期刊文章%@ 1438-8871 %I JMIR出版物%V 22 %N卡塔尔世界杯8强波胆分析 9% P e22002 %T COVID-19期间的围产期窘迫:在线育儿论坛专题分析%A奇弗斯，Bonnie R %A Garad,Rhonda M %A Boyle,Jacqueline A %A Skouteris,Helen %A Teede,Helena J %A Harrison,Cheryce L %+莫纳什健康研究和实施中心，莫纳什大学公共卫生和预防医学学院，澳大利亚克莱顿惠灵顿路，61 3 8572 2662，cheryce.harrison@monash.edu %K妊娠%K围产期%K孕产妇%K COVID-19 %K沟通%K社会支持%K定性研究%K心理健康%K健康信息%K在线支持%K专题分析%K情感分析%K词频%D 2020 %7 7.9.2020 %9原创论文%J J医学互联网Res %G英语%X背景:2019冠状病毒病全球大流行已经影响到整个社会，需要迅速实施个人、人口和系统层面的公共卫生应对措施，以遏制和减少感染的传播。围产期(怀孕、分娩和产后)妇女在与自己、子女和其他家庭成员隔离和保持身体距离期间，对健康、安全和规避风险的指示有独特和及时的需求。此外，他们是心理困扰风险增加的弱势群体，在缺乏社会支持和高风险外部环境的情况下，这种心理困扰可能会加剧。目的:本研究旨在研究围产期队列的公共话语，以了解未满足的卫生信息和支持需求，以及在COVID-19背景下对母亲身份和社会动态的影响。方法:利用澳大利亚一个领先的产前产后妇女在线支持论坛，询问2020年1月27日至5月12日期间与2019冠状病毒病(COVID-19)有关的所有帖子。关键搜索词包括“COVID”、“corona”和“pandemic”。进行了三阶段分析，包括主题分析、情感分析和词频计算。 Results: The search yielded 960 posts, of which 831 were included in our analysis. The qualitative thematic analysis demonstrated reasonable understanding, interpretation, and application of relevant restrictions in place, with five emerging themes identified. These were (1) heightened distress related to a high-risk external environment; (2) despair and anticipatory grief due to deprivation of social and family support, and bonding rituals; (3) altered family and support relationships; (4) guilt-tampered happiness; and (5) family future postponed. Sentiment analysis revealed that the content was predominantly negative (very negative: n=537 and moderately negative: n=443 compared to very positive: n=236 and moderately positive: n=340). Negative words were frequently used in the 831 posts with associated derivatives including “worried” (n=165, 19.9%), “risk” (n=143, 17.2%), “anxiety” (n=98, 11.8%), “concerns” (n=74, 8.8%), and “stress” (n=69, 8.3%). Conclusions: Women in the perinatal period are uniquely impacted by the current pandemic. General information on COVID-19 safe behaviors did not meet the particular needs of this cohort. The lack of nuanced and timely information may exacerbate the risk of psychological and psychosocial distress in this vulnerable, high-risk group. State and federal public health departments need to provide a central repository of information that is targeted, consistent, accessible, timely, and reassuring. Compensatory social and emotional support should be considered, using alternative measures to mitigate the risk of mental health disorders in this cohort. %M 32857707 %R 10.2196/22002 %U //www.mybigtv.com/2020/9/e22002/ %U https://doi.org/10.2196/22002 %U http://www.ncbi.nlm.nih.gov/pubmed/32857707