孕妇临产前焦虑抑郁及其的影响因素分析.docVIP

孕妇临产前焦虑抑郁及其的影响因素分析 　　【摘要】 目的 探讨孕妇产前心理状况及影响因素,为产前心理健康教育和心理咨 询提供依据。方法 采用焦虑自评量表(SAS) 和抑郁自评量表(SDS) 作为测 评工具,对736名临产前孕妇进行焦虑、抑郁情绪测定,并分析年龄、文化程度、职业和经济 收入等因素对孕妇焦虑、抑郁状况的影响。结果 孕妇临产前，焦虑发生率 为26.90%，抑郁发生率18.75%，与年龄、文化程度及职业有关(P0.05)。 结论 年龄、文化程度和职业对孕妇产前焦虑、抑郁状况有 影响，应有针对性地对孕妇开展产前心理卫生健康教育和心理咨询工作。 　　【关键词】 孕妇；焦虑；抑郁 　　 　　The Prelabor Status of Anxiety and Depression in Pregnant Women and Their Influe ncing Factors. Jing Ruiping, Liu Jinhuan, Zhang Jing. Obstetrical Depart ment, The Second Peoples Hospital of Liaocheng, Linqing 252600, P.R.China 　　【Abstract】 Objective To investigate prelabor psychological status an d the in fluencing factors in pregnant women to provide information for psychological hea lth education and consultation. Methods Three hundred and sixty- eight healthy nul liparas were enrolled in our study and were evaluated with Selfrating Anxiety Sc ale (SAS) and Selfrating Depression Scale (SDS) for psychological status. We ana lyzed the influencing factors on the status of anxiety and depression in pregnan t woman as age, education degree, occupation and economic status. Result s The inc idence of anxiety and depression was 26.90%. 18.75% spectively. Age, educationdegree and occupation were significantly associated with anxiety and depression(P0.05). Conclusion Anxiety and depres sion occur in some part o f prelabor women; Age, education degree and occupation play a main rolein developing psychological problems. Psychological health education and consul tation is beneficial to reduce the occurrence of anxiety and depression in prela bor pregnant women. 　　【Key words】 Pregnant woman; Anxiety; Depression 　　 　　妊娠虽然是一种自然的生理学现象，但整个过程可能会引起一些妊娠妇女生理及心理的 异常变化，因此，要求我们在妊娠过程中不但要重视生理因素对孕产妇的影响，更应关注社 会心 理因素对妊娠和分娩过程的影响。为了解孕妇临产前的焦虑抑郁状况及其影响因素，有的放 矢地开展孕妇产前心理卫生保健工作，本文对736例待产孕妇进行了测评。 　　 　　1 对象与方法 　　 　　1.1 对象 选择2007年1月~2007年6月在我院住院待产，无精神疾病和严重躯体疾病 ，无明显合并症的736例初产孕妇作为调查对象。年龄20～43岁，平均25.6±3.1岁；硕士及 以上64例，大专与本科268例，高中与中专254例，小学108例，文盲42例；干部284例，工人 136例，职员82例，农民58例，个体104例，无业者72例。 　　1.2 工具