住院待产期孕妇抑郁状况调查分析

目的：了解住院待产期孕妇的抑郁状况及其相关影响因素，为探讨待产期孕妇抑郁情绪干预提供理论依据。方法：选择2014年11月-2015年5月在吉林大学中日联谊医院住院的待产期孕妇共203例，采用抑郁自评量表（SDS）对其进行问卷调查，并利用Logistic回归分析一般人口学资料、待产期孕妇孕产史和待产期孕妇孕前及孕期身体状况及保健情况对抑郁倾向的影响。结果：203例住院待产期孕妇共检出抑郁倾向者53例，阳性率26.1%；<30岁、30~39岁和≥ 40岁的待产期孕妇抑郁倾向阳性率比较差异无统计学意义（P > 0.05）；单因素分析，工作状况、超重或肥胖和孕前增补小剂量叶酸情况比较差异有统计学意义（P < 0.01）；多因素分析，孕妇孕前超重或肥胖为抑郁倾向的危险因素，其危险性是非超重或非肥胖者的2.335倍（OR=2.335，95% CI：1.101~4.954，P < 0.05）。结论：住院待产期孕妇存在一定程度的抑郁倾向，特别是孕前高体质量孕妇，应着重对其开展相应的心理健康教育。

Investigation of depression status of hospitalized pregnant women in labor

Objective:To learn the depression status of the hospitalized pregnant women in labor and its related influencing factors,and to provide the theoretical basis for exploring depression intervention of the pregnant women in labor.Methods:Self-Rating Depression Scale was used for investigating the depression status of 203 hospitalized pregnant women in labor who were in hospital from November 2014 to May 2015,and the impacts of demographic characteristics,maternal history and physical condition and health care on depression status of hospitalized pregnant women in labor before pregnancy and during pregnancy were analyzed using Logistic regression.Results:Fifty-three people with depressive tendencies were detected among pregnant women in labor,and the positive rate was 26.1％.The differences in positive rates of depression tendency of the pregnant women between less than 30 years,30-39 years and 40 years and above had no statistical significance (P＞0.05).Univariate Logistic analysis showed that the differences of occupation,overweight or obesity,low-dose folic acid supplements before pregnancy were statistically significant (P＜0.01).Multivariate Logistic regression analysis showed that risk factor for pregnant women was overweight or obesity pre-pregnancy,and the risk was 2.335 times to non-overweight or non-obesity pregnancy women (OR=2.335,95％CI:1.101-4.954,P＜0.05).Conclusion:The pregnant women have the depression tendency,especially the pregnant women with high body mass index before pregnancy.The knowledge of psychological health education should be provided for them.