The relationship between anxiety and depression levels and level of uncertainty in hospitalized risky pregnant women

The Relationship Between Anxiety and Depression Levels and Level Of Uncertainty In Hospitalized Risky Pregnant Women INTRODUCTION AND PURPOSE: The aim of this study is to determine the relationship between hospital anxiety and depression levels and perceived uncertainty levels among pregnant women receiving inpatient treatment due to high-risk pregnancy. MATERIALS AND METHODS: This descriptive study was conducted with 325 women diagnosed with high-risk pregnancy admitted to the perinatology service of a public hospital between February 1 and April 15, 2023. "Personal Information Form," "Hospital Anxiety and Depression Scale (HADS)," and "Mishel's Uncertainty in Illness Scale - Community Form (MUIS-C)" were used to collect the data. Descriptive statistical methods was used to examine the relationships between parameters. The significance level was considered as p<0.05. RESULTS: It was determined that 72% (n=234) of the participating pregnant women were in the third trimester, and 61.2% (n=202) had planned pregnancies. When the diagnoses of participants with high-risk pregnancies were examined, it was found that 22.2% (n=72) had hypertensive problems, 9.5% (n=31) had GDM, 24% (n=78) had EDT/threatened abortion, 8.9% (n=29) had IUGR, 5.5% (n=18) had amniotic fluid anomalies, 16.6% (n=54) had abnormal NST Findings, 5.5% (n=18) had other health problems, 2.8% (n=9) had infections, and 4.9% (n=16) had placental anomalies. It was determined that the majority of the participating pregnant women, 42.2% (n=137), had been in the hospital for 2 days. The mean MUIS-C score of high-risk pregnant women was 49.36 ± 13.163; the mean HADS score was 14.54 ± 7.269; the mean Anxiety subscale score of HADS was 7.91 ± 4.051, and the mean Depression subscale score of HADS was 6.64 ± 4.077. A significant positive relationship was found between MUIS-C score and HADS score. CONCLUSION: A significant positive relationship was found between MUIS-C score and HADS score. It was also found that there was a significant difference between groups in terms of MUIS-C and HADS scores based on some sociodemographic and obstetric characteristics of high-risk pregnant women. Keywords: Nursing, Uncertainty, High-Risk Pregnancy, Nursing, Anxiety, Depression