Knowledge, attitudes, practices, and influencing factors of anxiety among pregnant women in Wuhan during the outbreak of COVID-19: a cross-sectional study.
Knowledge, attitudes, practices, and influencing factors of anxiety among pregnant women in Wuhan during the outbreak of COVID-19: a cross-sectional study.
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DOI：
10.1186/s12884-021-03561-7
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发表时间：
2021-01-25
影响因子：
3.1
通讯作者：
Chen M
中科院分区：
文献类型：
--
作者：
Ding W;Lu J;Zhou Y;Wei W;Zhou Z;Chen M
产前焦虑一直是全球一个重大的公共卫生问题，对母亲和儿童的健康造成不利影响。本研究旨在评估武汉市2019冠状病毒病（COVID-19）流行期间孕妇的社会人口学特征、知识、态度和实践（KAP）和焦虑水平，并探讨这一特定背景下孕妇产前焦虑的影响因素。采用问卷调查的方式收集孕妇对COVID-19的认知程度、社会人口统计学和妊娠信息。采用Zung焦虑自评量表（SAS）评估焦虑状态。采用Pearson卡方检验和多变量logistic回归分析产前焦虑水平的相关因素。该人群产前焦虑患病率为20.8%。在0 ~ 14分范围内，平均得分为13.2±1.1分。态度和行为数据显示，580/ 817人（71.0%）非常关注新冠肺炎新闻，455/817人（55.7%）认为官方媒体是最可靠的新冠肺炎信息来源，681/817人（83.4%）对可能感染新冠肺炎感到焦虑。然而，只有83/817（10.2%）的人担心在路径形态扫描期间通过超声换能器感染COVID-19。约三分之二（528/817）（64.6%）推迟或取消产前检查。其中410/817人中约有一半（50.2%）在医院就诊时使用了两种个人防护装备。Logistic回归分析显示，产前焦虑的影响因素包括家庭已有子女、知识得分、媒体信任、对感染新冠病毒的担忧和对超声探头产前保健（ANC）计划感染新冠病毒的担忧。新冠肺炎疫情期间，武汉市孕妇产前焦虑普遍存在。目前的研究结果确定了与产前焦虑水平相关的因素，这些因素可以作为心理护理的目标。在线版本包含补充材料，可在10.1186/s12884-021-03561-7获得。
Prenatal anxiety has been a significant public health issue globally, leading to adverse health outcomes for mothers and children. The study aimed to evaluate the sociodemographic characteristics, knowledge, attitudes, and practices (KAP), and anxiety level of pregnant women during the coronavirus disease 2019 (COVID-19) epidemic in Wuhan and investigate the influencing factors for prenatal anxiety in this specific context. Pregnant subjects’ KAP towards COVID-19 and their sociodemographics and pregnancy information were collected using questionnaires. The Zung Self-Rating Anxiety Scale (SAS) was used to assess anxiety status. Factors associated with the level of prenatal anxiety were analyzed by Pearson’s chi-square test and multivariable logistic regression analyses. The prenatal anxiety prevalence in this population was 20.8%. The mean score of knowledge was 13.2 ± 1.1 on a 0 ~ 14 scale. The attitudes and practices data showed that 580/ 817 (71.0%) were very concerned about the news of COVID-19, 455/817 (55.7%) considered the official media to be the most reliable information source for COVID-19, and 681/817 (83.4%) were anxious about the possibility of being infected by COVID-19. However, only 83/817 (10.2%) worried about contracting COVID-19 infection through the ultrasound transducer during a routing morphology scan. About two-thirds 528/817 (64.6%) delayed or canceled the antenatal visits. Approximately half of them 410/817 (50.2%) used two kinds of personal protection equipments (PPEs) during hospital visits. Logistic regression analysis revealed that the influential factors for prenatal anxiety included previous children in the family, knowledge score, media trust, worry of contracting the COVID-19 infection and worry about getting infected with COVID-19 from the ultrasound probe antenatal care (ANC) schedule. Prenatal anxiety was prevalent among pregnant women in Wuhan during the outbreak of COVID-19. The current findings identified factors associated with the level of prenatal anxiety that could be targeted for psychological care. The online version contains supplementary material available at 10.1186/s12884-021-03561-7.
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作者：
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通讯作者：
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影响因子：
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DOI：
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