孕妇临产前焦虑、抑郁及其影响因素分析

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(P<0.05)。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。     

孕妇早期心理健康状况及心理保健需求调查

目的 了解孕妇早期心理健康状况及心理保健需求.方法 采用症状自评量表(SCL- 90)和自编一般情况问卷调查120名孕早期妇女的心理及其他状况.结果 ①7.5％的孕妇可疑心理异常,15.83％具有轻度症状,4.17％有中等程度及以上症状;②最常见的症状为饮食睡眠、躯体化及强迫;③抑郁、敌对、偏执和孕妇年龄呈负相关,具有...     

孕妇沙眼衣原体及解脲支原体感染的相关因素研究

目的前瞻性研究孕妇沙眼衣原体(CT)和解脲支原体(UU)的感染情况,探讨与UU、CT感染相关的危险因素。方法选取门诊行产前检查及住院待产的正常孕妇132例,采用ELISA方法检测母体血清中的抗UUIgG和抗CTIgG抗体。结果(1)孕妇抗UU IgG抗体检出率为17.42%,抗CT IgG抗体检出率为38.63%;不同孕周、不同年龄组、不同文化程度和不同职业的孕妇其血清中UU IgG、CTIgG的阳性检出率无显著性差异;(2)随着孕次的增加,UU IgG的阳性检出率显著增加;(3)自然流产次数与UU IgG的阳性检出率呈正相关;(4)曾患宫颈炎、阴道炎的孕妇CT IgG的阳性检出率明显增加。结论(1)孕妇年龄、不同孕周、不同文化程度与职业不应视为UU、CT感染的危险因素。(2)UU的感染与孕次呈正相关。(3)UU是引起自然流产、CT是引起先兆流产的危险因素。(4)宫颈炎、阴道炎是导致CT感染的一个危险因素。     

产妇的心理状态与护理

目的：孕妇在产前多会出现各种心理变化,进而影响到宫缩痛,也可能加重各种并发症的发生,直接影响到产妇的顺利分娩。本文通过多年来的临床经验及自己的切身分娩经历,对孕妇产前可能出现的心理问题进行了剖析,并提出了孕妇的护理措施,以保证孕妇顺利分娩、母婴平安。方法从自2011年以来分娩的1566例中随机抽取543例进行问卷调查。结果217例呈现出不同程度的紧张,恐惧,209例表现为极度烦躁,焦虑不安,97例表现为对分娩的痛苦难以承受,20例表示出对临产知识的渴望。结论不同的产妇对手术的心理反应均有不同之处。因此,护理时应根据各年龄段产妇的心理反应程度、种类,采用不同的心理护理措施,使其顺利度过分娩关。     

工伤康复患者心理状态临床观察与分析

目的:探讨工伤康复患者心理状况。方法:100例康复期工伤患者进行问卷调查,使用症状自评量表(SCL-90)评估其心理状态。结果:86名患者存在不同程度的心理障碍,工伤病人心理障碍存在的严重程度与文化、年龄、性别、受伤程度、家庭环境等有一定关系。结论:工伤康复患者存在不同程度的心理问题,需要加强心理干预,提高康复疗效。     

产前筛查高风险孕妇焦虑心理的相关因素分析

目的对产前筛查高风险孕妇产生焦虑心理的相关因素进行分析,以便采取相应的干预措施。方法以基本情况调查表、焦虑自评量表(SAS)、简易应对方式问卷和社会支持评定量表为工具,对2006年1-6月本院产前筛查出的高风险孕妇进行调查,统计方法包括方差分析、χ2检验。结果285例高风险孕妇出现焦虑心理的有260例,发生率91%。高风险孕妇焦虑心理的严重程度与年龄、不良孕产史、妊娠后患病用药史、对产前筛查知识的了解有关。不同焦虑程度的孕妇在应对方式、社会支持方面存在着显著差异。结论产前筛查高风险孕妇焦虑程度受一定因素影响,我们必须采取有效的干预措施,以确保孕妇的心身健康。     

社会心理因素对孕妇选择剖宫产的影响

目的 分析影响孕妇选择剖宫产术的社会心理因素,探讨降低剖宫产率措施.方法 调查无医学剖宫产指征直接选择剖宫产的190例孕妇.结果 孕妇夫妻年龄差、文化程度、产前体重、胎儿体重、对不同分娩方式的认知和态度、心理状态、孕期行为的比较,剖宫产组与阴道分娩组孕妇差别有显著意义(P＜0.05).结论 本地区孕妇夫妻年龄差大、产前体重大、估计胎儿体重大、选择吉日分娩、无再生育计划、不坚持适宜保健运动和家务劳动、孕期与朋友交往少、认为剖宫产手术时间短、安全、缺乏阴道分娩信心的孕妇多选择剖宫产分娩.     

不同年龄段孕妇胎儿染色体异常发生情况分析

目的 探索不同年龄段孕妇胎儿染色体异常发生情况，为不同年龄段孕妇选择适宜的产前筛查或产前诊断方案提供更多参考。方法 将2014年1月至2016年12月在南京市妇幼保健院进行妊娠中期唐氏综合征母血清学筛查的44615例单胎妊娠孕妇，根据孕妇预产年龄分为<35岁、35岁、36岁、37岁四组，分析胎儿染色体异常发生率随孕妇年龄的变化趋势及相关性，并比较不同年龄组间胎儿染色体异常情况。结果 <35岁、35岁、36岁和37岁各组胎儿染色体异常发生率分别为0.14%、0.47%、0.57%和0.94%；孕妇年龄与胎儿染色体异常发生率呈正相关，相关系数为0.98,P=0.020；与<35岁年龄组相比，37岁年龄组胎儿染色体异常发生率显著增加，P=0.032;37岁与<37岁相比胎儿染色体异常发生率亦显著增加，P=0.038。结论 随着孕妇年龄增长胎儿染色体异常发生率增加，尤其预产年龄为37岁的孕妇较低龄孕妇胎儿染色体异常发生率增加更为显著，应优先考虑产前诊断方案。     

社区卫生服务中心孕妇心理状况及相关因素

目的通过对松江区社区卫生服务中心孕妇心理状况及社会支持的调查分析,为基层医疗机构提高孕妇的心理健康水平提供依据。方法采用一般资料调查表、抑郁自评量表、焦虑自评量表和社会支持评定量表对上海市松江区15个街道(镇)的120名孕妇进行测查。结果①孕妇在产前抑郁发生率为28%,焦虑发生率为18%;②不同年龄、文化程度、职业的孕妇在焦虑、抑郁以及社会支持得分上呈显著差异;③孕妇的社会支持与焦虑、抑郁呈显著负相关(r=-0.252,-0.234,-0.210,-0.270,-0.313;P<0.05)。结论基层就诊的妊娠妇女心理问题发生率高。     

临沂地区816例高龄孕妇产前羊水细胞遗传学诊断

目的通过高龄孕妇产前胎儿染色体核型结果分析,探讨高龄孕妇胎儿染色体异常的风险。方法通过对816例高龄孕妇行羊水细胞遗传学检查,探讨高龄孕妇胎儿染色体异常的比率,对比35~37岁、38~40岁、≥41岁三组孕妇胎儿染色体异常发生率,分析不同年龄组胎儿染色体异常的风险比率。结果 816例高龄孕妇中检测出胎儿染色体核型异常33例,异常发生率为4.04%,且随孕妇年龄增长,胎儿染色体异常的发生率增高。结论随着孕妇年龄增长,胎儿染色体异常几率增加,故高龄孕妇有必要行产前诊断。     

孕妇的焦虑抑郁情绪对照研究

怀孕是自然的生理过程,但也会出现心理和情绪变化。有作者报道焦虑和抑郁是孕妇在妊娠期间常见的症状或寻求心理咨询的主要原因[1-3]。Ａｆｆｏｎｓｏ等人报道孕妇在妊娠期间最常见的情绪有发怒、紧张担心、病理性焦虑。大约50%的孕妇有抑郁症状[4]。国内报道11%孕妇产前有焦虑或抑郁症状[5]。本文通过对照研究,了解孕妇在妊娠期的焦虑和抑郁情绪状态,报道如下。1　资料和方法1.1　对象　　随机选择1999年7月～8月间到中山医科大学附属第三院妇产科门诊就诊的孕妇,均为初孕妇。共52人。年龄20～37岁,平均27.96±3.04岁;大专以上教育程度26人…     

孕妇情绪状态对分娩过程的影响

目的　观察情绪状态对分娩过程的影响。方法　应用焦虑自评量表 (SAS)抑郁自评量表 (SDS)于分娩前 1周内对孕妇进行测评 ,选取有焦虑情绪或抑郁情绪 5 0例 ,做为观察组 ,无焦虑抑郁情绪 5 0例做为对照组 ,比较两组分娩方式、产程、新生儿 APQAR评分 ,出血量。结果　有情绪障碍组剖宫产率高 ,产程延长 ,新生儿 APQAR评分降低 ,差异有显著性 (P<0 .0 5 )。结论　分娩过程有复杂的心理因素参与并受其影响。     

广东省翁源县妇女孕期抑郁水平及影响因素的调查分析

目的调查广东省翁源县妇女孕期抑郁的水平并分析其影响因素,为孕期心理保健提供重要依据。方法采用单纯随机抽样的方法,抽取在广东省翁源县妇幼保健院住院分娩的产妇进行问卷调查。结果 206名调查对象中,抑郁量表平均得分为（40.75±9.42）分,孕期抑郁症的患病率为14.56%。多因素分析表明,年龄≥35岁、家庭人均收入〈2000元/月、主观支持得分低的孕妇孕期抑郁水平高。结论年龄、家庭经济状况、主观支持情况对妇女孕期抑郁水平有影响,应有针对性地开展心理卫生健康教育和心理咨询工作。     

社区退休老人心理健康水平的调查分析

目的探讨退休老人的心理健康状况及影响因素。方法采用症状自评量表(SCL-90)对社区215名退休老人进行团体测试。结果 1该社区不同性别的退休老人在躯体化、焦虑、恐怖、精神病等4个因子上存在差异,男性分均低于女性(t=2.682,t=2.606,t=2.684,t=2.207;P0.01或0.05);2退休老人仅在焦虑因子上,文化程度低的高于文化程度高的(F=4.796,P0.05);3退休前从事不同职业的老人在人际关系敏感、抑郁、焦虑因子上有明显差异(F=6.241,F=4.952,F=5.004;P0.05);4绝大部分的退休老人更容易出现以下10项阳性症状:容易忘记,感觉迟钝、活动减慢,腰痛,对异性的兴趣减低,容易烦恼和激动,感到要很快把事情做完,做事反复检查,醒的太早,感到自己身体有严重问题,睡得不稳不深。结论该社区退休老人的心理健康水平存在性别、文化程度及退休前从事职业的差异。     

社会支持与孕妇总体幸福感的相关研究

目的分析孕妇总体幸福感及影响因素,以便提高孕妇的生活质量。方法采用焦虑、抑郁自评量表、社会支持量表、总体幸福感量表对200名孕妇和80名非妊娠妇女进行调查。结果孕妇的总体幸福感与焦虑、抑郁程度及社会支持分别为(123.33±12.05;39.41±7.34;38.36±6.53;41.89±6.34),较非妊娠妇女增高(P<0.05或0.01)。孕妇受教育程度、收入、社会支持与总体幸福感呈显著正相关。高学历孕妇的社会支持及总体幸福感均高于低学历者(P<0.05～0.01)。结论孕妇孕期会得到更多社会支持,从而减少负性情绪对自身心理的影响,从而提高孕妇的幸福感,高学历者更为明显。     

Anxiety and Depressed Mood in Obese Pregnant Women: A Prospective Controlled Cohort Study

BackgroundThe psychological health in obese women during pregnancy has been poorly studied.ObjectiveTo compare levels of anxiety and depressed mood during pregnancy in obese versus normal-weight women.Methods63 obese pregnant women and 156 normal-weight controls were included prospectively before 15 weeks of gestation. Levels of state and trait anxiety and depressed mood were measured during the first, second and third trimester of pregnancy. A linear mixed-effect model with repeated measures was used to evaluate group differences.ResultsThe levels of state anxiety significantly increased from trimester 1 to trimester 3 in obese pregnant women (beta = 3.70; p = 0.007), while this parameter remained constant throughout pregnancy in normal-weight women. Levels of trait anxiety and depressed mood significantly decreased from trimester 1 to trimester 2 in controls, but not in obese pregnant women. Variables such as maternal education, ethnicity, marital state, psychological history and miscarriages, parity and smoking behaviour had significant effects on anxiety and/or depressed moods during pregnancy. Obese pregnant women show higher levels of anxiety and depressive symptomatology compared to normal-weight pregnant women.ConclusionInterventional programmes aiming at preventing the deleterious influence of maternal obesity on perinatal outcomes should include a psycho-educational program specifically tailored to this high-risk group.Key Words: Obesity, Pregnancy, Body mass index, Anxiety, Depressed mood, Psychological aspects, Obesity management     

Emotional distress of infertile women in Japan

Although recent papers have suggested that psychological factors are implicated in the experience of infertility, few studies have assessed this relationship in a sample of Japanese infertile women. This study was carried out in order to clarify whether Japanese infertile women experience emotional distress. A cross-sectional questionnaire study was performed to assess the psychological states of 101 infertile women compared to 81 healthy pregnant women. The hospital anxiety and depression scale (HADS) and the profile of mood states (POMS) were administered. These questionnaires produced scores for depression/dejection, anxiety, aggression/hostility, lack of vigour, fatigue, tension anxiety, and confusion. The HADS and the POMS scores of infertile women were significantly higher than those of pregnant women, except for fatigue score. Infertile women with positive HADS indicating emotional disorders (39/101, 38.6%) were significantly (P = 0.0008, chi(2) test) more than those of pregnant women (13/81, 16.0%) when the threshold was set at 12/13 of total HADS scores. The HADS scores were not affected by the women's age, duration of infertility, experience of conception, routine tests, and work states. In this Japanese population, infertile women reported higher levels of emotional distress than pregnant women, suggesting psychological support is needed for infertile women.     

32例孕妇的抑郁情绪及P300电位对照研究

目的　探讨孕妇的抑郁情绪与 P3 0 0电位之间的关系。方法　对 3 2例孕妇及 3 5例健康未孕育龄女性进行了 P3 0 0测定和抑郁量表评定。结果　P3 0 0波潜伏期延长及波幅降低较对照组存在显著性差异 (P<0 .0 5 ,P<0 .0 1 ) ,抑郁自评量表中各因子分两组相比存在显著性差异 (P<0 .0 1 )。结论　P3 0 0电位可用作孕妇抑郁情况的分析     

Anxiety in early pregnancy: prevalence and contributing factors

Antenatal anxiety symptoms are not only a health problem for the expectant mother. Research has found that maternal anxiety may also have an impact on the developing baby. Therefore, it is important to estimate the prevalence of maternal anxiety and associated factors. The current study aims to estimate the prevalence of anxiety symptoms during the first trimester of pregnancy and to identify associated risk factors. Secondly, to investigate other factors associated with anxiety during early pregnancy including fear of childbirth and a preference for cesarean section. In a population-based community sample of 1,175 pregnant women, 916 women (78 %) were investigated in the first trimester (gestation week 8–12). The Hospital Anxiety Depression Scale (HADS-A) was used to measure anxiety symptoms. The prevalence of anxiety symptoms (HADS-A scores ≥8 during pregnancy) was 15.6 % in early pregnancy. Women under 25 years of age were at an increased risk of anxiety symptoms during early pregnancy (OR 2.6, CI 1.7–4.0). Women who reported a language other than Swedish as their native language (OR 4.2, CI 2.7–7.0), reported high school as their highest level of education (OR 1.6, CI 1.1–2.3), were unemployed (OR 3.5, CI 2.1–5.8), used nicotine before pregnancy (OR 1.7, CI 1.1–2.5), and had a self-reported psychiatric history of either depression (OR 3.8, CI 2.6–5.6) or anxiety (OR 5.2, CI 3.5–7.9) before their current pregnancy were all at an increased risk of anxiety symptoms during early pregnancy. Anxiety symptoms during pregnancy increased the rate of fear of birth (OR 3.0, CI 1.9–4.7) and a preference for cesarean section (OR 1.7, CI 1.0–2.8). Caregivers should pay careful attention to history of mental illness to be able to identify women with symptoms of anxiety during early pregnancy. When presenting with symptoms of anxiety, the women might need counseling and or treatment in order to decrease her anxiety.