Keywords
nursing
medical support
stress disorders
neurotic disorders
pregnancy
How to Cite
Abstract
In press
Background. The prolonged state of martial law in the country leads to an increase in anxiety-phobic disorders among the population. The highest percentage of this neurotic disorder is observed in children, pregnant women, and women in the postpartum period. Conditions of uncertainty, constant threat, and psychological burden have a negative impact on the psycho-emotional sphere of women in the perinatal period, which creates an additional need for maternity hospital nurses to provide comprehensive support to expectant mothers.
Aim. Analysis of the peculiarities of psychosocial interaction of midwives with women with anxiety-phobic disorders in the perinatal period during wartime and identification of current strategies for patient-healthcare professional interaction.
Materials and Methods. The study was conducted using systemic analysis, bibliosemantic and sociological methods. Scientific sources from PubMed, Medline, Scopus, Google Scholar, and Web of Science were reviewed. A survey of 20 women in the perinatal period residing in the Kharkiv region was conducted using the State-Trait Anxiety Inventory (STAI) via the Google-Forms platform. The study was conducted as a private initiative of the authors and did not receive grant funding.
Research Ethics. The study was conducted in compliance with the ethical standards of the Declaration of Helsinki of the World Medical Association (1964–2024), the international guidelines of CIOMS (Council for International Organizations of Medical Sciences) and ICH (International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use), as well as Article 28 of the Constitution of Ukraine, Article 43 of the Law of Ukraine "Fundamentals of the Legislation of Ukraine on Health Care" (1992), and the Order of the Ministry of Health of Ukraine No.690 of September 23, 2009. The study participants provided informed consent to participate in the research.
Results. The survey using the State-Trait Anxiety Inventory (STAI) revealed a high level of anxiety in 15 (75 %) women, a moderate level in 4 (20 %), and a low level in 1 (5 %). Nine women had a diagnosed anxiety-phobic disorder, and 4 exhibited obvious symptoms of the disorder, indicating a high prevalence of this condition. We have systematized a strategy for psychosocial support and nursing care for such patients.
Conclusions. Nursing care for women in the perinatal period requires comprehensive provision of psycho-emotional support, as a significant proportion of patients have an increased level of anxiety, which is a clinically significant risk factor for the development of anxiety-phobic disorders.
Keywords: obstetrics, nursing, medical support, stress disorders, neurotic disorders, pregnancy.
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