怀孕期间多领域脆弱性的综合护理:回顾性队列研究
Sushma C Munshi1, Eline C I Hoex1, Anne Marie Weggelaar-Jansen2
1Erasmus MC - Sophia Children's Hospital, Department Obstetrics and Gynaecology, Division Obstetrics and Fetal Medicine, University Medical Centre Rotterdam, Dr. Molewaterplein 40, 3015 GD, Rotterdam, South Holland, The Netherlands.
Archives of women's mental health
|January 17, 2025
概括
大多数患有精神疾病,社会因素或药物使用的孕妇都会经历多领域的脆弱性. 早期检测和综合护理对于改善母亲和新生儿的结果至关重要.
科学领域:
- 围产期心理健康问题
- 公共卫生 公共卫生
- 健康的社会决定因素
背景情况:
- 心理社会风险因素在怀孕期间很常见,并且与不良的孕产妇和新生儿结局有关.
- 准则提倡对脆弱的孕妇进行早期检测和多学科护理.
- 缺乏关于这些漏洞同时发生的数据,阻碍了综合护理规划.
研究的目的:
- 为了调查精神疾病,社会因素和怀孕期间物质使用的同时发生.
- 确定孕妇多领域脆弱性的模式.
- 为制定有针对性的干预和护理策略提供信息.
主要方法:
- 对1002名孕妇进行了回顾性队列研究,并提交给了一个多学科团队.
- 从2017年1月至2022年5月期间在荷兰大学医院的医疗表中收集的数据.
- 使用单变量和双变量分析来检查漏洞的同时出现.
主要成果:
- 83%的女性表现出多领域的脆弱性.
- 常见的模式包括精神疾病与社会因素和慢性身体疾病 (24%),以及精神疾病与社会因素 (14%).
- 在17%的女性中观察到单一领域的脆弱性,主要是社会因素 (9%) 和精神疾病 (8%).
结论:
- 大多数患有精神疾病,社会因素或吸毒的孕妇都表现出多领域的脆弱性.
- 对于新的护理方法来有效地解决这一群体中复杂的脆弱性,存在重大需求.
- 调查结果强调了综合,多学科的护理模式对于孕妇面临多种心理社会挑战的重要性.
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