Psychological impact of infectious disease outbreaks on pregnant women: rapid evidence review.
Psychological impact of infectious disease outbreaks on pregnant women: rapid evidence review.
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DOI：
10.1016/j.puhe.2020.09.006
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发表时间：
2020-12
期刊：
影响因子：
5.2
通讯作者：
Greenberg N
中科院分区：
文献类型：
--
作者：
Brooks SK;Weston D;Greenberg N
传染病爆发对每个人来说都是痛苦的，尤其是那些被认为特别脆弱的人，比如孕妇，她们在当前的COVID-19大流行中被列为高危群体。本文旨在总结现有文献关于传染病爆发对怀孕妇女的心理影响。本研究的设计是快速回顾。检索5个数据库的相关文献，提取主要发现。13篇文章被纳入综述。确定了以下主题：消极情绪状态；生活在不确定性中；对感染的担忧；对预防或治疗的关注和接受情况；中断例程;非药物保护行为；社会支持;财务和职业问题；对分娩、产前和产后护理以及信息来源的期望被打乱。在传染病爆发期间，孕妇有独特的需求，可以从最新、一致的信息和指导中受益；获得保健专业人员的适当支持和建议，特别是关于预防和治疗的风险和益处；虚拟支持小组和指定地点或工作人员专门为孕妇。在大流行期间，孕妇可能特别容易感到痛苦。对感染的恐惧和对预防的担忧可能会加剧痛苦。日常生活被打乱、财务问题和不确定性也是压力源。对出生和相关医疗保健的预期被打乱可能会令人痛苦。孕妇可能受益于明确的信息/指导和支持团体。
Infectious disease outbreaks can be distressing for everyone, especially those deemed to be particularly vulnerable such as pregnant women, who have been named a high-risk group in the current COVID-19 pandemic. This paper aimed to summarise existing literature on the psychological impact of infectious disease outbreaks on women who were pregnant at the time of the outbreak. The design of this study is a rapid review. Five databases were searched for relevant literature, and main findings were extracted. Thirteen articles were included in the review. The following themes were identified: negative emotional states; living with uncertainty; concerns about infection; concerns about and uptake of prophylaxis or treatment; disrupted routines; non-pharmaceutical protective behaviours; social support; financial and occupational concerns; disrupted expectations of birth, prenatal care and postnatal care and sources of information. Pregnant women have unique needs during infectious disease outbreaks and could benefit from up-to-date, consistent information and guidance; appropriate support and advice from healthcare professionals, particularly with regards to the risks and benefits of prophylaxis and treatment; virtual support groups and designating locations or staff specifically for pregnant women. Pregnant women may be particularly susceptible to distress during pandemics. Infection fears and prophylaxis concerns may exacerbate distress. Disrupted routines, financial concerns and uncertainty are also stressors. Disrupted expectations of birth and related healthcare may be distressing. Pregnant women may benefit from clear information/guidance and support groups.