Factors Influencing the Grief, Depression, and Quality of Life in Taiwanese Women With Perinatal Loss

2.50
Hdl Handle:
http://hdl.handle.net/10755/622071
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Factors Influencing the Grief, Depression, and Quality of Life in Taiwanese Women With Perinatal Loss
Other Titles:
Maternal Mental Health
Author(s):
Yang, Ya-Ling
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Ya-Ling Yang, PhD, RN, Professional Experience: 2015-present-- Assistant professor, School of Nursing, College of Medicine, National Taiwan University, Taiwan. 1990-2015 -- Senior Instructor, School of Nursing, College of Medicine, National Taiwan University, Taiwan. 1996-present -- Adjunct Supervisor, Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan. 2009-present -- the board chairman of Lambda Beta Chapter-At-Large R.O.C., Sigma Theta Tau International Honor Society Nursing. Numerous presentations at scientific meetings. Author Summary: Ya-Ling Yang is a senior faculty in school of Nursing, National Taiwan University. She also is an expertise in maternity newborn/ women's health care and research. She is still working on developing the bereavement care model for perinatal loss family and providing related nursing education protocol for nursing students. She also works together with gynecologist to study "Gratitude" in spiritual care and its effect on quality of life in ovarian cancer women.
Abstract:

Purpose:

Chinese culturally bound taboos against talking about perinatal loss related issues. The experience of pregnancy loss can be devastating and potentially traumatizing for women emotional and psychological health regardless of what kind indications for the perinatal loss and selective termination. However, maternal postpartum care still less concerning provide supportive bereaved care for parents. How to solve this clinical dilemma and to establish an appropriate compassionate bereavement support challenges care-givers in perinatal medicine.

The main purpose of this study were to explore the experience in Taiwanese women with perinatal loss due to non-elective indications (such as IUFD, spontaneous abortion and preterm premature rupture of membrane..) or elective termination due to fetal gene or chromosome defect. Thus, we examined (1) the trend changing in grieving adaptation, emotional depression and quality of life during six months after who had perinatal loss. (2) to compare the difference between the non-elective indication and elective indications two subgroups in grieving adaptation, emotional depression and quality of life. (3) to identify the influencing factors (maternal age, the indication of perinatal loss, gestational age), maternal self-efficacy and self-esteem, are related with the perinatal grieving, depression and quality of life.

Methods:

This study is a retrospective with cross-sectional research design. Data were collected at the Outpatient Department of a medical center in North Taiwan by consecutive samplings method. All participations were assessed by a trained interviewer with structure interview using several measurement scales, including (1) Background information form, (2) The perinatal grief scales (3) Becker depression scale (4) Self-esteem scale (5)self-efficacy scale and (6) Short form 12 heath survey (SF-12).

Results:

Total forty seven participations were recruited and divided into non-elective perinatal loss subgroup (53.2%) and elective termination subgroup (46.8%). Additionally, all participants were divided into three subgroups depended on the time since their experience perinatal loss/termination after hospital discharge with range from 6-8 months (40.4%), 3-4 months (38.3%) and 2 months (21.3%). The results presented that (1) both the time range and the indication in perinatal loss were not significant influencing factors of all of our measuring. But between the non-elective and elective subgroups there were significance differences existed in the perinatal grief subscale and Becker’s subscales. (2) The average total scores of mental component (MCN) in SF-12 of the non-elective and elective two subgroups were far below the norm. MCN score had significant positive association with the participant’s self-esteem and self-efficacy, but with significant negative association with perinatal grief score and Becker depression score. (3) No matter the participants had held their deceased infants /fetus or not, there were no statistic difference in the measuring tools.

Conclusion:

Although its grief reactions over time will gradually calm down, the participant still need medical professional assistance to provide continued support for identification the value of their deceased infants /fetus exist and to obtain export emotions. We anticipate these results will be benefit to construct the clinical educational programme for caregivers and practice care model for bereaved parents. Eventually, to promote the quality of care and to encourage the related health policy making in both gender friendly medical environment.

Keywords:
Perinatal Grief; Perinatal Loss; Quality of Life
Repository Posting Date:
24-Jul-2017
Date of Publication:
24-Jul-2017
Other Identifiers:
INRC17C13
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleFactors Influencing the Grief, Depression, and Quality of Life in Taiwanese Women With Perinatal Lossen_US
dc.title.alternativeMaternal Mental Healthen
dc.contributor.authorYang, Ya-Lingen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsYa-Ling Yang, PhD, RN, Professional Experience: 2015-present-- Assistant professor, School of Nursing, College of Medicine, National Taiwan University, Taiwan. 1990-2015 -- Senior Instructor, School of Nursing, College of Medicine, National Taiwan University, Taiwan. 1996-present -- Adjunct Supervisor, Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan. 2009-present -- the board chairman of Lambda Beta Chapter-At-Large R.O.C., Sigma Theta Tau International Honor Society Nursing. Numerous presentations at scientific meetings. Author Summary: Ya-Ling Yang is a senior faculty in school of Nursing, National Taiwan University. She also is an expertise in maternity newborn/ women's health care and research. She is still working on developing the bereavement care model for perinatal loss family and providing related nursing education protocol for nursing students. She also works together with gynecologist to study "Gratitude" in spiritual care and its effect on quality of life in ovarian cancer women.en
dc.identifier.urihttp://hdl.handle.net/10755/622071-
dc.description.abstract<p><strong>Purpose:</strong></p> <p>Chinese culturally bound taboos against talking about perinatal loss related issues. The experience of pregnancy loss can be devastating and potentially traumatizing for women emotional and psychological health regardless of what kind indications for the perinatal loss and selective termination. However, maternal postpartum care still less concerning provide supportive bereaved care for parents. How to solve this clinical dilemma and to establish an appropriate compassionate bereavement support challenges care-givers in perinatal medicine.</p> <p>The main purpose of this study were to explore the experience in Taiwanese women with perinatal loss due to non-elective indications (such as IUFD, spontaneous abortion and preterm premature rupture of membrane..) or elective termination due to fetal gene or chromosome defect. Thus, we examined (1) the trend changing in grieving adaptation, emotional depression and quality of life during six months after who had perinatal loss. (2) to compare the difference between the non-elective indication and elective indications two subgroups in grieving adaptation, emotional depression and quality of life. (3) to identify the influencing factors (maternal age, the indication of perinatal loss, gestational age), maternal self-efficacy and self-esteem, are related with the perinatal grieving, depression and quality of life.</p> <p><strong>Methods:</strong></p> <p>This study is a retrospective with cross-sectional research design. Data were collected at the Outpatient Department of a medical center in North Taiwan by consecutive samplings method. All participations were assessed by a trained interviewer with structure interview using several measurement scales, including (1) Background information form, (2) The perinatal grief scales (3) Becker depression scale (4) Self-esteem scale (5)self-efficacy scale and (6) Short form 12 heath survey (SF-12).</p> <p><strong>Results:</strong></p> <p>Total forty seven participations were recruited and divided into non-elective perinatal loss subgroup (53.2%) and elective termination subgroup (46.8%). Additionally, all participants were divided into three subgroups depended on the time since their experience perinatal loss/termination after hospital discharge with range from 6-8 months (40.4%), 3-4 months (38.3%) and 2 months (21.3%). The results presented that (1) both the time range and the indication in perinatal loss were not significant influencing factors of all of our measuring. But between the non-elective and elective subgroups there were significance differences existed in the perinatal grief subscale and Becker’s subscales. (2) The average total scores of mental component (MCN) in SF-12 of the non-elective and elective two subgroups were far below the norm. MCN score had significant positive association with the participant’s self-esteem and self-efficacy, but with significant negative association with perinatal grief score and Becker depression score. (3) No matter the participants had held their deceased infants /fetus or not, there were no statistic difference in the measuring tools.</p> <p><strong>Conclusion:</strong></p> <p>Although its grief reactions over time will gradually calm down, the participant still need medical professional assistance to provide continued support for identification the value of their deceased infants /fetus exist and to obtain export emotions. We anticipate these results will be benefit to construct the clinical educational programme for caregivers and practice care model for bereaved parents. Eventually, to promote the quality of care and to encourage the related health policy making in both gender friendly medical environment.</p>en
dc.subjectPerinatal Griefen
dc.subjectPerinatal Lossen
dc.subjectQuality of Lifeen
dc.date.available2017-07-24T17:23:23Z-
dc.date.issued2017-07-24-
dc.date.accessioned2017-07-24T17:23:23Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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