乙肝孕产妇与正常孕产妇心理变化及比较  

A comparison of difference in psychological stress between normal pregnant women and HbsAg positive pregnant women

作　　者：李亚萍[1] 郭新贤[1] 周文勤 

机构地区：[1]西安市中心医院妇产科,陕西西安710003 [2]商南县医院妇产科,陕西商南726300

出　　处：《中国妇幼健康研究》2011年第2期156-158,共3页Chinese Journal of Woman and Child Health Research

基　　金：陕西省科学技术研究发展计划资助项目（2010K01-161）

摘　　要：目的分析乙肝孕产妇与正常孕产妇的心理应激的差异。方法随机抽取69名门诊或住院就诊的HbsAg（＋）孕产妇（病例组），随机抽取同期具有可比性的正常妊娠妇女123例（对照组）。采用汉密尔顿抑郁量表、汉密尔顿焦虑量表及症状自评量表评定HbsAg（＋）孕产妇与正常妊娠妇女的心理状况。结果病例组抑郁和焦虑的发生率均较对照组高，经比较有显著性差异（x2抑郁=13．487，P〈0．01；x2焦虚=53．756，P〈0．01）；病例组与对照组除敌对症状外（t=-2．513，P〈0．05），其它各项及整体身心健康水平无显著性差异（均P〉0．05）。结论HbsAg（＋）孕产妇的心理应激水平比正常孕妇更高，以中度、重度抑郁、焦虑最为显著；其主要心理情绪反应及阶段与正常孕妇基本一致。Objective To compare difference in psychological stress level between normal pregnant women and pregnant women with positive hepatitis B surface antigen （HbsAg）. Methods 69 pregnant women with positive HbsAg （case group） and 123 normal pregnant women （ control group） were randomly extracted from all pregnant women who delivered in outpatient or inpatient of Xi ＇ an Municipal Central Hospital. The psychological status of the pregnant women in the two groups was assessed with Hamilton Rating Scale for Depression（ HRSD）, Hamilton Rating Scale for Anxiety （HAMA） and Symptom Checklist 90 （ SCL-90 ）. Results Incidence rates of 2 2 depression and anxiety in the case group were significantly higher than the control group （xdepression=13. 487, x2anxiety =53. 756, both P 〈 0. 01 ）. There were no significant differences in all physical and psychological health indexes between the two groups （ all P 〉 0.05 ） except hostile symptom（ t = - 2.513, P 〈0. 05 ）. Conclusion The psychological stress level of those pregnant women with positive HbsAg is higher than the normal pregnant women, especially the incidence rates of moderate and severe depression and moderate and severe anxiety, although their main psychic reaction and emotional response and stages are consistent to those of the normal pregnant women.

关 键 词：产科 量表 孕产妇 焦虑 抑郁 

分 类 号：R714[医药卫生—妇产科学]