A Longitudinal Study Of Transformation In Quality Of Life And Related Factors For Pregnant Women With Nausea And Vomiting | 53979
Journal of Nursing & Care
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Nausea and vomiting (NV) are the most common symptoms of pregnancy, affecting 70% to 85% of women. These also impact
women’s and fetal health, such as low quality of life (QOL) and low body weights of the mother. In addition, QOL is one of the
most important indicators of evaluation for health care recently. There are many studies related to QOL, but few related to QOL and
pregnancy-related NV. The purpose of this study was to explore the variation on QOL and its related factors among pregnant women
with NV throughout 3 trimesters. This study was a longitudinal study design. A convenience sample of 101 pregnant women using
questionnaires was recruited from prenatal clinics in southern Taiwan. The measurement instruments of this study included the Index
of nausea, vomiting, and retching, the NVPQOL-Taiwan version, and visual analogous scales of stress and symptom disturbance.
Data were collected at 3 times: during the first (weeks 6–13), second (weeks 14–27), and third (weeks 28–40) trimesters. Data were
analyzed using SPSS packages for Windows. Generalized Linear Mixed Models indicated significant differences (p<0.001) for the
scores of the perceived level of symptom distress, stress, and NVPQOL were observed at the first, second, and third trimesters. The
score of NVPQOL obtained in first trimester was higher than those of the second and third trimesters (133.73 vs. 105.54 vs. 103.64),
indicating the worst QOL in the first trimester. The scores of the perceived level of symptom distress, stress, and NVPQOL in the first
trimester were significantly higher than those of the second and third trimesters. There was no significant difference between these
scores of the second and third trimesters. These findings can provide advanced knowledge of transformation in QOL and related
factors for pregnant women with NV to healthcare providers. It can also serve as empirical data for clinical care based on different
trimesters to have better QOL for these women.
Fan-Hao Chou, RN, PhD, Professor, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan