初产妇产母角色认同与抑郁及焦虑的关系研究  

Research on relationship between primipara′s mother role identity with depression and anxiety

作　　者：杨容[1] 胡光曦[2] 谢文义[3] 杨弟芳[4] 

机构地区：[1]重庆市第九人民医院心理卫生科,400700 [2]重庆市第九人民医院手术麻醉科,400700 [3]重庆市北碚区中医院,400700 [4]重庆市第九人民医院妇产科,400700

出　　处：《重庆医学》2016年第20期2786-2788,共3页Chongqing medicine

基　　金：重庆市卫生局医学科研项目(2012-2-282)

摘　　要：目的探讨初产妇产母角色认同与抑郁、焦虑的相关关系。方法在重庆市第九人民医院选取213名初产妇,运用自编的产母角色认同问卷、抑郁自评量表(SDS)和焦虑自评量表(SAS)分别测量初产妇产前、产后1周、产褥期3个阶段角色认同度、抑郁和焦虑程度。结果产妇产后1周的焦虑值显著高于产前和产褥期(均P<0.01);产后1周的抑郁值显著高于产前和产褥期(均P<0.01);产母在产褥期的角色扮演、角色适应、角色认同总分均高于产后1周(P<0.05);产母的焦虑、抑郁与产母角色认同呈负相关(r=-0.03^-0.30)。结论初产妇角色认同程度随分娩事件增进,认同进程与抑郁、焦虑情绪呈负相关。Objective To explore the relationship between primipara＇s mother role identity with depression and anxiety. Methods Totally 213 primiparas in our hospital were selected. The self--designed Primipara＇s Mother Role Recognizing Scale, Self-Rating Anxiety Scale （SAS） and Self-Rating Depression Scale（SDS）were applied to measure the mother role identity,anxiety and depression degrees before delivery,at postpartum 1 week and puerperium period. Results The anxiety value at postpartum 1 week were extremely significantly higher than that before delivery and at the puerperium period（P〈0.01） ;the depression value at postpartum 1 week were extremely significantly higher than that before delivery and at the puerperium period（P〈0.01） ;the total scores of role playing,role adaptation and role identity at the puerperium period were significantly higher than those at postpartum 1 week（P〈0.05）;primipara＇s anxiety and depression were negatively correlated with the primipara＇s mother role identity（r= -0.03- -0.30）. Conclusion The degree of mother role identity is negatively correlated with the parturition event progress,iden- tity process and moods of depression and anxiety.

关 键 词：抑郁 焦虑 角色认同 初产妇 

分 类 号：R473.71[医药卫生—护理学]