Repeated Measures for Hyperglycemia Women's Social Support, Stress, and Depression during the Perinatal Period
| Autor: | Ching-Yun Yu, 余靜雲 |
|---|---|
| Rok vydání: | 2012 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 100 Background: The perinatal period is a transitional stage for childbearing women, particularly for those hyperglycemia women because they face more dramatically physiological and psychosocial changes during the periods. Few studies were found regarding the psychosocial health status of hyperglycemia women. Moreover, a study with cross-sectional design and lack of data analysis with advanced statistics the whole picture about the patterns and changes of those women’s psychosocial status during the perinatal period were limited. Purpose: The purpose of this study was to examine changes and relationships between levels of social support, perceived stress, and depression of hyperglycemia women during their perinatal period. Method: A total of 99 participants with a positive test of 50g glucose challenge screening were recruited in a medical center in southern Taiwan. A repeated study was conducted at 5 points of time including the 24-28weeks of pregnancy for the hyperglycemia women, and 1week, 4-6 weeks, 6 months, and 1 year after their childbirths. The Social Support Scale, the Perceived Stress Scale, and the Taiwanese Depression Questionnaire were used to assess the psychosocial status of the hyperglycemia women. Data was analyzed using the Mixed Model with SPSS version 17 for Windows. Result: The significant changes of support and stress occurred at 6 months and at 1 week after childbirth, respectively. Moreover, their levels of depression decreased significantly over time, from the pregnancy to 1 week, to 6 months, and to 1 year after childbirth. This study also found that the hyperglycemia women’s employment status and stress level were predictors of the hyperglycemia women’s depression. Compared with housewives’ changes of depression, full-time employed women’s depression decreased less during the perinatal period. Hyperglycemia women who perceived a higher increase in stress levels reduced less depression. Conclusion: These results provide strong evidence that hyperglycemia women’s social support and stress are associated with depression during the perinatal period. Health care providers should pay attention to those hyperglycemia women and assess their levels of stress and depression. If they are in a status of psychosocial risk, nursing intervention and referral are needed in order to promote the hyperglycemia women’s psychological well-being. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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