新冠肺炎疫情下非高风险地区孕妇焦虑状况调查

目的探讨新冠肺炎(COVID-19)疫情期间非高风险地区孕妇的焦虑状况,为孕期保健心理干预提供参考。方法2020年1月27日-2月6日,采用新型冠状病毒肺炎相关知识调查表及广泛性焦虑量表(GAD-7),调查疫情期间绵阳地区孕妇及非孕妇女的焦虑状况,以GAD-7评分≥5分视为存在焦虑症状。采用DPS 7.05对数据进行统计分析,以单因素试验完全随机设计进行方差分析,以LSD最小差数法进行多重比较。结果孕妇GAD-7评分高于非孕妇女,差异具有统计学意义[(11.76±0.79)分vs.(7.04±1.14)分,P<0.01]。孕妇组中,有并发症者GAD-7评分高于无并发症者[(12.48±1.16)分vs.(6.32±1.09)分,P<0.01];初产妇GAD-7评分高于经产妇[(10.15±1.15)分vs.(8.72±0.97)分,P<0.05];21~30岁、31~40岁和41~50岁的孕妇GAD-7评分差异均具有统计学意义[(11.88±1.39)分vs.(8.80±0.84)分vs.(4.35±0.81)分,P<0.01]。结论新冠肺炎疫情期间,非高风险地区孕妇比非孕妇女焦虑症状更严重,其中有并发症的孕妇、初产妇焦虑状况更为突出。

Investigation on the anxiety status of pregnant women in non-high-risk areas during the COVID-19 epidemic

Objective To investigate the anxiety status of pregnant women in non-high risk areas during the novel coronavirus pneumonia(COVID-19),and to provide references for psychological intervention in pregnancy care.Methods From January 27 to February 6,2020,COVID-19 related knowledge questionnaire and Generalized Anxiety Scale(GAD-7)were used to investigate the anxiety status of pregnant and non-pregnant women in Mianyang during the epidemic period.GAD-7 score≥5 was classified as anxiety symptoms.The data were statistically analyzed by DPS 7.05.Variance analysis was carried out by a completely random design of a single factor test,and multiple comparisons were performed using the LSD method.Results The GAD-7 score of pregnant women was higher than that of non-pregnant women,and the difference was statistically significant[(11.76±0.79)vs.(7.04±1.14),P<0.01].In the pregnant women group,the GAD-7 score of the woman with complications was higher than that of the woman without complications[(12.48±1.16)vs.(6.32±1.09),P<0.01].The GAD-7 score of primipara was higher than that of parturien[t(10.15±1.15)vs.(8.72±0.97),P<0.05]and there were significant differences in GAD-7 scores among 21~30-year-old,31~40-year-old and 41~50-year-old pregnant women[(11.88±1.39)vs.(8.80±0.84)vs.(4.35±0.81),P<0.01],respectively.Conclusion During the period of COVID-19,the anxiety symptoms of pregnant women in non-high-risk areas are more serious than those of non-pregnant women,among which the anxiety of pregnant women with complications and primiparae is more obvious.