ABSTRACT

Pandemic COVID-19 has negative effects on the mental health of all people, especially pregnant women. This study aimed to determine the psychological effects of COVID-19 on self-care in pregnant women. The Cross-sectional study using the Multistage sampling technique was conducted among 215 pregnant women selected randomly from the Iranian Integrated Health System in 2020. Data were collected using demographic and obstetrics questionnaires, Pregnancy Self-Care Scale, Fear of COVID-19, COVID-19 Anxiety Scale(CDAS), and Perceived Stress Scale (PSS) by the self-report method. Data analysis was performed using SPSS software version 21 with Pearson correlation test and multivariable linear regression.The Mean (Standard Deviation (SD)) of Fear, anxiety, perceived stress, and self-care was 20.85(6.45), 18.20(10.45), 31.16 (7.65) and 40.84(4.11), respectively. The correlational analyses showed small positive significant associations between Fear (r=0.20; P=0.004) and anxiety of COVID-19 (r=0.14; P=0.03)with self-car but the association between perceived stress and self-care was small negative significant (r= -0.14; P=0.04). Based on regression analysis, 11% of the self-care changes could be explained by three independent variables (β= 0.130, SE= 0.043, P=0.002). Based on the findings, pregnant women may benefit from psychoeducation that focuses on the effect of mental health problems on pregnant women.

摘要

大流行的 COVID-19 对所有人的心理健康产生负面影响，尤其是孕妇。本研究旨在确定 COVID-19 对孕妇自我保健的心理影响。使用多阶段抽样技术的横断面研究是在 2020 年从伊朗综合卫生系统中随机选择的 215 名孕妇中进行的。使用人口统计和产科问卷、妊娠自我护理量表、对 COVID-19 的恐惧、COVID- 19 焦虑量表（CDAS）和感知压力量表（PSS）采用自我报告法。使用 SPSS 软件 21 版和 Pearson 相关检验和多变量线性回归进行数据分析。恐惧、焦虑、感知压力和自我保健的平均值（标准偏差 (SD)）分别为 20.85（6.45）、18.20（10.45）、 31.16 (7.65) 和 40.84(4.11), 分别。相关分析显示，恐惧（r=0.20；P=0.004）和 COVID-19 焦虑（r=0.14；P=0.03）与自驾车之间存在小的正显着关联，但感知压力和自理之间的关联很小负显着（r= -0.14；P=0.04）。基于回归分析，11% 的自理变化可以用三个自变量来解释（β= 0.130，SE= 0.043，P=0.002）。根据研究结果，孕妇可能会从专注于心理健康问题对孕妇影响的心理教育中受益。基于回归分析，11% 的自理变化可以用三个自变量来解释（β= 0.130，SE= 0.043，P=0.002）。根据研究结果，孕妇可能会从专注于心理健康问题对孕妇影响的心理教育中受益。基于回归分析，11% 的自理变化可以用三个自变量来解释（β= 0.130，SE= 0.043，P=0.002）。根据研究结果，孕妇可能会从专注于心理健康问题对孕妇影响的心理教育中受益。