بررسی مقایسه‌ای علائم اختلال استرسی پس از ضایعه روانی و پیامدهای منفی زندگی در زنان باردار مبتلا و غیر مبتلا به استفراغ بدخیم دوران بارداری

نوع مقاله: اصیل پژوهشی

نویسندگان

1 مربی گروه پرستاری، دانشکده پرستاری و مامایی، واحد قوچان، دانشگاه آزاد اسلامی، قوچان، ایران.

2 مربی گروه مامایی، دانشکده پرستاری و مامایی ، واحد قوچان، دانشگاه آزاد اسلامی، قوچان، ایران.

چکیده

مقدمه: استفراغ بدخیم بارداری معمولاً با استرس­های شدید فیزیکی و روحی روانی همراه است. این نوع استفراغ می­تواند با عوارض و کاهش کیفیت زندگی توأم گردد. مطالعه حاضر با هدف ارزیابی سندرم اختلال استرسی پس از ضایعه روانی در مادران باردار مبتلا و غیر‌ مبتلا به استفراغ بدخیم دوران بارداری انجام شد.
روش‌کار: این مطالعه تحلیلی و مورد - شاهدی در سال 94-1393 بر روی 350 مادر باردار مبتلا به استفراغ بدخیم بارداری و 350 مادر باردار غیر‌ مبتلا به استفراغ بدخیم بارداری مراجعه کننده به درمانگاه‌ها و بیمارستان‌های تأمین اجتماعی مشهد انجام شد. جمع‌آوری اطلاعات از طریق مصاحبه با مادران و تکمیل پرسشنامه­های استاندارد IES15 و PTSS10 و ارزیابی پیامدهای منفی زندگی صورت گرفت. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 20) و آزمون‌های آماری تی مستقل، مربع کای، آزمون دقیق فیشر و من ویتنی یو انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ها: میانگین نمره اختلال استرسی پس از ضایعه روانی تهوع و استفراغ در دو گروه مورد و شاهد به ترتیب 4±138 و 3±28  بود که بر اساس آزمون تی مستقل اختلاف آماری معناداری داشت (001/0>p). تفاوت معناداری در پیامدهای منفی زندگی خصوصاً در زمینه اقتصادی، زناشویی، حرفه‌ای و همچنین سلامت فیزیکی و روانی در گروه مورد و شاهد وجود داشت (05/0p<).
نتیجه‌گیری: مادران باردار مبتلا به تهوع و استفراغ بدخیم بارداری خطر بیشتری جهت ابتلاء به اختلال استرسی پس از ضایعه روانی و پیامدهای منفی زندگی دارند، لذا مدیریت و کنترل مناسب این بیماران امری ضروری به نظر می­رسد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparative evaluation of posttraumatic stress symptoms and negative life outcomes in pregnant women with and without hyperemesis gravidarum

نویسندگان [English]

  • Haydeh Hashemizadeh 1
  • Roshanak Noori Dolooee 2
1 Instructor, Department of Nursing, School of Nursing and Midwifery, Quchan Branch, Islamic Azad University, Quchan, Iran
2 Instructor, Department of midwifery, School of Nursing and Midwifery, Quchan Branch, Islamic Azad University, Quchan, Iran.
چکیده [English]

Introduction: Hyperemesis gravidarum is often accompanied by severe physical and mental stress. This type of vomiting can lead to complication and reducing the quality of life. This study was performed with aim to assess posttraumatic stress symptoms (PTSS) in pregnant women with and without Hyperemesis gravidarum.
Methods: This case-control study was performed on 350 pregnant women with Hyperemesis gravidarum and 350 pregnant women without Hyperemesis gravidarum who referred to the clinics and hospitals of Taamin Ejtemaee of Mashhad in 2014-2015. Data was collected through interview with mothers and completing the standard questionnaires of IES15 , PTSS10 and evaluation of negative life outcomes. Data were analyzed by SPSS software (version 20) and independent t-test, Chi-square, Fisher's exact test and U Mann-Whitney test. P<0.05 was considered significant.
Results: The mean PTSS scores in case and control groups were 138±4 and 28±3, respectively, that independent t-test showed that the difference was statistically significant (P <0.001). Also, significant difference was found between case and control groups in terms of negative life outcomes especially regarding financial issues, marital status, professional issues, as well as regarding psychological and physical well-being (P<0.05).
Conclusion: Pregnant women with Hyperemesis gravidarum are at more risk for developing PTSS and negative life outcomes compared to healthy pregnant women, so management and control of these patients seems to be necessary.

کلیدواژه‌ها [English]

  • Nausea
  • pregnancy
  • Post-traumatic stress disorder
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