Explanatory factors and levels of health‐related quality of life among healthy pregnant women at midpregnancy: A cross‐sectional study of The PregnActive Project

• Published in: Journal of advanced nursing 2018-12, Vol.74 (12), p.2766-2776
• Main Authors: Oviedo‐Caro, Miguel Angel, Bueno‐Antequera, Javier, Munguía‐Izquierdo, Diego
• Format: Article
• Language: English
• Subjects: Age; cardiorespiratory fitness; Cross-sectional studies; Exercise; Health status; health‐related quality of life; Interdisciplinary aspects; Intervention; Lifestyles; Medical personnel; Midwives; Musculoskeletal system; Nursing; Occupational status; physical activity; Physical fitness; Pregnancy; Prenatal care; Psychological problems; Quality of life; Questionnaires; Symptoms; Womens health
• ISSN: 0309-2402; 1365-2648
• DOI: 10.1111/jan.13787

Aims To identify potential explanatory factors and establish health‐related quality of life (HRQoL) levels of healthy pregnant women at midpregnancy. Background The HRQoL levels perceived by pregnant women are lower than those perceived by women of similar age and decline during the course of pregnancy. Design An exploratory cross‐sectional design was used. Methods One hundred thirty‐four healthy women from antenatal clinics completed questionnaires were administered a cardiorespiratory fitness (CRF) test and wore a multisensor body monitor for 7 days at midpregnancy. Data were collected from September 2015–December 2016. Results Cardiorespiratory fitness, musculoskeletal symptoms, and age were identified as explanatory factors of the physical component summary of HRQoL. Explanatory factors of the mental component summary included musculoskeletal and psychological symptoms and light activity. Significant differences in HRQoL levels were identified among groups of pregnant women stratified by age, occupational status, pregnancy symptoms, and CRF. Conclusions Modifiable factors of HRQoL, such as CRF and active lifestyle may be important areas to target in interventions aimed at promoting HRQoL in healthy women at midpregnancy. The identification of the groups of pregnant women with lower levels of HRQoL may help midwives and health professional to focus their advice and conduct interventions on these groups of pregnant women. These modifiable factors should be considered in future longitudinal studies to determine causal effects, will likely help improve multidisciplinary treatments. 目的 确定潜在的解释因素,并确定妊娠中期健康孕妇的健康相关生活质量(HRQoL)水平。 背景 孕妇感知的HRQoL水平低于同龄女性感知的水平,且在怀孕期间下降。 设计 使用探索性横向设计。 方法 134名来自产前诊所的健康女性完成问卷调查,对她们进行心肺功能(CRF)测试,并在妊娠中期佩戴多传感器身体监测器7天。收集2015年9月至2016年12月的数据。 结果 心肺功能、肌肉骨骼症状和年龄被确定为HRQoL的身体健康总评的解释因素。心理健康总评的解释因素包括肌肉骨骼和心理症状以及轻度活动。根据年龄、职业状况、怀孕症状和CRF分层的孕妇群体中,HRQoL水平存在显着差异。 结论 HRQoL的可干预因素,如CRF和积极的生活方式,可能是针对旨在促进妊娠中期健康孕妇HRQoL的干预的重要领域。确定HRQoL水平较低的孕妇群体可以帮助助产士和健康专家为这些孕妇群体给出他们具有针对性的建议并进行干预。在未来的纵向研究中应考虑这些可干预因素,以确定因果效应,可能有助于改善多学科治疗。