Journal article
Pathways from pain to physical and mental health-related quality of life during the third trimester of pregnancy: an exploratory mediation analysis
Journal of clinical nursing, Vol.30(9-10), pp.1372-1382
05/2021
DOI: 10.1111/jocn.15686
PMID: 33529358
Abstract
To understand how pain affects physical and mental health-related quality of life during the third trimester of pregnancy.
Poor health-related quality of life during pregnancy is associated with adverse maternal foetal health outcomes such as increased risk of low-birth-weight neonates. Poor health-related quality of life is linked to pain, pain interference and anxiety in the general adult population. However, we do not know how pain, pain interference (i.e., interference of pain with patient function), and anxiety are interrelated during the third trimester of pregnancy.
This exploratory cross-sectional study followed STROBE guidelines. A mobile educational and tracking pregnancy application was used to obtain a racially/ethnically diverse convenience sample of 141 third trimester pregnant women from the U. S. In this sample, 58.2% of women had commercial health insurance, 68.8% were Caucasian, 86.5% were younger than 35 years, and 85.1% had a partner. Women completed demographics, Edinburgh Postnatal Depression Scale and the Brief Pain Inventory on REDCap. Path analysis was used to investigate a model for the relationships among pain intensity, pain interference, anxiety and physical and mental health-related quality of life.
Pain intensity affected health-related quality of life indirectly by increasing pain interference, which in turn, decreased both physical and mental health-related quality of life. In addition, pain interference also increased anxiety, which in turn worsened mental health-related quality of life, but not physical health-related quality of life.
Treating perinatal pain may improve health-related quality of life by decreasing pain interference and anxiety.
Nurses should assess for pain interference and anxiety in women experiencing moderate to severe pain during the third trimester of pregnancy. With this knowledge, nurses may advocate for women in receiving effective treatment for their conditions and improvements in their physical and mental health-related quality of life.
Details
- Title: Subtitle
- Pathways from pain to physical and mental health-related quality of life during the third trimester of pregnancy: an exploratory mediation analysis
- Creators
- Julie Vignato - University of IowaYelena Perkhounkova - University of IowaSeyedehtanaz Saeidzadeh - University of IowaMicayla Patsais - University of IowaMichaela Inman - University of IowaAnn Marie McCarthy - College of Nursing, University of Iowa, Iowa City, Iowa, USALisa S Segre - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of clinical nursing, Vol.30(9-10), pp.1372-1382
- DOI
- 10.1111/jocn.15686
- PMID
- 33529358
- ISSN
- 0962-1067
- eISSN
- 1365-2702
- Grant note
- T32 (NR11147) / National Institutes of Nursing Research R61 AG061881 / NIA NIH HHS U54TR001356 / National Center For Advancing Translational Sciences of the National Institutes of Health Sigma Theta Tau International
- Language
- English
- Date published
- 05/2021
- Academic Unit
- Nursing
- Record Identifier
- 9984370637202771
Metrics
7 Record Views