Pregnant women's well-being and worry during the COVID-19 pandemic: a cross-sectional study.
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ABSTRACT: Background
COVID-19 caused some worries among pregnant women. Worries during pregnancy can affect women's well-being. We investigated worry and well-being and associated factors among pregnant women during the COVID-19 pandemic.Methods
This descriptive cross-sectional study was conducted on 484 pregnant women using an online questionnaire. Sampling was performed in a period between May 5 and Aug 5, 2020. Inclusion criteria were having a single healthy fetus and having no significant psychological disorder. We collected the data using the Persian versions of the World Health Organization's Well-Being Index (WHO-5 Well-Being Index) and the Cambridge Worry Scale. We used univariate and multivariate logistic regression analyses to identify predictors of women's worry and well-being.Results
The mean total scores of the WHO-5 Well-Being Index and the percentage of WHO-5 score < 50 were 64.9 ± 29.0 and 24.4%, respectively. Predictors of women's worry are the increased level of fear of COVID-19 (OR = 6.40, p < 0.001), a low family income (OR = 3.41, p < 0.001), employment status (OR = 1.86, p = 0.019), nulliparity (OR = 1.68, p = 0.024), having a COVID-19 infected person among relatives (OR = 2.45, p = 0.036), having a history of abortion (OR = 1.86, p = 0.012), having participated in the study after the first wave of COVID-19 outbreak (OR = 2.328, p = 0.003), and women's age < 30 year (OR = 2.11, p = 0.002). Predictors of low level of well-being in pregnant women are worry about their own health and relationships (OR = 1.789, p = .017), worry about fetus health (OR = 1.946, p = 0.009), and having at least one infected person with COVID-19 among relatives (OR = 2.135, p = 0.036).Conclusions
The percentage of women experiencing a low well-being state was relatively high. This result is worthy of attention by health care providers and policy makers. Providing care and support to pregnant women should have high priority during the COVID-19 pandemic.
SUBMITTER: Mortazavi F
PROVIDER: S-EPMC7809640 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:The governmental lockdowns related to the COVID-19 pandemic have forced people to change their behavior in many ways including changes in exercise. We used the brief window of global lockdown in the months of March/April/May 2020 as an opportunity to investigate the effects of externally imposed restrictions on exercise-related routines and related changes in subjective well-being. Statistical analyses are based on data from 13,696 respondents in 18 countries using a cross-sectional online survey. A mixed effects modeling approach was used to analyze data. We tested whether exercise frequency before and during the pandemic would influence mood during the pandemic. Additionally, we used the COVID-19 pandemic data to build a prediction model, while controlling for national differences, to estimate changes in exercise frequency during similar future lockdown conditions depending on prelockdown exercise frequency. According to the prediction model, those who rarely exercise before a lockdown tend to increase their exercise frequency during it, and those who are frequent exercisers before a lockdown tend to maintain it. With regards to subjective well-being, the data show that those who exercised almost every day during this pandemic had the best mood, regardless of whether or not they exercised prepandemic. Those who were inactive prepandemic and slightly increased their exercise frequency during the pandemic, reported no change in mood compared to those who remained inactive during the pandemic. Those who reduced their exercise frequency during the pandemic reported worse mood compared to those who maintained or increased their prepandemic exercise frequency. This study suggests that under similar lockdown conditions, about two thirds of those who never or rarely exercise before a lockdown might adopt an exercise behavior or increase their exercise frequency. However, such changes do not always immediately result in improvement in subjective well-being. These results may inform national policies, as well as health behavior and exercise psychology research on the importance of exercise promotion, and prediction of changes in exercise behavior during future pandemics.
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Project description:Aims and objectivesThis study aimed to determine the relationship of nurses' psychological well-being with their coronaphobia and work-life balance during the COVID-19 pandemic.BackgroundCOVID-19 is a global life-threatening disease. The COVID-19 pandemic negatively affects nurses' mental health. No studies have been conducted to determine the factors that affect nurses' psychological well-being during the COVID-19 pandemic in Turkey. If nurses' psychological well-being is impaired during the COVID-19 pandemic, the quality of nursing care and the nurses' performance may be negatively affected.DesignThis is a descriptive, correlational and cross-sectional study. The Strengthening the Reporting of Observational studies in Epidemiology (STROBE) reporting guideline checklist for cross-sectional studies was used for reporting in this study.MethodsThe study population consisted of the nurses working in a Health Application and Research Center in Turkey. Data were collected using Google forms between June-August 2020. The study sample consisted of 295 nurses who voluntarily agreed to participate in the study and used social media tools. The data were collected using a Sociodemographic Characteristics Form, the COVID-19 Phobia Scale (C19P-S), the Work-Life Balance (WLB) Scale and the Psychological Well-Being (PWB) Scale. The factors that affect psychological well-being were determined using the stepwise multiple linear regression analysis.ResultsThe nurses' work-life balance and psychological well-being were negatively affected during the COVID-19 pandemic. Their COVID-19 phobia was mild-to-moderate level. The nurses' psychological well-being was significantly affected by the variable of neglecting life the most, followed by coronaphobia and work-life balance, which explain 75% of the variance.ConclusionsThis study shows that coronaphobia experienced by nurses and work-life balance was related to their psychological well-being during the COVID-19 pandemic. Managers should take measures (regulating the working hours) to decrease nurses' COVID-19 phobia (education, counselling or psychotherapy) and work-life imbalance.Relevance to clinical practiceNurses' peers, managers and organisations need to take into account nurses' negative emotions and behaviours and organise training programmes to help them overcome their fears, communicate clearly and provide for their basic needs. Organisations, including managers and nurses, must recognise the distress being experienced by their nurses and create safe environments in which to have significant conversations. Nurses' mental health can be screened regularly by multidisciplinary teams, psychological support can be provided when required, and working hours can be regulated through appropriate shifts and breaks that will ensure work-life balance during and after the COVID-19 pandemic. Nurses receiving emotional support from their families and friends (via chatting and sharing troubles) can also contribute positively. These measures and regulations will positively affect nurses' psychological well-being and contribute to an increase in the quality of care and nurses' performance.
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