Prenatal health-related quality of life assessment among Hungarian pregnant women using PROMIS-43
Background: Assessing prenatal health-related quality of life (HRQoL) by parity using a comprehensive consistent instrument with the transient nature of pregnancy is still under investigation. Objective: To assess HRQoL and specify its predictors among expectant women in Hungary through Patient Repo...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Clinical Epidemiology and Global Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221339842030213X |
| _version_ | 1798031244334727168 |
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| author | Vahideh MoghaddamHosseini Monika Gyuró Alexandra Makai Katalin Varga Masoumeh Hashemian Ákos Várnagy |
| author_facet | Vahideh MoghaddamHosseini Monika Gyuró Alexandra Makai Katalin Varga Masoumeh Hashemian Ákos Várnagy |
| author_sort | Vahideh MoghaddamHosseini |
| collection | DOAJ |
| description | Background: Assessing prenatal health-related quality of life (HRQoL) by parity using a comprehensive consistent instrument with the transient nature of pregnancy is still under investigation. Objective: To assess HRQoL and specify its predictors among expectant women in Hungary through Patient Reported Outcomes Measurement Information System (PROMIS-43). Method: s: 477 healthy pregnant women were asked to fill the Hungarian version of PROMIS-43 and further instruments in late pregnancy.The PROMIS-43 investigates seven parameters, including anxiety, ability to participate in social roles and activities, depression, fatigue, sleep disturbance, physical function, and pain interference. Results: While physical function and fatigue subscales obtained the highest proportion in the mild and moderate range, respectively, other subscales were felled into the normal range in all participants. A comparison of parity showed that the mean T-score of subscale “Anxiety” was significantly higher in nulliparous than that of in multiparous women (p = 0.02). The assessments indicated that the predictors, including parity, anxiety, and depression were the most common predictors for the poor HRQoL domains in both the nulliparous and multiparous women. In nulliparous, social support was a significant predictor for better HRQoL in depression, fatigue, and pain intensity domains. In multiparous, the strongest predictors included social support for lower depression, wanted pregnancy for lower pain intensity, and previous emergency cesarean section for higher pain intensity subscale. Conclusion: The results of PROMIS-43 support the fact that the screening and continuous assessment of physical function and psychological status at early and over pregnancy is still on demand to optimize the outcomes of maternity care. |
| first_indexed | 2024-04-11T19:54:21Z |
| format | Article |
| id | doaj.art-03a69f23e1a445f8aee70c8120b9d8cc |
| institution | Directory Open Access Journal |
| issn | 2213-3984 |
| language | English |
| last_indexed | 2024-04-11T19:54:21Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Epidemiology and Global Health |
| spelling | doaj.art-03a69f23e1a445f8aee70c8120b9d8cc2022-12-22T04:06:12ZengElsevierClinical Epidemiology and Global Health2213-39842021-01-019237244Prenatal health-related quality of life assessment among Hungarian pregnant women using PROMIS-43Vahideh MoghaddamHosseini0Monika Gyuró1Alexandra Makai2Katalin Varga3Masoumeh Hashemian4Ákos Várnagy5Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs,Hungary; Department of Midwifery, Faculty of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran; Corresponding author. Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Hungary.Institute for Health Insurance, Faculty of Health Sciences, University of Pécs, HungaryDoctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs,HungaryAffective Psychology Department, Faculty of Education and Psychology, Eötvös Loránd University, Budapest, HungaryDepartment of Public Health, Faculty of Health, Sabzevar University of Medical Sciences, Sabzevar, IranDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Pécs, Pécs, HungaryBackground: Assessing prenatal health-related quality of life (HRQoL) by parity using a comprehensive consistent instrument with the transient nature of pregnancy is still under investigation. Objective: To assess HRQoL and specify its predictors among expectant women in Hungary through Patient Reported Outcomes Measurement Information System (PROMIS-43). Method: s: 477 healthy pregnant women were asked to fill the Hungarian version of PROMIS-43 and further instruments in late pregnancy.The PROMIS-43 investigates seven parameters, including anxiety, ability to participate in social roles and activities, depression, fatigue, sleep disturbance, physical function, and pain interference. Results: While physical function and fatigue subscales obtained the highest proportion in the mild and moderate range, respectively, other subscales were felled into the normal range in all participants. A comparison of parity showed that the mean T-score of subscale “Anxiety” was significantly higher in nulliparous than that of in multiparous women (p = 0.02). The assessments indicated that the predictors, including parity, anxiety, and depression were the most common predictors for the poor HRQoL domains in both the nulliparous and multiparous women. In nulliparous, social support was a significant predictor for better HRQoL in depression, fatigue, and pain intensity domains. In multiparous, the strongest predictors included social support for lower depression, wanted pregnancy for lower pain intensity, and previous emergency cesarean section for higher pain intensity subscale. Conclusion: The results of PROMIS-43 support the fact that the screening and continuous assessment of physical function and psychological status at early and over pregnancy is still on demand to optimize the outcomes of maternity care.http://www.sciencedirect.com/science/article/pii/S221339842030213XAnxietyCesarean sectionDepressionHealth-related quality of lifePregnancyPROMIS |
| spellingShingle | Vahideh MoghaddamHosseini Monika Gyuró Alexandra Makai Katalin Varga Masoumeh Hashemian Ákos Várnagy Prenatal health-related quality of life assessment among Hungarian pregnant women using PROMIS-43 Clinical Epidemiology and Global Health Anxiety Cesarean section Depression Health-related quality of life Pregnancy PROMIS |
| title | Prenatal health-related quality of life assessment among Hungarian pregnant women using PROMIS-43 |
| title_full | Prenatal health-related quality of life assessment among Hungarian pregnant women using PROMIS-43 |
| title_fullStr | Prenatal health-related quality of life assessment among Hungarian pregnant women using PROMIS-43 |
| title_full_unstemmed | Prenatal health-related quality of life assessment among Hungarian pregnant women using PROMIS-43 |
| title_short | Prenatal health-related quality of life assessment among Hungarian pregnant women using PROMIS-43 |
| title_sort | prenatal health related quality of life assessment among hungarian pregnant women using promis 43 |
| topic | Anxiety Cesarean section Depression Health-related quality of life Pregnancy PROMIS |
| url | http://www.sciencedirect.com/science/article/pii/S221339842030213X |
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