Author(s)

Shuqi Xie ¹, Qiumu Tang ¹, Anyun Lin ¹

Affiliation(s)

¹ Department of Obstetrics, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China

Corresponding Author

Anyun Lin

ABSTRACT

In the current context where women's health during the perinatal period is highly concerned, the details of postpartum women's physical recovery have become a research focus. This study focuses on the health behaviors related to hemorrhoids in postpartum women and delves into the underlying influencing factors and thoroughly identified the underlying influencing factors. During the research process, a comprehensive and detailed evaluation of postpartum hemorrhoid women was conducted through rigorous design and the use of various targeted questionnaires. Postpartum women with haemorrhoids were assessed using various questionnaires. Data analysis showed that health behaviour were generally low and correlated with age, haemorrhoid severity, pain, bleeding, and prolapse symptoms. Positive correlations were found between health behaviours, proactive coping strategies, and psychological. Haemorrhoid severity and proactive coping were significant predictors of health behaviours, with psychological resilience playing a mediating role. Clinical interventions that promote proactive coping and resilience are crucial for improving symptoms in postpartum women.

KEYWORDS

Postpartum period; Haemorrhoids; Health behaviour

CITE THIS PAPER

Shuqi Xie, Qiumu Tang, Anyun Lin, Health Behaviors Related to Hemorrhoids and Influencing Factors among Postpartum Women. MEDS Public Health and Preventive Medicine (2025) Vol. 5: 9-16. DOI: http://dx.doi.org/10.23977/phpm.2025.050103.

REFERENCES

[1] Cheng, Y., Wu, Y., & Wanli, L. (2022). Progress in the epidemiological investigation of anorectal diseases in China. Chinese Journal of Anorectal Disease, 42(6), 74–76.
[2] Zhu, Y., He, L., & Kang, Z. (2020). Predictive value of hormone levels for pregnancy outcomes in patients. Journal of Henan Medical College, 32(6), 618–622.
[3] Qin, T. (2007). Weighting risk factors for haemorrhoids during pregnancy and delivery. Guangxi Medical Journal, 29(2), 194–195.
[4] Poskus, T., Buzinskienė, D., Drasutiene, G., Samalavicius, N. E., Barkus, A., Barisauskiene, A., Tutkuviene, J., Sakalauskaite, I., Drasutis, J., Jasulaitis, A., & Jakaitiene, A. (2014). Haemorrhoids and anal fissures during pregnancy and after childbirth: A prospective cohort study. BJOG: An International Journal of Obstetrics and Gynaecology, 121(13), 1666–1671. https://doi.org/10.1111/1471-0528.12838
[5] Luo, H., He, X., Wang, M., Zheng, X., Peng, R., Wang, C., et al. (2023). Comparison of LigaSure hemorrhoidectomy and conservative treatment for thrombosed external haemorrhoids (TEH) in pregnancy. BMC Surgery, 23(1), 15. https://doi.org/10.1186/s12893-023-01910-1
[6] Wu, R. (2020). Can haemorrhoids persist? Health Care Digest, (31), 3.
[7] Wang, Z., & Cao, J. (2023). Comparison of the nursing effects of infrared radiation combined with magnesium sulfate in postpartum haemorrhoid patients. Guizhou Medical Journal, 47(2), 332–333.
[8] Ye, J. (2007). Qualitative study of patient experience after haemorrhoid surgery. Chinese Journal of Practical Nursing, 23(22), 32–33.
[9] Zhang, Y. (2022). Application of health plans based on intervention mapping in the health behaviours of postoperative haemorrhoids patients [Doctoral dissertation]. Zhengzhou University.
[10] Pender, N. J., Walker, S. N., Sechrist, K. R., & Frank-Stromborg, M. (1990). Predicting health-promoting lifestyles in the workplace. Nursing Research, 39(6), 326–332.
[11] Chen, Y., & Wang, S. (2018). Analysis of disease characteristics of 1330 patients with anorectal diseases. Clinical Medicine Research and Practice, 3(20), 119–120.
[12] Xie, Y. N. (1998). Preliminary study to the reliability and validity of the simple coping style scale. Chinese Journal of Clinical Psychology, 6, 114–115.
[13] Ji, L., Wang, L., Huilin, Y., et al. (2023). Relationship between adverse emotions, psychological resilience, and coping styles in pregnant women with threatened abortion after IVF-ET. Chinese Journal of Family Planning, 31(4), 842–847
[14] Liu, X., Liu, Y., & Yongjie, Z., et al. (2023). Impact of perceived stress on depression in medical staff: The mediating role of psychological resilience. Chinese Journal of Behavioural Medicine and Brain Science, 32(6), 558–563.
[15] Lv, Y., Hu, Y., & Jiang, B. (2022). Current status of anorectal diseases in pregnant women and risk factor screening. Chinese Journal of Maternal and Child Health, 37(18), 3430–3434.
[16] Shin, G. H., Toto, E. L., & Schey, R. (2015). Pregnancy and postpartum bowel changes: Constipation and fecal incontinence. The American Journal of Gastroenterology, 110(4), 521–530. https://doi.org/10.1038/ajg.2015.76
[17] Wang, Y. (2018). Three steps for preventing and treating haemorrhoids during pregnancy. Family Medicine (Lower Issue), (5), 24–25.
[18] Vazquez, J. C. (2010). Constipation, haemorrhoids, and heartburn in pregnancy. BMJ Clinical Evidence, 2010, 1411.
[19] Yuan, S., Chen, W., & Zhang, Y. (2001). Survey and follow-up services regarding maternal and infant health needs during puerperium. Chinese Journal of Maternal and Child Health, 16(2), 95–96.
[20] Åhlund, S., Rådestad, I., Zwedberg, S., Edqvist, M., & Lindgren, H. (2018). Haemorrhoids - A neglected problem faced by women after birth. Sexual & Reproductive Healthcare, 18, 30–36. https://doi.org/10.1016/j.srhc.2018.08.002
[21] Poskus, T., Sabonyte-Balsaitiene, Z., Jakubauskiene, L., Jakubauskas, M., Stundiene, I., Barkauskaite, G., Smigelskaite, M., Jasiunas, E., Ramasauskaite, D., Strupas, K., & Drasutiene, G. (2022). Preventing haemorrhoids during pregnancy: A multicenter, randomized clinical trial. BMC Pregnancy and Childbirth, 22(1), 374. https://doi.org/10.1186/s12884-022-04688-x
[22] Meng, L., et al. (2017). Six small exercises were performed to relieve haemorrhoid pain. Safety and Health, (4), 56.
[23] Chen, C., & Zhang, J. (2023). Progress in modern rapid rehabilitation treatments for postpartum haemorrhoids. Chinese Journal of Family Planning and Obstetrics and Gynaecology, 15(8), 50–52.
[24] Xu, D., Wang, J., & Wu, F. (2021). Effects of stepwise health education combined with traditional Chinese nursing on the rehabilitation effect and nursing satisfaction of haemorrhoid patients after surgery. Forum of Medicine in Primary Care, 25(24), 3494–3496.
[25] Hong, Y. S., Jung, K. U., Rampal, S., Zhao, D., Guallar, E., Ryu, S., Chang, Y., Kim, H. O., Kim, H., Chun, H. K., Sohn, C. I., Shin, H., & Cho, J. (2022). Risk factors for hemorrhoidal disease among healthy young and middle-aged Korean adults. Scientific Reports, 12(1), 129. https://doi.org/10.1038/s41598-021-03838-z
[26] Du, J. (2017). Impact of self-directed learning ability on disease cognition in patients with chronic disease. Chinese Contemporary Medicine, 24(2), 150–152.
[27] Li, Q., Man, Y., & Ning, Y. (2019). Meta-analysis of the effects of nursing interventions on preventing postoperative complications in patients. Contemporary Nurse (Late Issue), 26(5), 1–4.
[28] Jun, J., & Yang, H. (2019). Recommendations for the nutritional promotion of maternal and infant long-term health before and during pregnancy. Chinese Medical Journal, 54(11), 1173–1176. 
[29] Chen, Z., & Wang, S. (2022). Correlation analysis of coping style, self-efficacy, and health behavior in elderly stroke patients. Journal of Bengbu Medical University, 47(9), 1280–1283. https://doi.org/10.13898/j.cnki.issn. 1000-2200.2022.09.032 
[30] Richards, J. B., Hayes, M. M., & Schwartzstein, R. M. (2020). Teaching clinical reasoning and critical thinking: From cognitive theory to practical application. Chest, 158(4), 1617–1628. https://doi.org/10.1016/j.chest.2020.05.525
[31] Chinese Maternal and Child Health Association Midwives Branch, & Chinese Maternal and Child Health Association Committee for Promoting Natural Births. (2020). Clinical practice guidelines for normal delivery. Chinese Journal of Perinatal Medicine, 23(6), 371–375.

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