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KMID : 0606420210270030180
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Korean Journal of Women Health Nursing
2021 Volume.27 No. 3 p.180 ~ p.195
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Effects of nonpharmacological interventions on the psychological health of high-risk pregnant women: a systematic review and meta-analysis
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Yoo Hye-Ji
Ahn Suk-Hee
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Abstract
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Purpose: This study aimed to summarize the current evidence on the effects of nonpharmacological interventions on psychological health outcomes for women with high-risk pregnancies due to conditions such as preeclampsia, gestational diabetes, or preterm labor.
Methods: The following databases were searched from January 2000 to December 2020: PubMed, Ovid Embase, CINAHL, Web of Science, DBpia, RISS, and KISS. Two investigators independently reviewed and selected articles according to the inclusion/exclusion criteria. RoB 2 and the ROBINS-I checklist were used to evaluate study quality.
Results: Twenty-nine studies with a combined total of 1,806 pregnant women were included in the systematic review and meta-analysis. Psychological health improvements were found in women with preeclampsia (Hedges’ g=?0.67; 95% confidence interval [CI], ?0.91 to ?0.44), gestational diabetes (Hedges’ g=?0.38; 95% CI, ?0.54 to ?0.12), and preterm labor (Hedges’ g=?0.73; 95% CI, ?1.00 to ?0.46). The funnel plot was slightly asymmetrical, but the fail-safe N value and the trim-and-fill method showed no publication bias.
Conclusion: Nonpharmacological interventions for women with high-risk pregnancies due to conditions such as preeclampsia, gestational diabetes, and preterm labor can improve psychological parameters such as anxiety, stress, and depression. Nurses can play a pivotal role in the nursing management of pregnant women with high-risk conditions and apply various types of nonpharmacological interventions to meet their needs in uncertain and anxious times during pregnancy.
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KEYWORD
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Anxiety, Gestational diabetes, High-risk pregnancy, Mental health, Premature obstetric labor
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