二胎孕妇妊娠压力及其影响因素分析  

Prevalence and influencing factors of pregnancy stress among pregnant women during second child pregnancy

作　　者：杨丽全[1] 连雪冰[2] 郑建盛[3] 李碧珠 

机构地区：[1]莆田学院护理学院,福建莆田351100 [2]厦门市第一医院杏林分院 [3]莆田学院基础医学部 [4]莆田市秀屿区医院

出　　处：《中国公共卫生》2017年第6期1000-1003,共4页Chinese Journal of Public Health

摘　　要：目的探讨二胎孕妇妊娠压力现状及其影响因素。方法于2016年7—8月,应用妊娠压力量表、家庭关怀度指数(APGAR)和自制调查问卷对便利抽样的331名二胎孕妇进行调查。结果结果二胎孕妇妊娠压力总均分(0.75±0.48)分,妊娠有压力者占21.8%;单因素分析显示,第一胎高危妊娠(χ~2=9.479、P=0.002)、婆媳关系(χ~2=18.243、P=0.000)、夫妻关系(χ~2=24.160、P=0.000)、怀孕态度(χ~2=31.560、P=0.000)、生二胎原因(χ~2=29.835、P=0.000)、第二胎高危妊娠(χ~2=4.992、P=0.025)、家庭功能(χ~2=62.002、P=0.000)等因素与二胎孕妇妊娠压力发生率有关;logistic回归分析显示,二胎孕妇妊娠压力与夫妻关系、生二胎原因、第二胎高危妊娠和家庭功能有关。结论夫妻关系差、家庭功能障碍、第二胎高危妊娠、在父母压力下生二胎等因素是导致二胎孕妇妊娠压力的主要因素。Objective To explore the prevalence and influencing factors of pregnancy stress among pregnant women during second child pregnancy.Methods A total of 331 pregnant women during their second child pregnancy were selected by convenient sampling in outpatient clinics of 5 hospitals in Fujian province and surveyed with pregnancy pressure scale,family APGAR index and a self-designed questionnaire between July and August 2016.Results The mean score for pregnancy stress among the pregnant women was 0.75±0.48 and 21.8% of the pregnant women reported stress condition.Univariate analysis showed that the determinants of pregnancy stress among the pregnant women included the history of high risk first child pregnancy （χ2=9.479,P=0.002）,relationship between the mother-in-law and daughter-in-law （χ2=18.243,P=0.000）,conjugal relation （χ2=24.160,P=0.000）,attitude towards pregnancy （χ2=31.560,P=0.000）,reasons for having a second child （χ2=29.835,P=0.000）,high risk of second child pregnancy （χ2=4.992,P=0.025）,and family dysfunction （χ2=62.002,P=0.000） ; multivariate analysis revealed that conjugal relation,reasons for having a second child,high risk second child pregnancy,and family dysfunction were associated with pregnancy stress in the women.Conclusion Poor conjugal relation,family dysfunction,high risk pregnancy,and having a second child under the pressure from parents are major impact factors of pregnancy stress among pregnant women during second child pregnancy.

关 键 词：孕妇 二胎 妊娠压力 影响因素 

分 类 号：R248.3[医药卫生—中医临床基础]