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针对 COVID-19 期间减少压力和抑郁的产后女性社会支持及其相关因素,包括在线支持:泰国的一项在线调查结果。

Social support for postpartum women and associated factors including online support to reduce stress and depression amidst COVID-19: Results of an online survey in Thailand.

机构信息

Department of Public Health Sciences, Seoul National University, Seoul, Republic of Korea.

ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand.

出版信息

PLoS One. 2023 Jul 27;18(7):e0289250. doi: 10.1371/journal.pone.0289250. eCollection 2023.

Abstract

BACKGROUND

Social support for postpartum women helps mothers to recover from childbirth and fosters healthy infant development. However, the impacts of reduced interpersonal interactions inflicted by the COVID-19 outbreak on available social support for postpartum women have received little attention. Therefore, this study aimed to examine the levels of social support provided to postpartum women and associated factors in Thailand during the COVID-19 pandemic.

METHODS

A cross-sectional study was conducted from July to October 2021 using an anonymous online questionnaire. The responses of 840 eligible women up to six months postpartum in Thailand were obtained. The maternity social support scale was used to measure social support. Multivariate logistic regression was used to analyse the factors associated with social support among postpartum women.

RESULTS

About 57% of women reported to receive high support. Women in the high social support group were more likely to be married (aOR:2.70; 95% CI:1.57-4.66), have a university education or above (1.88; 1.35-2.64), have an intended pregnancy (2.06; 1.34-3.16), good health (2.01; 1.44-2.81), good sleep quality (1.62; 1.14-2.31), receive counsel from peers or family (1.56; 1.13-2.16), and use internet or social media to reduce stress and depression (1.51; 1.08-2.11). Meanwhile, women in the high social support group were significantly less likely to feed complementary foods to infants within 24 hours of completing the survey (0.28; 0.15-0.52).

CONCLUSIONS

The results of this study indicated that more than half of the women reported high support and illustrated the important role played by family, peers, and professionals as well as online and remote channels in providing postpartum informational and emotional support during the pandemic. Online platforms and remote support may be considered to provide social support to postpartum women during a pandemic such as COVID-19.

摘要

背景

社会支持有助于产妇从分娩中恢复,并促进婴儿的健康发育。然而,COVID-19 大流行导致人际互动减少,对产妇社会支持的影响却很少受到关注。因此,本研究旨在调查 COVID-19 大流行期间泰国产妇的社会支持水平及其相关因素。

方法

这是一项 2021 年 7 月至 10 月进行的横断面研究,采用匿名在线问卷。共获得 840 名泰国产后 6 个月内的合格产妇的回复。采用产妇社会支持量表来衡量社会支持。采用多变量逻辑回归分析产妇社会支持的相关因素。

结果

约 57%的女性报告获得了较高的支持。处于高社会支持组的女性更有可能已婚(OR:2.70;95%CI:1.57-4.66)、受过大学或以上教育(1.88;1.35-2.64)、有计划怀孕(2.06;1.34-3.16)、健康状况良好(2.01;1.44-2.81)、睡眠质量良好(1.62;1.14-2.31)、接受同龄人和家人的指导(1.56;1.13-2.16)、使用互联网或社交媒体减轻压力和抑郁(1.51;1.08-2.11)。同时,高社会支持组的女性在完成调查后 24 小时内给婴儿喂食补充食物的可能性明显较低(0.28;0.15-0.52)。

结论

本研究结果表明,超过一半的女性报告获得了较高的支持,并说明了家庭、同龄人、专业人员以及在线和远程渠道在大流行期间为产妇提供信息和情感支持的重要作用。在 COVID-19 等大流行期间,在线平台和远程支持可被视为向产妇提供社会支持的方式。

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本文引用的文献

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Effects of family relationship and social support on the mental health of Chinese postpartum women.
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J Obstet Gynaecol Res. 2021 Oct;47(10):3524-3531. doi: 10.1111/jog.14929. Epub 2021 Jul 8.
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