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护理学报 ›› 2024, Vol. 31 ›› Issue (3): 51-56.doi: 10.16460/j.issn1008-9969.2024.03.051

• 循证护理 • 上一篇    下一篇

妊娠晚期孕妇症状群的范围综述

李伟a, 王香a, 裴丽b, 高擎擎b, 黄海超b   

  1. 天津中医药大学 a.研究生院; b.护理学院,天津 301617
  • 收稿日期:2023-08-29 出版日期:2024-02-10 发布日期:2024-03-07
  • 通讯作者: 黄海超(1980-),女,天津人,硕士,副教授。E-mail:58305331@qq.com
  • 作者简介:李伟(1999-),女,河北迁安人,本科学历,硕士研究生在读。
  • 基金资助:
    天津市卫生健康委员会中医中西医结合科研课题(2023080)

Symptom clusters among women during late pregnancy: a scoping review

LI Weia, WANG Xianga, PEI Lib, GAO Qing-qingb, HUANG Hai-chaob   

  1. a. Graduate School; b. School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
  • Received:2023-08-29 Online:2024-02-10 Published:2024-03-07

摘要: 目的 对妊娠晚期孕妇症状群相关研究进行范围综述,确定症状群特点及研究现状,为完善孕妇妊娠晚期症状群管理提供参考。方法 检索PubMed、Embase、CINAHL、PsycINFO、Scopus、中国知网、中国生物医学文献库、维普网、万方数据库中妊娠晚期孕妇症状群的相关研究。检索时限为建库至2023年3月21日。结果 共纳入17篇文献,症状群的识别要素涵盖症状评估及分析方法。妊娠晚期孕妇症状群类型可划分为3大类,焦虑症状群、抑郁症状群是妊娠晚期孕妇最常见的症状群。结论 妊娠晚期孕妇存在多种类型症状群,未来研究应进一步检查症状群内部一致性,开发统一系统评估妊娠晚期孕妇症状特异性工具及新的分析方法,优化症状群的识别,探究规范化症状群管理方案的构建。

关键词: 妊娠晚期, 孕妇, 症状群, 护理, 范围综述

Abstract: Objective To identify the characteristics and research status of symptom clusters experienced by pregnant women during late pregnancy, and to provide reference for improving management of symptom clusters for pregnant woman. Methods Literature on symptom clusters of pregnant women during late pregnancy in PubMed, Embase, CINAHL, PsycINFO, Scopus, CNKI, CBM, Weipu, and Wanfang databases was retrieved. The retrieval period ranged from the inception to March 21, 2023. Results A total of 17 articles were collected. The identification elements of symptom clusters included symptom assessment and analysis methods. The symptom clusters experienced by pregnant women during late pregnancy can be divided into three categories, with anxiety symptom clusters and depression symptom clusters being the most common ones. Conclusion Pregnant women during late pregnancy experienced multiple symptom clusters. Future research should further examine the internal consistency of symptom clusters, develop unified system evaluation tools and new analysis methods for symptom specificity during late pregnancy, optimize the identification of symptom clusters, and explore the construction of standardized symptom clusters management plans.

Key words: late pregnancy, pregnant woman, symptom cluster, nursing care, scoping review

中图分类号: 

  • R473.71
[1] 谢幸,孔北华,段涛.妇产科学[M].9版.北京:人民卫生出版社,2022:43.
[2] Cheng CY, Chou YH, Chang CH, et al.Trends of perinatal stress, anxiety, and depression and their prediction on postpartum depression[J].Int J Environ Res Public Health, 2021, 18(17): 9307.DOI:10.3390/ijerph18179307.
[3] Schetter CD, Tanner L.Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice[J]. Curr Opin Psychiatry, 2012,25(2):141-148.DOI:10.1097/YCO.0b013e3283503680.
[4] 王瑞莹,邢伟,法宪恩,等.孕妇妊娠晚期疲乏特征的潜在类别分析[J].护理学报,2022,29(21):11-16.DOI:10.16460/j.issn1008-9969.2022.21.011.
[5] Miaskowski C, Barsevick A, Berger A, et al. Advancing symptom science through symptom cluster research: expert panel proceedings and recommendations[J]. J Natl Cancer Inst, 2017, 109(4): djw253.DOI:10.1093/jnci/djw253.
[6] Luca DL, Margiotta C, Staatz C, et al.Financial toll of untreated perinatal mood and anxiety disorders among 2017 births in the United States[J]. Am J Public Health, 2020, 110(6): 888-896. DOI:10.2105/AJPH.2020.305619.
[7] Kim HJ, McGuire DB, Tulman L, et al. Symptom clusters: concept analysis and clinical implications for cancer nursing[J]. Cancer Nurs, 2005,28(4):270-282.DOI:10.1097/00002820-200507000-00005.
[8] Dodd MJ, Miaskowski C, Paul SM.Symptom clusters and their effect on the functional status of patients with cancer[C]Oncol Nurs Forum,2001, 28(3):465-470.DOI:10.1097/00002820-200507000-00005.
[9] 吴傅蕾,袁长蓉,杨瑒.乳腺癌患者化疗期症状群困扰风险预测模型的构建与评价[J].中华护理杂志,2023,58(6):676-682.DOI:10.3761/j.issn.0254-1769.2023.06.005.
[10] 李京京,何红叶,刘杉杉.癌症患者症状群管理效果的Meta分析[J].护理学杂志,2020,35(13):90-94.DOI:10.3870/j.issn.1001-4152.2020.13.090.
[11] 郭敏,殷秀敏,王翠等.食管癌患者术后3个月症状群的调查[J].中华护理杂志,2019,54(8):1189-1193.DOI:10.3761/j.issn.0254-1769.2019.08.014.
[12] 赵亚楠,路娜,马喜梅.妇科恶性肿瘤患者化疗期间症状群的范围综述[J].中华护理杂志,2022,57(18):2283-2288.DOI:10.3761/j.issn.0254-1769.2022.18.017.
[13] Lockwood C, Dos Santos KB, Pap R.Practical guidance for knowledge synthesis: scoping review methods[J]. Asian Nurs Res (Korean Soc Nurs Sci), 2019, 13(5):287-294.DOI:10.1016/j.anr.2019.11.002.
[14] Kubota C, Inada T, Nakamura Y, et al.Stable factor structure of the Edinburgh Postnatal Depression Scale during the whole peripartum period: Results from a Japanese prospective cohort study[J]. Sci Rep, 2018, 8(1):17659.DOI:10.1038/s41598-018-36101-z.
[15] Bos SC, Pereira AT, Marques M, et al.The BDI-II factor structure in pregnancy and postpartum: two or three factors?[J]. Eur Psychiatry, 2009, 24(5):334-340.DOI:10.1016/j.eurpsy.2008.10.003.
[16] Doster A, Wallwiener S, Müller M, et al.Reliability and validity of the German version of the Maternal-Fetal Attachment Scale[J]. Arch Gynecol Obstet, 2018, 297(5): 1157-1167.DOI:10.1007/s00404-018-4676-x.
[17] Affonso DD, Mayberry LJ, Lovett S, et al.Pregnancy and postpartum depressive symptoms[J]. J Womens Health, 1993, 2(2):157-164.DOI:10.1089/jwh.1993.2.157.
[18] Erickson NL, Neumann AA, Hancock GR, et al.Baby preparation and worry scale (Baby-PAWS): instrument development and psychometric evaluation[J].Early Hum Dev, 2020(147):105080.DOI:10.1016/j.earlhumdev.2020.105080.
[19] Kleiverda G, Steen AM, Andersen I, et al.Physical and psychological well-being in working nulliparous women during pregnancy[J]. J Psychosom Obstet Gynaecol, 1990, 11(3):165-184.DOI:10.3109/01674829009084413.
[20] Lee H, Kim KE, Kim MY, et al.Comparison of factor structures of the Pittsburgh sleep quality index between mid-and late pregnancy among Korean women: a cross-sectional study[J]. BMC Pregnancy Childbirth, 2022, 22(1): 694.DOI:10.1186/s12884-022-05024-z.
[21] Miller ML, O’Hara MW. The structure of mood and anxiety disorder symptoms in the perinatal period[J]. J Affect Disord, 2023(325):231-239. DOI:10.1016/j.jad.2022.12.111.
[22] Zhang Y, Xu X, Xie Z, et al.Identifying symptom clusters among pregnant women during early and late pregnancy[J].Int J Gynaecol Obstet,2023, 162(2):656-663. DOI:10.1002/ijgo.14712.
[23] Green JM, Kafetsios K, Statham HE, et al.Factor structure, validity and reliability of the Cambridge Worry Scale in a pregnant population[J]. J Health Psychol, 2003, 8(6):753-764.DOI:10.1177/13591053030086008.
[24] 刘小玮,林祎楠,贾泽弦璠.妊娠晚期孕妇症状群发生现状及相关因素分析[J].华南预防医学,2021,47(8):989-993.DOI:10.12183/j.scjpm.2021.0989.
[25] 苏比努尔·艾力,郑婕,向佳明.妊娠晚期孕妇症状群及其影响因素研究[J].护理学杂志,2021,36(7):26-30.DOI:10.3870/j.issn.1001-4152.2021.07.026.
[26] 徐晓芳. 不同妊娠阶段孕妇症状群及相关因素[D].济南:山东大学,2020.DOI:10.27272/d.cnki.gshdu.2020.004735.
[27] Jomeen J, Martin CR.Replicability and stability of the multidimensional model of the Edinburgh Postnatal Depression Scale in late pregnancy[J]. J Psychiatr Ment Health Nurs, 2007,14(3):319-324.DOI:10.1111/j.1365-2850.2007.01084.x.
[28] Coates R, Ayers S, de Visser R. Factor structure of the Edinburgh Postnatal Depression Scale in a population-based sample[J]. Psychol Assess, 2017, 29(8):1016-1027.DOI:10.1037/pas0000397.
[29] Huizink AC, Mulder EJ, Robles de Medina PG, et al. Is pregnancy anxiety a distinctive syndrome?[J]. Early Hum Dev, 2004, 79(2):81-91. DOI:10.1016/j.earlhumdev.2004.04.014.
[30] Garthus-Niegel S, Størksen HT, Torgersen L, et al.The Wijma delivery expectancy/experience questionnaire-a factor analytic study[J]. J Psychosom Obstet Gynaecol, 2011, 32(3):160-163.DOI:10.3109/0167482X.2011.573110.
[31] 刘维琴,蔡传兰,崔时敏.妊娠期抑郁症状与睡眠质量的关联研究[J].中国妇幼保健,2015,30(23):4002-4004.DOI:10.7620/zgfybj.j.issn.1001-4411.2015.23.29.
[32] 高玲玲,杨静萍,史航.社会支持与孕妇身心健康关系的研究现状[J].解放军护理杂志,2019,36(10):60-62.DOI:10.3969/j.issn.1008-9993.2019.10.015.
[33] Ma X, Wang Y, Hu H, et al.The impact of resilience on prenatal anxiety and depression among pregnant women in Shanghai[J]. J Affect Disord, 2019(250):57-64.DOI:10.1016/j.jad.2019.02.058.
[34] 蒋婷婷,陈艳艳,潘琼琼.妊娠晚期孕妇症状群特征及影响因素研究[J].中国医院统计, 2022, 29(2):87-92.DOI:10.3969/j.issn.1006-5253.2022.02.002.
[35] Hartley E, Hill B, Bailey C, et al.The associations of weight status and body attitudes with depressive and anxiety symptoms across the first year postpartum[J]. Womens Health Issues, 2018, 28(6):530-538.DOI:10.1016/j.whi.2018.07.002.
[36] 刘兰娟,刘晓棠,刘成等.孕妇妊娠期运动的安全性有效性研究进展[J].护理学报,2023,30(6):31-35.DOI:10.16460/j.issn1008-9969.2023.06.031.
[37] 王喜益, 叶志弘, 汤磊雯. 范围综述在护理领域的应用进展[J]. 中华护理杂志, 2019, 54(8):1259-1263.DOI:10.3761/j.issn.0254-1769.2019.08.030.
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