以质量求发展，以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (3): 51-56.doi: 10.16460/j.issn1008-9969.2024.03.051

Previous Articles     Next Articles

Symptom clusters among women during late pregnancy: a scoping review

LI Weia, WANG Xianga, PEI Lib, GAO Qing-qingb, HUANG Hai-chaob   

  1. a. Graduate School; b. School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
  • Received:2023-08-29 Online:2024-02-10 Published:2024-03-07

PDF (PC)

110

Like

Abstract: Objective To identify the characteristics and research status of symptom clusters experienced by pregnant women during late pregnancy, and to provide reference for improving management of symptom clusters for pregnant woman. Methods Literature on symptom clusters of pregnant women during late pregnancy in PubMed, Embase, CINAHL, PsycINFO, Scopus, CNKI, CBM, Weipu, and Wanfang databases was retrieved. The retrieval period ranged from the inception to March 21, 2023. Results A total of 17 articles were collected. The identification elements of symptom clusters included symptom assessment and analysis methods. The symptom clusters experienced by pregnant women during late pregnancy can be divided into three categories, with anxiety symptom clusters and depression symptom clusters being the most common ones. Conclusion Pregnant women during late pregnancy experienced multiple symptom clusters. Future research should further examine the internal consistency of symptom clusters, develop unified system evaluation tools and new analysis methods for symptom specificity during late pregnancy, optimize the identification of symptom clusters, and explore the construction of standardized symptom clusters management plans.

Key words: late pregnancy, pregnant woman, symptom cluster, nursing care, scoping review

CLC Number: 

  • R473.71
[1] 谢幸,孔北华,段涛.妇产科学[M].9版.北京:人民卫生出版社,2022:43.
[2] Cheng CY, Chou YH, Chang CH, et al.Trends of perinatal stress, anxiety, and depression and their prediction on postpartum depression[J].Int J Environ Res Public Health, 2021, 18(17): 9307.DOI:10.3390/ijerph18179307.
[3] Schetter CD, Tanner L.Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice[J]. Curr Opin Psychiatry, 2012,25(2):141-148.DOI:10.1097/YCO.0b013e3283503680.
[4] 王瑞莹,邢伟,法宪恩,等.孕妇妊娠晚期疲乏特征的潜在类别分析[J].护理学报,2022,29(21):11-16.DOI:10.16460/j.issn1008-9969.2022.21.011.
[5] Miaskowski C, Barsevick A, Berger A, et al. Advancing symptom science through symptom cluster research: expert panel proceedings and recommendations[J]. J Natl Cancer Inst, 2017, 109(4): djw253.DOI:10.1093/jnci/djw253.
[6] Luca DL, Margiotta C, Staatz C, et al.Financial toll of untreated perinatal mood and anxiety disorders among 2017 births in the United States[J]. Am J Public Health, 2020, 110(6): 888-896. DOI:10.2105/AJPH.2020.305619.
[7] Kim HJ, McGuire DB, Tulman L, et al. Symptom clusters: concept analysis and clinical implications for cancer nursing[J]. Cancer Nurs, 2005,28(4):270-282.DOI:10.1097/00002820-200507000-00005.
[8] Dodd MJ, Miaskowski C, Paul SM.Symptom clusters and their effect on the functional status of patients with cancer[C]Oncol Nurs Forum,2001, 28(3):465-470.DOI:10.1097/00002820-200507000-00005.
[9] 吴傅蕾,袁长蓉,杨瑒.乳腺癌患者化疗期症状群困扰风险预测模型的构建与评价[J].中华护理杂志,2023,58(6):676-682.DOI:10.3761/j.issn.0254-1769.2023.06.005.
[10] 李京京,何红叶,刘杉杉.癌症患者症状群管理效果的Meta分析[J].护理学杂志,2020,35(13):90-94.DOI:10.3870/j.issn.1001-4152.2020.13.090.
[11] 郭敏,殷秀敏,王翠等.食管癌患者术后3个月症状群的调查[J].中华护理杂志,2019,54(8):1189-1193.DOI:10.3761/j.issn.0254-1769.2019.08.014.
[12] 赵亚楠,路娜,马喜梅.妇科恶性肿瘤患者化疗期间症状群的范围综述[J].中华护理杂志,2022,57(18):2283-2288.DOI:10.3761/j.issn.0254-1769.2022.18.017.
[13] Lockwood C, Dos Santos KB, Pap R.Practical guidance for knowledge synthesis: scoping review methods[J]. Asian Nurs Res (Korean Soc Nurs Sci), 2019, 13(5):287-294.DOI:10.1016/j.anr.2019.11.002.
[14] Kubota C, Inada T, Nakamura Y, et al.Stable factor structure of the Edinburgh Postnatal Depression Scale during the whole peripartum period: Results from a Japanese prospective cohort study[J]. Sci Rep, 2018, 8(1):17659.DOI:10.1038/s41598-018-36101-z.
[15] Bos SC, Pereira AT, Marques M, et al.The BDI-II factor structure in pregnancy and postpartum: two or three factors?[J]. Eur Psychiatry, 2009, 24(5):334-340.DOI:10.1016/j.eurpsy.2008.10.003.
[16] Doster A, Wallwiener S, Müller M, et al.Reliability and validity of the German version of the Maternal-Fetal Attachment Scale[J]. Arch Gynecol Obstet, 2018, 297(5): 1157-1167.DOI:10.1007/s00404-018-4676-x.
[17] Affonso DD, Mayberry LJ, Lovett S, et al.Pregnancy and postpartum depressive symptoms[J]. J Womens Health, 1993, 2(2):157-164.DOI:10.1089/jwh.1993.2.157.
[18] Erickson NL, Neumann AA, Hancock GR, et al.Baby preparation and worry scale (Baby-PAWS): instrument development and psychometric evaluation[J].Early Hum Dev, 2020(147):105080.DOI:10.1016/j.earlhumdev.2020.105080.
[19] Kleiverda G, Steen AM, Andersen I, et al.Physical and psychological well-being in working nulliparous women during pregnancy[J]. J Psychosom Obstet Gynaecol, 1990, 11(3):165-184.DOI:10.3109/01674829009084413.
[20] Lee H, Kim KE, Kim MY, et al.Comparison of factor structures of the Pittsburgh sleep quality index between mid-and late pregnancy among Korean women: a cross-sectional study[J]. BMC Pregnancy Childbirth, 2022, 22(1): 694.DOI:10.1186/s12884-022-05024-z.
[21] Miller ML, O’Hara MW. The structure of mood and anxiety disorder symptoms in the perinatal period[J]. J Affect Disord, 2023(325):231-239. DOI:10.1016/j.jad.2022.12.111.
[22] Zhang Y, Xu X, Xie Z, et al.Identifying symptom clusters among pregnant women during early and late pregnancy[J].Int J Gynaecol Obstet,2023, 162(2):656-663. DOI:10.1002/ijgo.14712.
[23] Green JM, Kafetsios K, Statham HE, et al.Factor structure, validity and reliability of the Cambridge Worry Scale in a pregnant population[J]. J Health Psychol, 2003, 8(6):753-764.DOI:10.1177/13591053030086008.
[24] 刘小玮,林祎楠,贾泽弦璠.妊娠晚期孕妇症状群发生现状及相关因素分析[J].华南预防医学,2021,47(8):989-993.DOI:10.12183/j.scjpm.2021.0989.
[25] 苏比努尔·艾力,郑婕,向佳明.妊娠晚期孕妇症状群及其影响因素研究[J].护理学杂志,2021,36(7):26-30.DOI:10.3870/j.issn.1001-4152.2021.07.026.
[26] 徐晓芳. 不同妊娠阶段孕妇症状群及相关因素[D].济南:山东大学,2020.DOI:10.27272/d.cnki.gshdu.2020.004735.
[27] Jomeen J, Martin CR.Replicability and stability of the multidimensional model of the Edinburgh Postnatal Depression Scale in late pregnancy[J]. J Psychiatr Ment Health Nurs, 2007,14(3):319-324.DOI:10.1111/j.1365-2850.2007.01084.x.
[28] Coates R, Ayers S, de Visser R. Factor structure of the Edinburgh Postnatal Depression Scale in a population-based sample[J]. Psychol Assess, 2017, 29(8):1016-1027.DOI:10.1037/pas0000397.
[29] Huizink AC, Mulder EJ, Robles de Medina PG, et al. Is pregnancy anxiety a distinctive syndrome?[J]. Early Hum Dev, 2004, 79(2):81-91. DOI:10.1016/j.earlhumdev.2004.04.014.
[30] Garthus-Niegel S, Størksen HT, Torgersen L, et al.The Wijma delivery expectancy/experience questionnaire-a factor analytic study[J]. J Psychosom Obstet Gynaecol, 2011, 32(3):160-163.DOI:10.3109/0167482X.2011.573110.
[31] 刘维琴,蔡传兰,崔时敏.妊娠期抑郁症状与睡眠质量的关联研究[J].中国妇幼保健,2015,30(23):4002-4004.DOI:10.7620/zgfybj.j.issn.1001-4411.2015.23.29.
[32] 高玲玲,杨静萍,史航.社会支持与孕妇身心健康关系的研究现状[J].解放军护理杂志,2019,36(10):60-62.DOI:10.3969/j.issn.1008-9993.2019.10.015.
[33] Ma X, Wang Y, Hu H, et al.The impact of resilience on prenatal anxiety and depression among pregnant women in Shanghai[J]. J Affect Disord, 2019(250):57-64.DOI:10.1016/j.jad.2019.02.058.
[34] 蒋婷婷,陈艳艳,潘琼琼.妊娠晚期孕妇症状群特征及影响因素研究[J].中国医院统计, 2022, 29(2):87-92.DOI:10.3969/j.issn.1006-5253.2022.02.002.
[35] Hartley E, Hill B, Bailey C, et al.The associations of weight status and body attitudes with depressive and anxiety symptoms across the first year postpartum[J]. Womens Health Issues, 2018, 28(6):530-538.DOI:10.1016/j.whi.2018.07.002.
[36] 刘兰娟,刘晓棠,刘成等.孕妇妊娠期运动的安全性有效性研究进展[J].护理学报,2023,30(6):31-35.DOI:10.16460/j.issn1008-9969.2023.06.031.
[37] 王喜益, 叶志弘, 汤磊雯. 范围综述在护理领域的应用进展[J]. 中华护理杂志, 2019, 54(8):1259-1263.DOI:10.3761/j.issn.0254-1769.2019.08.030.
[1] SHI Ting-ting, LI Ting, HUANG You-peng, ZHAO Yuan, ZHU Xiao-li, ZHOU Meng-juan, CHEN Yun-mei. Risk prediction model of oteoporosis in patients with type 2 diabetes: a scoping review [J]. Journal of Nursing, 2024, 31(1): 52-57.
[2] LUO Jia-hui, LUO Yuan-yuan, FANG Qing-hong, YE Yan-xin, LIU Su-ting, YANG Zhi-hui, MIAO Jing-xia, ZHANG Li-li. Status quo and influencing factors of cognitive function in lung cancer patients [J]. Journal of Nursing, 2023, 30(18): 1-5.
[3] TENG Li, XU Miao-miao, XIAO Yue-ping, HU Huan, ZHANG Xing, LUO Tian, ZOU Gui-zhen, WANG Yun, FU A-dan. Establishment and practice of nurse specialist-led comprehensive nursing clinic [J]. Journal of Nursing, 2023, 30(16): 37-40.
[4] WANG Yi, GE Jing-ling, WANG Juan. Application of question prompt list in oncology doctor-patient communication: a scoping review [J]. Journal of Nursing, 2023, 30(16): 57-62.
[5] YE Qin, ZHOU Li-xia, LIU Ning. Clinical application of master protocol design in precision medicine: a scoping review [J]. Journal of Nursing, 2023, 30(13): 42-46.
[6] ZOU Zi-yu, TANG Hong-mei, WU Li, CHEN Rong-feng, MEI Hua. Scoping Review of Readability Assessment of Breast Cancer-related Health Education Materials [J]. Journal of Nursing, 2022, 29(9): 42-46.
[7] LUO Yu-qin, LI Meng-xuan, CHENG Qiu, WANG Ting, ZHENG Jing-yu, FANG Jin-bo, GONG Yu-ping. Case-control Study on Risk Factors of Perianal Infection in Patients with Hematological Malignancy undergoing Chemotherapy [J]. Journal of Nursing, 2022, 29(7): 7-11.
[8] ZHU Zhan-hui, LIN Zheng, ZHOU Mei-jing, WANG Mi, SUN Cai-yun, GU Jun-yi. Scoping Review of Patient Decision Aids in Patients with Inflammatory Bowel Disease [J]. Journal of Nursing, 2022, 29(7): 44-49.
[9] WANG Rui-ying, XING Wei, FA Xian-en, CHEN Jun-zhuo. Latent Class Analysis of Fatigue of Pregnant Women in Late Pregnancy [J]. Journal of Nursing, 2022, 29(21): 11-16.
[10] ZHANG Cheng-guo, SUN Xiao-ling, LU Shan, HUANG Ping, FU Yi-chao. Scoping Review of Measurement Tools for Patients with Intensive Care Experience [J]. Journal of Nursing, 2022, 29(18): 53-58.
[11] SHEN Xin-yi, LI Rong-rong, CHAN Yu-ying, ZHANG Guan-xun, YANG Qi, ZHANG Lin. Symptom Clusters and Sentinel Symptoms of Children with Acute Lymphoblastic Leukemia during Maintenance Chemotherapy [J]. Journal of Nursing, 2022, 29(15): 59-64.
[12] YANG Bo, LI Li-ming, HUANG Zhi-hong, WU Yue-hong, FENG Zhen-zhen. Construction of Cluster Nursing Program for Prevention of Gastric Retention in ICU patients [J]. Journal of Nursing, 2022, 29(12): 1-5.
[13] ZHI Meng-jia, JI Jia-lin, HU Lin-lin. Willingness of Elderly People for Community-home Medical Care Combined with Pension Services and Its Influence Factors: A 1,389-case Study [J]. Journal of Nursing, 2021, 28(4): 50-56.
[14] MA Jing-shuang, WANG Ai-ping. Symptom Cluster and Sentinel Symptoms in Lung Cancer Patients with Postoperative Chemotherapy [J]. Journal of Nursing, 2021, 28(12): 33-37.
[15] MA Li-li, PENG You-qing, YU Hai-ping, ZHANG Ya-juan. Construction of Admission Indicator System for Transcultural Nursing Training Base [J]. Journal of Nursing, 2020, 27(2): 6-10.
Viewed
Full text


Abstract

Cited
  Shared   
[1] PAN Ting, CHEN Yan, KONG Fang, ZHANG Ai-ling, CHEN Dan-lei, DING Cheng-liang. Actor-partner effects of subjective well-being and marital adjustment of Crohn's disease patients and Their Spouses[J]. Journal of Nursing, 2024, 31(2): 1 -5 .
[2] ZHANG Guo-chun, LI Hai-yun, CHU Liang-liang, CHENG Xue, WANG Jun-zhi. Development of Knowledge, Belief and Practice Scale for perinatal palliative care of obstetric nurses and its reliability and validity[J]. Journal of Nursing, 2024, 31(2): 6 -11 .
[3] . [J]. Journal of Nursing, 2024, 31(2): 12 -15 .
[4] . [J]. Journal of Nursing, 2024, 31(3): 1 -5 .
[5] . [J]. Journal of Nursing, 2024, 31(3): 6 -11 .
[6] ZHANG Xu-ting, LUO Cai-feng, WEI Lan-zhi, SHAO Xiao, SHANG Bin, BIAN Ze-kun, LV Fei, SUN Wei-yi. Latent profile analysis of decent work among nursing interns and its influencing factors[J]. Journal of Nursing, 2024, 31(3): 12 -16 .
[7] SONG Cai-ni, ZHENG Yao, SONG Ying, Liu Li-hua. Translation of Information Concealment Scale for cancer caregiver and its reliability and validity in caregiver of lung cancer patients[J]. Journal of Nursing, 2024, 31(3): 17 -20 .
[8] ZENG Hui, YANG Na-na, LI Chang-xiu, SUN Ling-xia, WU Min, ZHAO Ya, LUO Sha, LIU Kai-xin, ZHOU Jing. Application of scenario simulation teaching combined with reflection prompting card under 3C guidance feedback in‘introduction of nursing’[J]. Journal of Nursing, 2024, 31(3): 21 -24 .
[9] SHANG Li, HUANG Fei, CHENG Li, ZHANG Tao-tao, WANG Hong-mei. Learning experience in adapting comics into sitcoms of nursing undergraduates：a qualitative study[J]. Journal of Nursing, 2024, 31(3): 25 -29 .
[10] WEI Yong-ting, XI Zu-yang, TIAN Shu-mei, XIE Dan, ZHENG Yi-ning. Performance appraisal indicators of operating room nurses in cancer hospitals based on personal performance four-dimensional model: a focus group interview research[J]. Journal of Nursing, 2024, 31(3): 30 -35 .