The Relationship between Pregnancy Stress and Anxiety in High-risk Pregnant Women: The Mediating Effect of a Sense of Mastery

2016 ◽  
Vol 8 (1) ◽  
pp. 153-162
Author(s):  
Sung-hee Lee ◽  
Eun-young Lee
2021 ◽  
Author(s):  
ke Zhang ◽  
hongxia Tao ◽  
yanhong Wang

Abstract Background Mental problems such as anxiety and depression are prominent among high-risk pregnant women, and their self-care agency is poor. As an effective cognitive-behavioral self-control technique, resourcefulness 's mechanism in the effect of depression on self-care agency is still unclear. Therefore, this article aims to construct and test a hypothetical model linking the resourcefulness of high-risk pregnant women with depression and prenatal self-care agency. Methods 500 high-risk pregnant women from three tertiary hospitals in Gansu, North-west of China, were recruited. Chinese Resourcefulness Scale, the Reliability and Validity of Patient Health Questionnaire Module (PHQ-9), and Exercise of Self-Care Agency Scale were used. Structural equation modeling was used to explore the path relationships and mutual effects between resourcefulness, depression and self-care agency. Results Self-care agency is a protective factor for depression in high-risk pregnant women(OR = 0.49, 95% CI: 0.32 ~ 0.75). The level of resourcefulness is negatively correlated with depression(r=-0.34, P < 0.01). Resourcefulness has a direct positive predictive effect on the self-care agency of high-risk pregnant women(r = 0.52, P < 0.01). The resourcefulness is a mediating variable between depression and self-care agency, and the mediating effect accounts for 65.99% of the total effect. Conclusion Resourcefulness is a mediating variable between depression and self-care agency in high-risk pregnant women. Nurses should pay attention to the level of resourcefulness of high-risk pregnant women and conduct positive assessments, so as to take intervention to reduce the level of depression and increase self-care agency.


2020 ◽  
Vol 8 (01) ◽  
pp. 34-51
Author(s):  
Mariani Mariani ◽  
Shinta Wahyusari ◽  
Nova Hikmawati

Introduction: The prevalence of high-risk pregnancies in Indonesia is still quite high. Mothers who suffer from illness and pregnancy complications can influence the outcome of the pregnancy, which risks the occurrence of maternal and fetal morbidity and mortality. The psychological effects of high-risk pregnancies are anxiety, stress, and the mother experiences a crisis that can affect the relationship between mother and fetus. These conditions can continue in the relationship between mother and baby after birth. Therefore there needs to be an effort to increase the attachment of the mother and fetus, one of which can be done by providing education. This study aims to determine the effect of prenatal attachment education on maternal and fetal attachment in high-risk pregnant women in Paiton Subdistrict, Probolinggo Regency. Method: The study was conducted in Paiton Subdistrict, Probolinggo Regency in Mei-Juni 2019. The research method used was quasy experiment using pre-post test design. The population in this study were all high risk pregnant women in Dringu Subdistrict, Probolinggo Regency. The sampling technique used in this study was purposive sampling by determining the sample in accordance with the inclusion criteria. The number of samples to be used was 20 respondents. Data collection techniques using a questionnaire. Data were analyzed using Wilcoxon using SPSS. Results and Analysis: The results obtained showed the average score of attachment of the mother and fetus before the intervention was 52.15 and after the intervention was 60.50. There was a significant difference in the attachment of the mother and fetus before and after the intervention with a p value of 0,000 (p <0,000). Discussion: Prenatal care education needs to be included in the prenatal classroom program and started being given to pregnant women since the first trimester.   Keywords: attachment, prenatal attachment, high risk pregnant women


2013 ◽  
Vol 3 (3) ◽  
pp. 18-21 ◽  
Author(s):  
N Pandey

A descriptive study was conducted with the purpose of assessing the knowledge of HIV/AIDS among the pregnant women in antenatal clinic of Bir Hospital, Kathmandu. Sixty pregnant women were selected using non- probability purposive sampling technique. A pretested Nepali version semi-structured interview schedule was used to collect the data from them. Ethical consideration was maintained throughout the study. The obtained data was analyzed using descriptive statistics. The data are presented in different tables. Findings related to socio-demographic characteristics revealed that half (50%) percent of the respondents belonged to the age of 20-24years. Majority (88.3%) of the respondents were literate and (85%) of them belonged to Hindu religion. Findings showed that (90%) of respondents have heard about HIV/AIDS. The most common sources of information of HIV/AIDS were Television (77.8%), Radio (75%) and newspapers (66.7%). Regarding transmis­sion of HIV/AIDS, majority (88.9%) knew that HIV/AIDS is transmitted from sexual contact with infected person (81.5%) knew from infected blood transfusion and (70.4%) said from infected mother to child. More than (80%) of respondents said that commercial sex worker and having multiple sex workers were the high risk group for HIV/AIDS. Majority (77.8%) said by avoiding multiple sex partners and (72.2%) being faithful to the partner was the preventive measures of HIV/AIDS. Majority (61%) of respondents did not know the relationship between STI and HIV/AIDS. Majority (68.5%) of respon­dents did not know that there is available of drugs which lengthen the living years of life of people living with HIV/AIDS. Majority 51(98.1%) knew the use of condom is to prevent pregnancy, 44(84.6%) said prevent HIV/AIDS, 29(55.8%) said control STI. Although majority of the respondents had knowledge regarding the high risk group, mode of transmission and prevention of HIV/AIDS, some lacking areas has been identified that majority of the respondents were not aware about the the relationship between STI and HIV/AIDS. They also lacked awareness that use of condom controls STI and about avail­ability of drug which prevents progression of HIV infection. On the basis of finding, it is concluded that health education and awareness programme should be planned to women attending the antenatal clinic to enhance their knowledge on HIV/AIDS prevention and management. DOI: http://dx.doi.org/10.3126/jcmc.v3i3.8632 Journal of Chitwan Medical College 2013; 3(3): 18-21


2020 ◽  
Vol 1 (1) ◽  
pp. 15-20
Author(s):  
Susy Sriwahyuni ◽  
Darmawan ◽  
Lili Eky Nursia N ◽  
Arif Iskandar ◽  
Khairunnas

Pregnant women are classified into groups that have a high risk during pregnancy until postpartum. One of the causes is hypertension in pregnancy. Factors of hypertension in pregnancy are age and parity. The purpose of the study was to determine the relationship among age and parity with the incidence of hypertension in pregnant women. This study used observational analytic method with cross-sectional approach. The number of samples taken by purposive sampling that were 49 pregnant women,. The results of this study were relationship among age with p value = 0,0002 (PR = 2,440, 95% CI = 1,004-6,559) and parity with p value = 0,0001 (PR = 2,335 95% CI = 1,0033, -5,446) with incidence of hypertension. The pregnant women with age >35 years and parity 1 times have a 2,880 chance of experiencing hypertension, compared with age <35 years and parity 1. Base on the results of multivariate analysis Age is the most dominant determinant (p value = 0,000 CI = 1,224-22,432, 95%) with the incidence of hypertension. Intensive counselling regarding pregnant women is needed, especially for wife and husband to increase knowledge them.


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