前置胎盘患者焦虑抑郁与便秘的相关性研究  

Study on correlation among constipation, anxiety and depression of patients with placenta previa

作　　者：沈谦[1] 万慎娴[1] 杨艳梅[1] 李惠玲[2] Shen Qian;Wan Shenxian;Yang Yanmei;Li Huiling(Obstetric Department, the First Affiliated Hospital of Soochow University, Suzhou 215006, China)

机构地区：[1]苏州大学附属第一医院产科,215006 [2]苏州大学护理学院

出　　处：《中国实用护理杂志》2018年第20期1549-1552,共4页Chinese Journal of Practical Nursing

摘　　要：目的了解前置胎盘孕妇便秘及焦虑抑郁状况，进一步探讨其相关性，确定便秘的早期预测指标。方法采用Zung焦虑自评量表、抑郁自评量表对92例前置胎盘孕妇进行问卷调查，回收有效问卷83例。结果83例前置胎盘孕妇住院48h内焦虑及抑郁的发生率分别为50．60％（42／83）和33．73％（28／83）；住院3d内便秘的发生率为71．08％（59／83）。有焦虑、抑郁障碍患者便秘的发生率均大于非焦虑、抑郁的患者，差异有统计学意义（r=11．97、6．81，P〈0．01），焦虑抑郁的程度均与便秘的发生呈正相关（r=0．48、0．35，P〈0．01或0．05），焦虑与便秘的相关性较抑郁高。结论初诊的前置胎盘患者住院48h内负性情绪程度越重，住院期间发生便秘的概率越高。焦虑可作为便秘的早期预测指标。Objective To understand the status of constipation, anxiety and depression among patients with placenta previa and to explore the relationship between them, in order to identify early predictor of constipation. Methods Zung＇ s Self- Rating Anxiety Scale （SAS） and Zung＇ s Self- Rating Depressive Scale （SDS） were applied among 92 patients with placenta previa. Finally, 83 valid questionnaires were recovered. Results The incidence of anxiety and depression were 50.6% （42/83） and 33.73%（25/83） respectively within 48 hours of hospitalization and the incidence of constipation was 71.08% （59/83） within three days in hospital. The incidence of constipation in emotional disorder group were greater than that in non-emotional disorder group （X2=11.97, 6.81, P 〈 0.01）. The degree of anxiety and depression were positively correlated with the occurrence of constipation （r=0.48, 0.35, P 〈 0.01 or 0.05）. The correlation of anxiety and constipation was higher. Conclusions The heavier degree of negative emotions, the higher occurrence of constipation in patients with placenta previa during hospitalization. Anxiety can be used as an early predictor of constipation.

关 键 词：前置胎盘 焦虑 抑郁 便秘 相关研究 

分 类 号：R473.71[医药卫生—护理学]