婚姻质量与妊娠期高血压疾病的相关性研究

目的 研究妊娠期高血压疾病(HDCP)的社会心理学基础,为HDCP病因学研究探讨新的途径.方法 采用前瞻性研究方法,使用Olson婚姻质量问卷(ENRIC)对中期妊娠孕妇进行9项因子的调查.观察指标:(1)婚姻质量问卷各项因子得分与常模的差异;(2)HDCP患者与正常孕妇婚姻质量问卷得分的差异;(3)疾病严重程度与婚姻质量问卷得分的相关性.结果 (1)1124名孕妇"婚姻满意度"得分明显高于常模(P＜0.05);"性生活"和"亲友关系"两项明显低于常模(P＜0.05),其他6项因子得分与常模比较差异无显著性(P＞0.05);(2)HDCP患者"经济安排"、"性生活"2项因子得分与正常孕妇差异无显著性(P＞0.05),其他7项因子得分均明显低于正常孕妇(P＜0.05);(3)不同严重程度HDCP患者9项因子得分比较差异无显著性(P＞0.05).结论 婚姻质量是HDCP的社会心理学基础之一,为HDCP社会心理学病因的研究提供了理论和临床依据.

Association between marital quality and hypertensive disorder in pregnancy

Objective To investigate the sociopsychological basis of hypertensive disorder in pregnancy(HDP) and explore a new pathway for etiological study of HDP.Methods A prospective investigation was conducted in 1154 women in second trimester pregnancy and 9 factors were surveyed using Olson marital quality questionnaire(ENRIC).The discrepancy between the norms and factor scores of ENRIC was analyzed,and the scores of ENRIC were compared between normal gravidas and patients with HDP.The correlation between ENRIC scores and the severity of the condition was also evaluated.Results The score of the 1124 gravidas for marital satisfaction was significantly higher than the norm(P<0.05),but the scores for relationship with relatives and sexual life were significantly lower(P<0.05).The other 6 factors had similar scores with the norms(P>0.05).Patients with HDP had significantly lower scores for 7 factors than the normal gravidas(P<0.05),but had comparable scores for financial arrangement and sexual life(P>0.05).The severity of HDP was not found to associate with variation of the scores for the 9 factors(P>0.05).Conclusions Marital quality is an important social and psychological basis of HDP,and this study provides some evidence for the social and psychological investigation of the etiology of HDP.