Uncertainty and coping with Stress in Pregnant Women while waiting for the Diagnostic Results of Amniocentesis

Main Article Content

สุกัญญา ม่วงเลี้ยง
ฉวี เบาทรวง
นันทพร แสนศิริพันธ์

Abstract

          The purpose of this descriptive correlational study was to explore the relationship between uncertainty and coping with stress in pregnant women while waiting for the diagnostic results of amniocentesis.  Eighty-five pregnant women are recruited according to undergoing amniocentesis, and waiting at the prenatal diagnosis unit, Maharaj Nakorn Chiang Mai. Data were collected using the Uncertainty in Situation Questionnaire and the Prenatal Coping Inventory. Cronbach’s alpha coefficient calculated for reliability was .82 and .91 respectively. Data were analyzed using descriptive statistics and Pearson’s product moment correlation coefficient.


Results found that:


1 The situation of uncertainty of pregnant women was 78.26 (SD = 8.68), which was found at a moderate level. The average score for prenatal perceived coping with stress was 68.52 (SD = 7.58), which was at a moderate level.


2 The situation of uncertainty of pregnant women had significantly positive correlated with the prenatal women related to coping with stress (r = .42, p < .01).  2.1  The situation of uncertainty had a significant positive correlation with planning-preparation related to coping with stress (r = .25, p < .05).  2.2  The situation of uncertainty had a significant positive correlation with an avoidance strategy related to coping with stress (r = .35, p < .01).  2.3  The situation of uncertainty was not significantly correlated with positive appraisal coping.  2.4  The situation of uncertainty had a significant positive correlation with prayer coping (r = .29, p< .01).

Article Details

Section
บทความวิจัย (Research articles)

References

1 Borcherding, K. E. (2009). Coping in healthy primigravida pregnant women. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 38, 453-462. doi:10.1111/j.1552-6909.2009.01041.x

2 Dimri, N., & Baijal, A. (2016). Amniocentesis. Journal Fetal Medicine, 3, 131-135. doi:10.1007/s40556-016-0084-0

3 E-Kasingh, B. (1998). Uncertainty in illness and coping strategies in pregnant women with hypertensive disorder and diabetes mellitus. (master’s thesis). Graduate School, Mahidol University, Bangkok. (in Thai)

4 Folkman, S. (1997). Positive psychological states and coping with severe stress. Social Science & Medicine, 45(8), 1207-1221. doi:10.1016/s0277-9536(97)00040-3

5 Giurgescu, C., Penckofer, S., Maurer, M. C., & Bryant, F. B. (2006). Impact of uncertainty, social support, and prenatal coping on the psychological well-being of high-risk pregnant women. Nursing Research, 55(5), 356–365. doi:10.1097/00006199-200609000-00008

6 Hamilton, J. G., & Lobel, M. (2008). Types, patterns, and predictors of coping with stress during pregnancy: Examination of the revised prenatal coping inventory in a diverse sample. Journal of Psychosomatic Obstetrics and Gynecology, 29(2), 97-104. doi:10.1080/016748820701690624

7 Kowalcek, I. (2007). Stress and anxiety associated with prenatal diagnosis. Best Practice & Research Clinical Obstetrics and Gynecology, 21(2), 221-228. doi:10.1016/j.bpobgyn.2006.11.009

8 Lalor, J. G., Begley, C. M., & Galavan, E. (2008). A grounded theory study of information preference and coping styles following antenatal diagnosis of fetal abnormality. Journal of Advanced Nursing, 64(2), 185-194. doi:10.1111/j.1365-2648.2008.04778

9 Lazarus, R. S., & Folkman, S. (1984). Stress coping and appraisal. New York: Springer.

10 Mishel, M. H. (1981). The measurement of uncertainty in illness. Nursing Research, 30(5), 258-263.

11 Mishel, M. H. (1988). Uncertainty in illness. The Journal of Nursing Scholarship, 20(4), 225-232. doi:10.1111/j.1547-5069.1988.tb00082.

12 Mishel, M. H. (1990). Reconceptualization of the uncertainty in illness theory. The Journal of Nursing Scholarship, 22(4), 256-262. doi:10.1111/j.1547-5069.1990.tb00225

13 Nielsen, M. B., & Knardahl, S. (2014). Coping strategies: A prospective study of patterns, stability, and relationships with psychological distress. Scandinavian Journal of Psychology, 55,
142–150. doi:10.1111/sjop.12103

14 Parker, J. D. A., & Endler, N. S. (1992). Coping with coping assessment: A critical review. European Journal of Personality, 6, 321-344. doi:10.1002/per.2410060502

15 Penley, J. A., Tomaka, J., & Wiebe, J. S. (2002). The association of coping to physical and psychological health outcome: A meta-analytic review. Journal of Behavioral Medicine, 25, 551-603. Retrieved from https://link.springer.com/content/pdf/10.1023%2FA%3A1020641400589.pdf

16 Phipps, S., & Zinn, A. B. (1986a). Psychological response to amniocentesis I: Mood state and adaptation to pregnancy. American Journal of Medical Genetics, 25, 131-142. doi:10.1002/ajmg.1320250115

17 Phipps, S., & Zinn, A. B. (1986b). Psychological response to amniocentesis II: Effects of coping style. American Journal of Medical Genetics, 25, 143-148. doi:10.1002/ajmg.1320250116

18 Pochanart, A., Wonghongkul, T., & Sukonthasarn, A. (2013). Effect of supportive-educative nursing system on uncertainty in illness among newly diagnosed breast cancer patients. Nursing Journal, 40(3), 75-84. (in Thai)

19 Sjogren, B., & Uddenberg, N. (1989). Prenatal diagnosis and psychological distress: Amniocentesis or chorionic villus biopsy?. Prenatal Diagnosis, 9(7), 477-487. doi:10.1002/pd.1970090705

20 Sun, J. J., Lee, T. Y., & Liu, S. J. (1997) The meaning of undergoing amniocentesis for women of advanced maternal age. Nursing Study, 5, 171-180.

21 Sun, J. C., Hsia, P. H., & Sheu, S. J. (2008). Women of advanced maternal age undergoing amniocentesis: A period of uncertainty. Journal of Clinical Nursing, 17, 2829-2837. doi:10.1111/j.1365-2702.2007.02263

22 The annual report of maternal fetal medicine unit. (2017). Annual report 2017. Faculty of Medicine, Chiang Mai University: Department of Obstetrics and Gynecology. (in Thai)

23 Wilson, R. D., Gagnon, A., Audibert, F., Campagnolo, C., & Carroll, J. (2015). Prenatal diagnosis procedures and techniques to obtain a diagnostic fetal specimen or tissue: Maternal and fetal risks and benefits. Journal of Obstetrics and Gynecology Canada, 37(7), 656–668. doi:10.1016/S1701-2163(15)30205-X.

24 Yali, A. M., & Lobel, M. (1999). Coping and distress in pregnancy: An investigation of medically high-risk women. Journal of Psychosomatics and Gynecology, 20(1), 39-52. doi:10.3109/01674829909075575