223例妊娠晚期孕妇的心理状态现状及影响因素分析

目的 调查妊娠晚期孕妇心理状况及影响因素,为后期采用针对性心理疏导提供参考依据。方法 随机选取本院2020年6—12月产科门诊223例妊娠晚期孕妇(孕周>28周),收集研究对象基本信息(年龄、教育程度、个人经济收入、工作状态、家族遗传史、初产情况),使用焦虑自评量表(SAS)和抑郁自评量表(SDS)对妊娠晚期孕妇心理状况进行评估。结果 223例妊娠晚期孕妇焦虑发生率为38.57%,抑郁发生率为29.15%。 焦虑多因素logistic回归分析结果显示,初中及以下学历、个人月收入小于5 000元、无业、家族遗传史、不良孕史及初产是妊娠晚期孕妇焦虑发生的独立危险因素(P<0.05)。抑郁多因素logistic回归分析显示,初中及以下学历、个人月收入小于5 000元、无业、家族遗传史、不良孕史是妊娠晚期孕妇抑郁发生的独立危险因素(P<0.05)。结论 妊娠晚期孕妇整体焦虑及抑郁发生率较高,临床应为孕产妇提供心理保健服务,采用针对性心理评估,尽可能提升分娩体验。

Psychological status and influencing factors of 223 pregnant women in third trimester of pregnancy

Objective To investigate the psychological status and influencing factors of pregnant women in the third trimester of pregnancy, so as to provide the reference for targeted psychological counseling for pregnant women in the later trimester. Methods Totally 223 pregnant women in the third trimester of pregnancy (gestational age>28 weeks) were randomly selected from the obstetrics department of our hospital from June to December 2020. The basic information (age, education level, personal income, work status, family genetic history, first birth) of the subjects were collected. Self-rated Anxiety Scale (SAS) and self-rated Depression Scale (SDS) were used to assess the psychological status of the pregnant women in the third trimester of pregnancy. Results The incidence of anxiety and depression was 38.57% and 29.15% in 223 pregnant women in the third trimester of pregnancy respectively. The multivariate logistic regression analysis showed that junior high school education, monthly personal income less than 5 000 yuan, no employment, family genetic history; adverse pregnancy history and first birth were independent risk factors for anxiety in the pregnant women in the third trimester of pregnancy(P<0.05). The multiple logistic regression analysis of depression showed that junior high school education, monthly income less than 5 000 yuan, no employment; family genetic history and adverse pregnancy history were independent risk factors for depression in pregnant women during the third trimester of pregnancy(P<0.05). Conclusion The overall incidence of anxiety and depression in pregnant women in the third trimester of pregnancy is high. Clinical psychological health care services should be provided for pregnant women, and targeted psychological assessment should be adopted to improve the delivery experience as much as possible.