妊娠早期抑郁症状及相关因素对早产的影响  

Effect of Depression in Early Pregnancy and Related Factors on Premature Birth

作　　者：吴千苗[1] 刘小棉[2] 

机构地区：[1]温州医学院附属第二医院产科,浙江温州325000 [2]温州医学院附属第二医院妇科,浙江温州325000

出　　处：《护理学报》2011年第11期70-72,共3页Journal of Nursing（China）

摘　　要：目的探讨妊娠早期抑郁症状及其他相关因素对早产的影响。方法以765例早期妊娠者作为研究对象,在其妊娠早期至门诊就诊时填写流行病学调查中心抑郁水平评定量表,同时记录研究对象的社会人口学特点和生育史。采用χ2检验比较早产发生率,并计算相对危险度。Logistic多元回归分析用于评价早产和各种危险因素的联系程度。结果早孕期抑郁者、年龄大于35岁或小于18岁者、家庭年收入偏低者和有早产史者,其早产的发生率相对较高(P<0.05)。Logistic多元回归分析显示抑郁症状、年龄和早产史是早产的独立危险因素(P<0.05)。结论抑郁症状、年龄和早产史与早产密切相关,在妊娠过程中应重视孕妇的精神心理护理。Objective To discuss the influence of symptoms of depression in early pregnancy and other related factors on premature birth.Methods 765 cases of early pregnancy were surveyed with the Center for Epidemiological Studies Depression Scale（CESDS） and their sociodemographic features and reproductive history were recorded as well.The results were analyzed withχ2 test and Logistic regression analysis.Results For patients with depression in early pregnancy,those older than 35 years or younger than 18 years,those with low income or with premature birth history,their incidences of premature birth increased obviously.Symptoms of depression,age and premature birth history were independent risk factors of premature birth（P0.05）.Conclusion There is close relationship among symptoms of depression,age,premature birth history and premature birth.Great importance should be attached to psychological nursing during early pregnancy.

关 键 词：早产 抑郁 流行病学调查中心抑郁水平评定量表 妊娠早期 心理护理 

分 类 号：R473.71[医药卫生—护理学]