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Health 2014年第18期6卷 2375-2387页

作者： Cinthia Gondim Pereira Calou Ana Karina Bezerra Pinheiro Régia Christina Moura Barbosa Castro Mirna Fontenele de Oliveira Priscila de Souza Aquino franz janco antezana Departamento de Enfermagen Universidade Regional do Cariri Ceará Brasil Department of Nursing Federal University of Ceará Fortaleza Brazil

Objective: The objectives were to characterize the scientific production on Health-Related Quality of Life of pregnant women, identify the areas that are most affected during pregnancy and puerperal period and identify the instruments used to assess quality of life related to health in pregnant women. Methods: For the integrative review, 11 articles published from 2006 to 2013 in the PUBMED, MEDLINE, CINAHL, SCOPUS and SCIELO were selected. Result: Data showed scarce publication from nursing professionals, prevalence of non-experimental studies conducted mainly in Brazil. The most commonly instruments used were the WHOQOL-BREF and SF-12. The presence of pain, nausea and vomiting, depression, low education, younger age and absence of partner negatively affect the quality of life of pregnant women. Practicing physical activity and being socially supported during pregnancy favour a better quality of life. In the domain of social relations, sexuality was the only affected facet. Conclusion: Gaps in the level of evidence considered weak were identified. We suggest bigger role of nurses in research on the subject so that there will be the development of effective interventions to support nursing practice and ensure quality care and consequently improve the quality of life of women in pregnancy and childbirth.

关键词： Prenatal Quality of Life Nursing

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Maternal Predictors for Quality of Life during the Postpartum in Brazilian Mothers

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Health 2015年第3期7卷 371-380页

作者： Mirna Fontenele de Oliveira Leslie Parker Hyochol Ahn Hellen Lívia Oliveira Catunda Elizian Braga Rodrigues Bernardo Mara Fontenele de Oliveira Samila Gomes Ribeiro Cinthia Gondim Pereira Calou franz janco antezana Paulo César Almeida Régia Christina Moura Barbosa Castro Priscila de Souza Aquino Ana Karina Bezerra Pinheiro College of Nursing University of Florida Gainesville USA Department of Nursing Federal University of Ceará Fortaleza Brazil

Introduction: The postpartum period can have a significant physical, emotional, and social impact on the quality of a woman’s life. Most postpartum research has focused on physical complications and only a few studies have specifically investigated quality of life. The purpose of this study was to explore predictors affecting the quality of life of postpartum Brazilian mothers. Study Design and Methods: A cross-sectional Quality of Life survey was performed in 210 Brazilian mothers during the early postpartum period. Data were collected using an interview technique and two instruments: 1) a maternal questionnaire and the 2) Maternal Postpartum Quality of Life tool/Brazilian version. The association between maternal characteristics and quality of life in the post-partum period was investigated with bivariate and multivariable analyses. Results: Mothers who had the best Quality of Life were white, registered students, 30 - 40 years of age, who were married or living with a partner, and without physical complaints;in addition, they had at least an 8th grade education, more than 4 children, and had attended more than 8 prenatal visits with a nurse. The stepwise model indicated that white race (p < 0.05) and married or living with a partner (p < 0.05) were the best predictors of Quality of Life in postpartum women. Conclusions and Clinical Implications: Marital status and race conditions may predict quality of life in postpartum Brazilian mothers. In addition, improved knowledge concerning the postpartum, maternal experience may help develop health interventions to enhance the quality of life of this population.

关键词： Mothers Postpartum Quality of Life Predictors

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