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Predictors of Hyperglycemic Women's Perinatal Health Status
Author(s) -
Yu ChingYun,
Hung ChichHsiu,
Huang MeiChuan,
Chan TeFu
Publication year - 2016
Publication title -
worldviews on evidence‐based nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.052
H-Index - 49
eISSN - 1741-6787
pISSN - 1545-102X
DOI - 10.1111/wvn.12173
Subject(s) - medicine , psychosocial , pregnancy , edinburgh postnatal depression scale , childbirth , social support , depression (economics) , psychological intervention , postpartum period , obstetrics , center for epidemiologic studies depression scale , perceived stress scale , postpartum depression , psychiatry , anxiety , depressive symptoms , psychology , stress (linguistics) , genetics , linguistics , philosophy , macroeconomics , economics , psychotherapist , biology
ABSTRACT Background Hyperglycemic women face dramatic physiological and psychosocial changes during the perinatal period; however, studies examining hyperglycemic women's health are few, and limited to cross‐sectional designs. Purpose This study aimed to examine changes in hyperglycemic women's stress, social support, depression, and health status from pregnancy to 1 year postpartum, and to identify factors predicting hyperglycemic women's perinatal health. Methods Ninety‐nine participants with positive results in a 50‐g glucose challenge test were recruited in a medical center in southern Taiwan. A repeated measures study was conducted; measurements were made at 28 weeks of pregnancy, and 1 week, 6 weeks, 6 months, and 1 year after childbirth. The Social Support Scale, the Perceived Stress Scale, the Taiwanese Depression Questionnaire, and the Chinese Health Questionnaire were used. Results Compared with hyperglycemic women's depression at 28 weeks of pregnancy, significant decreases in mean depression scores were found at 1 week and 1 year postpartum. Hyperglycemic women's health status improved at 6 months and 1 year postpartum. Depression significantly predicted hyperglycemic women's perinatal health status. Linking Evidence to Action Stress and depression are associated with perinatal health status in hyperglycemic women. Healthcare providers should more closely assess stress and depression levels in hyperglycemic women from pregnancy to 1 year postpartum. Interventions promoting the psychological well‐being of hyperglycemic women are required.