高危妊娠孕妇剖宫产术前心理状况及影响因素分析  

Analysis of Psychological State and Influencing Factors of High Risk Pregnancies before Cesarean Section

作　　者：谭晓艳 郭伟航 汪爱梅 

机构地区：[1]中山博爱医院手术室,广东中山528403

出　　处：《护理学报》2011年第8期74-76,共3页Journal of Nursing（China）

摘　　要：目的探讨高危妊娠孕妇术前心理状况及影响因素,为护理干预提供依据。方法 2008年1月—2010年3月住院的高危妊娠孕妇458例,于住院第1天采用焦虑自评量表、抑郁自评量表、社会支持评定量表、生活事件量表、应对方式问卷及艾森克人格问卷进行调查,分析高危妊娠孕妇术前心理状况及术前各指标对抑郁和焦虑水平的影响。结果本组高危妊娠孕妇术前抑郁、焦虑症状发生率分别为31.9%和33.2%;多元逐步回归分析表明,家庭有关问题、N量表分是影响抑郁水平的危险因素,社会支持则是其保护因素;家庭有关问题是影响焦虑水平的危险因素,而解决问题和社会支持则是其保护因素。结论高危妊娠孕妇术前心理状况不容乐观,应从多方面着手,提高家庭和社会支持,改善高危妊娠孕妇心理健康状况。Objective To discuss preoperative psychological state and influencing factors of high risk pregnancies and provide reference for nursing intervention.Methods 458 patients were investigated with Self-Rating Anxiety Scale,Self-Rating Depression Scale,Social Support Scale,Life Events Scale,Trait Coping Style Questionnaire（TCSQ） and Eysenck Personality Questionnaire.The analysis went to preoperative psychological state and the influence of preoperative indexes on anxiety and depression.Results The incidence of anxiety and depression were 31.9% and 33.2% respectively.Multiple stepwise regression analysis indicated family-related problems and N scale score were risk factors of depression,while social support was the protective factor.Family-related problems were the risk factors of anxiety,while solving of these problems and social support are protective ones.Conclusion Measures particularly supports from family and society which are significant to the improvement of preoperative psychological state of high risk pregnancies should be taken.

关 键 词：高危妊娠孕妇 术前 抑郁 焦虑 影响因素 

分 类 号：R395.6[哲学宗教—心理学]