孕妇孕早期妊娠压力及其影响因素分析  

Prevalence and Influencing Factors of Maternal Stress in Early Pregnancy among Pregnant Women

作　　者：林虹 李丫妹 罗家有[1] 张芬芳 周书进 曾洁 周艳芳 覃子汐 LIN Hong;LI Ya-mei;LUO Jia-you;ZHANG Fen-fang;ZHOU Shu-jin;ZENG Jie;ZHOU Yan-fang;QIN Zi-xi(Xiangya School of Public Health,Central South University,Changsha 410008,China;Liuyang Maternal and Child Health Care Hospital,Liuyang 410300,China)

机构地区：[1]中南大学湘雅公共卫生学院,长沙410008 [2]浏阳市妇幼保健院,浏阳410300

出　　处：《中国临床心理学杂志》2019年第1期189-193,共5页Chinese Journal of Clinical Psychology

基　　金：国家自然科学基金"出生缺陷危险因素风险评估预筛查工具的研制及其实证研究"(81172680)

摘　　要：目的:探讨孕妇孕早期妊娠压力及其影响因素。方法:对随机选择的10154名孕妇进行孕早期妊娠压力及其影响因素问卷调查,单因素分析采用卡方检验,多因素分析采用非条件Logistic回归模型。结果:孕早期妊娠压力发生率为78.9%,其中轻、中和重度压力发生率分别为75.3%、3.5%和0.1%。多因素分析结果表明农民、工人或职员等孕妇、X光线接触、铅苯砷等物质接触、烟花爆竹生产加工、住房装修、化妆品使用、染/烫发、饲养宠物、腌熏食品摄入、患有慢性病和患有呼吸道感染是孕早期妊娠压力发生的危险因素;孕妇居住在城镇及较高的家庭收入是孕早期妊娠压力发生的保护因素。结论:近80%的孕妇孕早期存在不同程度的妊娠压力,应针对其危险因素采取有效预防措施。Objective: To explore the prevalence and influencing factors of maternal stress in early pregnancy among pregnant women, and to provide evidence for the prevention of maternal stress. Methods: A total of 10154 pregnant women were randomly surveyed by a questionnaire of maternal stress in early pregnancy and its influencing factors. Chi-square test was used to analyze the influencing factors related to maternal stress, and non-conditional logistic regression analysis was used to analyze the multiple factors. Results: The prevalence of maternal stress in early pregnancy was 78.9%, and the prevalence of mild, moderate and severe maternal stress were 75.3% 3.5% and 0.1% respectively. Non-conditional logistic regression analysis showed that maternal occupation for farmers, workers or staffs, etc, contacting X-rays, contacting toxic and hazardous substances such as lead, benzene and arsenic, engaged in the production and processing of fireworks, housing renovations, using cosmetic, hair dye or perm, raising pet, pickled or smoked food intake, chronic diseases,and respiratory infections were the risk factors for maternal stress in early pregnancy. Living in urban and higher family income were protective factors for maternal stress in early pregnancy. Conclusion: Nearly 80% of pregnant women have different degrees of maternal stress in early pregnancy, and effective measures should be adopted in accordance with the risk factors.

关 键 词：孕早期 妊娠压力 影响因素 

分 类 号：R395.6[哲学宗教—心理学]