对小组与个人产前护理对心理社会结果的影响
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
|August 21, 2023
概括
组产前护理 (GPNC) 在怀孕晚期没有显著影响压力或焦虑. 然而,GPNC与应对策略的使用增加有关,这表明对某些个人有潜在的益处.
科学领域:
- 孕产妇健康 孕产妇健康
- 心理社会结果.
- 医疗保健提供模式 医疗保健提供模式
背景情况:
- 个人产前护理 (IPNC) 是标准的,但群体产前护理 (GPNC) 模式正在出现.
- 在怀孕晚期评估心理社会结果对于母亲的福祉至关重要.
- 了解小组对护理模式的反应差异对于公平护理很重要.
研究的目的:
- 为了比较团体产前护理 (GPNC) 与个人产前护理 (IPNC) 对怀孕后期心理社会结果的影响.
- 探索基于种族,种族和社会支持的结果的潜在差异.
- 评估对压力,焦虑,应对,赋权和抑郁症状的影响.
主要方法:
- 一项随机对照试验,涉及2348名低风险怀孕妇女.
- 参与者被随机分配到GPNC或IPNC,并按种族/种族分层.
- 心理社会结果通过在怀孕早期和晚期的调查评估,使用经过验证的措施.
主要成果:
- 调查响应率很高 (GPNC的78.69%,IPNC的83.89%). 调查结果显示,受访者中
- 两组人都表现出类似的痛苦降低和焦虑增加;相似的赋权和压力管理.
- 在GPNC的参与者表现出更大的应对策略的使用,特别是黑人妇女和那些伴侣支持较低的人.
结论:
- 与个人产前护理 (IPNC) 相比,团体产前护理 (GPNC) 在怀孕晚期没有显著改变压力或焦虑水平.
- 观察到应对策略使用的增加表明,GPNC对特定人群的潜在益处.
- 进一步的研究可能会阐明在小组环境中增强应对背后的机制.
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