Ocena stresa med nosečnicami v času epidemije COVID-19 : diplomsko delo

Gaber, Ema (avtor), Mivšek, Ana Polona (mentor), Jug Došler, Anita (komentor), Prelec, Anita (recenzent)

Uvod: Nosečnost je eno pomembnejših obdobij v življenju vsake ženske in velja za stresno in zahtevno obdobje. Nosečnice že tako doživljajo povišano anksioznost zaradi samega dejstva, da so noseče in spremljajočih sprememb, v času epidemije COVID-19 pa so se pridružile še dodatne okoliščine – potrebe po prilagajanju omejitvam. Stres je velikokrat odgovoren za škodljiv izid pri materi in novorojenčku, vključno z nizko porodno težo, prezgodnjim porodom, preeklampsijo, gestacijskim diabetesom in nenačrtovanim carskim rezom. Namen: Ugotoviti želimo, kakšne ravni stresa, povezanega z epidemijo COVID-19, doživljajo nosečnice v Sloveniji in na katerem področju doživljajo višje ravni stresa. Pri tem nas bo zanimalo tudi, če so naši rezultati primerljivi z rezultati nekaterih drugih držav. Metode dela: Uporabljena je bila deskriptivna in kavzalno neeksperimentalna metoda empiričnega raziskovanja. Raziskovalni pristop je temeljil na kvantitativni raziskavi, za raziskovalno orodje je bil uporabljen validiran vprašalnik, imenovan PREPS lestvica. Rezultati: V raziskavi so sodelovale 1104 nosečnice. Ugotovili smo, da se je v času epidemije COVID-19 več kot tretjina sodelujočih soočalo z visokimi ravnmi stresa. S pridobljenimi podatki smo ugotovili tudi, da so višje ravni stresa doživljale tiste, ki so bile v času epidemije COVID-19 noseče prvič, so imele rizično nosečnost, so izgubile vir dohodka ter so bile v času reševanja ankete v 2. ali 3. trimesečju. Prav tako smo ugotovili, da so nosečnice v Sloveniji najvišje ravni stresa doživljale zaradi skrbi glede okužbe. Razprava in zaključek: Vpliv epidemije na počutje nosečnic je zaskrbljujoč. Kot je razvidno iz rezultatov, je s strani anketirank v našem vzorcu prisotno stanje doživljanja vse od blagega do hudega stresa. Velik del stresa, ki so ga doživljale nosečnice v času epidemije COVID-19, je posledica skrbi glede okužbe in pomanjkanja pripravljenosti na porod (kot posledica omejenih zdravstvenih storitev). Pomembno se je zavedati, da stres med nosečnostjo ne vpliva le na enega človeka, ampak vpliva tudi na plod in njegov razvoj. Ženskam bi bilo smiselno pomagati pri soočanju in lajšanju stresa, npr. spletne svetovalnice za podporo in podajanje koristnih informacij. Prav tako bi bilo smiselno izvajati preventivno preverjanje doživljanja stresa s pomočjo PREPS lestvice ali kakšnega drugega v ta namen razvitega presejalnega instrumenta.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, babištvo, nosečnost, epidemija, COVID-19, stres, prenatalno obdobje
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [E. Gaber]
• Leto izida: 2022
• Št. strani: 49 str., [8] str. pril.
• PID: 20.500.12556/RUL-140052
• UDK: 618.2/.7
• COBISS.SI-ID: 120922115
• Datum objave v RUL: 10.09.2022

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Assessment of stress among pregnant women during the COVID-19 epidemic : diploma work

Izvleček

Introduction: Pregnancy is one of the most important periods in the life of every woman and is considered a stressful and demanding period. Pregnant women are already experiencing increased anxiety due to the very fact that they are pregnant and the accompanying changes, and during the COVID-19 epidemic, additional circumstances joined in - the need to adjust to the restrictions. Stress is often responsible for the detrimental outcome in mother and newborn, including low birth weight, preterm birth, preeclampsia, gestational diabetes and unplanned cesarean section. Purpose: We want to determine what levels of stress related to the COVID-19 epidemic are experienced by pregnant women in Slovenia and in which area they experience higher levels of stress. we will also be interested to see if our results are comparable to those of some other countries. Methods of work: A descriptive and causally non-experimental method of empirical research was used. The research approach was based on quantitative research, and a validated questionnaire called the PREPS scale was used for the research tool. Results: 1104 pregnant women participated in the study. We found that during the COVID-19 epidemic, more than a third of the participants faced high levels of stress. The data also showed that those who were pregnant for the first time during the COVID-19 epidemic, had a high-risk pregnancy, lost their income and were in the 2nd or 3rd trimester at the time of the survey experienced higher levels of stress. We found that pregnant women in Slovenia experienced the highest levels of stress due to concerns about infection. Discussion and conclusion: The impact of the epidemic on the well-being of pregnant women is worrying. As can be seen from the results, the respondents experience a state of experience ranging from mild to severe stress in our sample. Much of the stress experienced by pregnant women during the COVID-19 epidemic is due to infection concerns and lack of readiness for childbirth (as a result of limited health services). It is important to be aware that stress during pregnancy not only affects one person but also affects the fetus and its development. It would make sense to help women cope with and relieve stress, e.g. online counseling for support and useful information. It would also make sense to carry out preventive checks on the experience of stress with the help of the PREPS scale or some other screening instrument developed for this purpose.

• Ključne besede: diploma theses, midwifery, pregnancy, epidemic, COVID-19, stress, prenatal period