孕早期和孕中期抑郁状况及影响因素

目的  探究孕早期和孕中期孕妇的抑郁状况及其影响因素。 方法  2019年7月1日至12月31日，使用一般情况调查表、影响因素调查表和爱丁堡产后抑郁量表，通过在线调查系统追踪随访308名孕妇。采用Logistic线性回归分析模型分析相关影响因素。 结果  孕早期和孕中期抑郁的发生率分别为25.97%和23.70%。回归分析结果显示，近期是否发生过应激性负性生活事件、孕后饮食满意度以及配偶对孕妇的关心情况是导致孕早期孕妇抑郁的影响因素(均有P＜0.05)。近期是否发生应激性负性生活事件、配偶对孕妇的关心情况、对目前身体状况的担忧以及孕妇对所接受领导关心的满意度是导致孕中期孕妇抑郁的影响因素(均有P＜0.05)。 结论  孕早期抑郁的发生率高于孕中期，孕早期和孕中期抑郁的影响因素既有共性也有不同。

Depression status and influencing factors of pregnant women in early and mid-pregnancy

Objective To investigate the depression status and influencing factors of pregnant women in early and mid-pregnancy, respectively. Methods From July 1 to December 31, 2019, 308 pregnant women were recruited through an online survey system via the general situation questionnaire, influencing factor questionnaire and Edinburgh postpartum depression scale. Logistic liner regression analysis model was used to explore the influencing factors of depression in early and mid-pregnancy. Results The incidences of depression in early and mid-pregnancy were 25.97% and 23.70%, respectively. The results of regression analysis showed that the recent negative life events, dietary satisfaction after pregnancy, and the spouse’s concern were influencing factors of depression in early pregnancy(all P<0.05). The recent negative life events, the spouse’s concern, worry about current physical conditions, and pregnant women’s satisfaction with leaders’ care were influencing factors of depression in mid-pregnancy(all P<0.05). Conclusions The incidence of depression in early pregnancy is higher than that in mid-pregnancy. The influencing factors of depression during early and mid-pregnancy have both common and unique factors.