200例初产妇分娩前后心理状况及相关因素研究  

A study on mental state and related factors of 200 primipara before and after delivery

作　　者：刘兰芬[1] 张志华[1] 赵贵芳[1] 侯瑞华[1] 王爱珍[2] 

机构地区：[1]山东省精神卫生中心,济南市250014 [2]山东省千佛山医院妇产科

出　　处：《中国全科医学》2004年第11期810-811,共2页Chinese General Practice

基　　金：山东省卫生厅基金项目 [97- 59]

摘　　要：目的　探讨初产妇分娩前后的心理状况及其相关的社会心理和生物学因素。方法　采用自制问卷、SCL - 90分别于产前、产后一周进行评定。结果　分娩前后SCL - 90的 10个因子中焦虑、恐怖、偏执、精神病性因子间存在明显差异 ;分娩前后抑郁因子得分间差别无显著性意义 ,但与国内常模间差别均有显著性意义 (P <0 0 5 )。产妇的心理状况与父母关系、情绪控制、陪同分娩、产后出血、新生儿哭闹、丈夫对婴儿态度、产后亲友支持因素存在相关性。结论　分娩前焦虑较分娩后的发生率高 ,分娩前后抑郁症状有一定的连续性 ,早期干预有其必要性。Objective To compare the mental state and the relevant factors of primipara before and after delivery.Methods Some self-designed demographic,psychological investigation questionnaires and SCL-90 were completed by 211 women in 7 days before and after delivery.Results The factors such as anxiety phobia paranoid psychic were significantly different before and after delivery; There was no difference in depression factors before and after delivery,but there was significant difference from normal models of China.Relationship between parents,mood control,accompany delivery,gender of baby,husband′s attitude toward baby,complications of delivery,family support system,were associated with the mental state.Conclusion Many women have depression and anxiety before delivery.It is necessary for early prevention before and after delivery.

关 键 词：初产妇 分娩 焦虑 抑郁 

分 类 号：R714[医药卫生—妇产科学]