在分娩期间伴侣支持对产后抑郁和分娩满意度的影响:一项前性队列研究
Busra Demir Cendek1, Burak Bayraktar2, Elif Karaman3
1Department of Obstetrics and Gynecology, Republic of Turkey Ministry of Health Ankara Etlik City Hospital, Ankara, Turkey.
Postgraduate medicine
|November 28, 2024
概括
在阴道分娩期间获得配偶支持显著增加了分娩满意度,特别是在护理质量和压力管理方面. 陪伴对满意度有积极的影响,但不会显著改变产后抑郁症得分.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇心理健康 孕产妇心理健康
- 围产期护理 围产期护理
背景情况:
- 出生经历对母亲的幸福感有很大的影响.
- 了解提高分娩满意度和减轻产后抑郁症的因素对于改善母亲的结果至关重要.
- 人们越来越认识到劳动和分娩期间社会支持的作用.
研究的目的:
- 调查阴道分娩期间伴侣存在对产后抑郁症和分娩满意度的影响.
- 为了比较配偶支持,非配偶支持和没有支持的妇女的分数,分别对分娩满意度和分娩后抑郁症的分数进行比较.
主要方法:
- 一项前性队列研究,涉及220名18-45岁的女性进行阴道分娩.
- 数据采集采用爱丁堡产后抑郁量表 (EPDS) 和出生满意度表 (BSS-R) 在产后六周内进行.
- 参与者被分为三个组:配偶支持,非配偶支持和没有支持.
主要成果:
- 配偶支持与明显更高的出生满意度评分 (BSS-R) 相关,特别是在护理质量 (BSS-QC) 和分娩期间经历的压力 (BSS-SL) 中.
- 与没有支持相比,非伴侣支持也改善了BSS-QC得分.
- 两组之间没有发现EPDS得分的显著差异,尽管EPDS和BSS-R总得分之间存在负相关性.
结论:
- 阴道分娩期间配偶的存在显著提高了母亲的分娩满意度,特别是在感知护理质量和减轻压力的方面.
- 虽然伴侣支持对分娩满意度有积极的影响,但在本研究中,它并没有对分娩后抑郁症 (EPDS) 评分产生显著影响.
- 这些发现强调了社会支持的重要性,特别是来自配偶,在塑造积极的分娩经验方面.
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