妊娠女性生活质量与抑郁关系研究.docxVIP

妊娠女性生活质量与抑郁关系研究 朱雯惠黄敏熊梅 湖北省荆州市中心医院妇产科 摘要： 目的:探讨妊娠期女性抑郁对牛活质量的影响。方法:木文设计为病例对照研究， 112例妊娠期抑郁女性和353例妊娠期非抑郁女性纳入本次研究。所有受试者完 成SF-36和汉密顿抑郁量表问卷调查，分别评估其生活质量和抑郁状况。T检验、 卡方检验和Pearson相关分析用于数据分析处理。结果:妊娠期抑郁与生活质量 负相关。妊娠期抑郁女性QOL8条目评分得分显著低于妊娠期非抑郁女性。抑郁 与活力、精神健康和社交功能显著负相关。结论:妊娠期女性牛活质量较低。妊 娠期合理抑郁干预能够有效提高孕妇生活质量，将抑郁筛查纳入产前常规检查 十分有必要。 关键词： 牛活质量;抑郁;妊娠; 作者简介：朱雯惠，E-mail: zhuwenhui zj@163. com 收稿日期：2017-06-23 Rela tio nship Bet ween Qual ity of Life and Depression in Pregnant Women Zhu Wen-hui Huang Min Xiong-Mei Department of Gynaecology, Jingzhou Central Hospital; Abstract： Objective To examine the relationship between quality of life and depression in pregnant women. Methods A Case-control study was performed on 112 depressed pregnant women (Case Group) and 353 Non-depressed pregnant women (Control Group) . They completed Short Form 36 Health Survey (SF-36) to assess the quality of life and the Hamilton Depression Scale to assess the level of depressive symp to ms. T~test, chi-square and Pcarson corrclation cocfficient statistical tests were used for data analysis. Results The findings showed that there was an inverse relationship bet ween qual ity of life and depression in pregnancy. Average scores in all eight domains of quality of life were significantly lower in depressed pregnant women compared to nondepressed women. The strongest relationship was observed between depression and vitality，merited health and social functioning. Conclusion Depressed pregnant women had a lower quality of life. The proper management of depression during pregnancy can improve the quality of life in women. It is recommended that antenatal services integrate screening for depression into routine antenateil care. Keyword： quality of life; depression; pregnemt womcn; Received： 2017-06-23 尽管妊娠是常见事件，但关于女性妊娠期生理及情绪变化的研究较少见。妊娠期 女性体内牛化、生理及解剖均发生显著变化，且这些变化不受个体控制，是导致 孕妇生理及心理产生不良改变的重要原因in。但是，对于大多数女性而言，妊 娠仅被认为是一种正常生理过程，无需进行生理、人际关系及家庭方面的干预。 因此，妊娠期女性更容易遭遇心理健康问题。 部分女性在妊娠期间心理压力大，足以引发心理疾病，该疾病可能是既往心理 障碍复发或恶化，也可能是新发疾病。研究显示，抑郁是妊娠女性中