The purpose of this study was to identify the relationships between social support, pregnancy stress, and anxiety of pregnant women and to determine their effect on health-related quality of life.
A total of 202 pregnant women participated in this study. The collected data were analyzed by the frequency and percentage, mean and standard deviation, independent t-test, ANOVA, Pearson’s correlation coefficients, and hierarchical multiple regression analysis using the STATA/IC 15.1 program.
As a result of this study, the major factors affecting the health-related quality of life of pregnant women were identified as anxiety, educational level, social support, and marital satisfaction. Social support has a positive effect on the health-related quality of life of pregnant women (β=0.27, p< .001), but anxiety had a negative effect (β=−0.56, p<.001).
When planning nursing interventions to improve the health-related quality of life of pregnant women, strategies for lowering the anxiety and improving the social support of pregnant women should be considered.
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The psychological health of a pregnant woman and a healthy fetal relationship are important for perinatal adaptation. This study aimed to develop loving-kindness and compassion meditation (LKCM), which are known to be effective for improving interpersonal relationships and to verify its effectiveness in order to promote maternal-fetal attachment (MFA).
We developed an LKCM curriculum and training program for pregnant women and assessed its efficacy for improving MFA, positive emotion, mindfulness, and positive fetal movement experience (PFME) through a pre-intervention, post-intervention, and one-month follow-up comparison with a yoga comparison group and an untreated control group.
The LKCM experimental group showed significantly improved MFA, positive emotion, mindfulness, and PFME than did the other groups at post-intervention and follow-up.
Overall, this study confirmed that LKCM interventions can promote MFA, positive emotions, mindfulness, and PFME. Thus, it is meaningful that this study served to foster beneficial psychological resources compared to numerous studies aiming to improve deficits experienced by pregnant women. Additionally, this is the first full-scale study to develop a program based on specialized LKCM to enhance MFA during pregnancy and verify its efficacy.
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The stress pregnant women feel causes adverse effects on healthy maternal-fetal attachment and accordingly, it is necessary to investigate the psychological factors that can alleviate it.
The present study set a structural equation model to investigate whether mindfulness and self-compassion, which are valuable for mental health, promote maternal-fetal attachment by reducing the perceived stress. A total of 251 responses were collected through local hospitals, community health centers, and pregnancy- and child care-related online community web sites, and data were tested using a AMOS.
The results showed that the full mediation model in which each aspect of mindfulness and self-compassion promotes maternal-fetal attachment through perceived stress is most appropriate.
The significance of the present study lies in looking into the relationships among these factors that have been researched individually so far by integrating them into a model. The limitations of the present study and directions for future research were discussed in the conclusion section.
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Loving-kindness and compassion meditation (LKCM) is known to be effective in improving mental health and interpersonal relationships. An exploratory pilot study was conducted with the aim of examining the feasibility of LKCM which known to be effective in improving mental health and interpersonal relationships for pregnant women. Measures of stress, depression, maternal fetal attachment, mindfulness and self-compassion of subjects (n=8) were obtained at baseline, and after a 4-weeks LKCM program to identify effectiveness and supplements. Based on a focus group interview, phenomenological analysis was also conducted. The results showed that improvement potential of psychological comfort, positive relationship with fetus as well as complementary points for session contents and home training. We hope that this study will broaden understanding for the development of LKCM for pregnant women and promote further research.
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