妊娠晚期孕妇心理压力及其影响因素分析  

Analysis of psychological stress and its influencing factors in pregnant women in late pregnancy

作　　者：张帆[1] 邹素珍 孙茜 Zhang Fan;Zou Suzhen;Sun Qian(Department of Obstetrics,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第二医院产科,325000

出　　处：《中国基层医药》2019年第24期2973-2975,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨妊娠晚期孕妇心理压力现状及影响因素,并提出合理的干预对策帮助产妇平稳渡过妊娠期.方法 选择2017年6月至2018年6月在温州医科大学附属第二医院产前检查的妊娠晚期孕妇92例为研究对象,运用问卷调查表和生活质量表及压力量表等对其展开调查,同时对调查结果进行分析.结果 调查显示,妊娠晚期孕妇心理压力得分为(1.79 ±0.46)分,其中主要压力源是为保障孕妇健康及胎儿安全所致心理压力,计划妊娠是其心理压力的影响因素(F=2.456,P=0.015).以负性生活事件和主观支持及压力源1、2、3等为自变量,结果显示压力源2及正性生活事件及焦虑为孕妇心理压力主要影响因素( t=6.874、3.692、2.754,均P<0.05).结论 妊娠晚期孕妇心理压力状况处中等水平,且计划妊娠是其影响因素,主要心理压力来源是为保障孕妇健康及胎儿安全,因此临床可积极开展相关孕期知识辅导,并加强对孕妇心理的干预,以缓解其不良情绪,减轻心理压力.Objective To explore the status quo and influencing factors of psychological stress in pregnant women in the third trimester,and to propose reasonable intervention measures to improve their current situation ,and to provide reference and guarantee for their smooth transition through pregnancy.Methods A questionnaire survey was conducted to investigate 92 pregnant women in the second trimester of pregnancy from the Second Affiliated Hospital of Wenzhou Medical University from June 2017 to June 2018 by using questionnaires ,quality of life and stress scales. The results of the survey were investigated and analyzed.Results The survey showed that the average psychological stress score of pregnant women in the third trimester was (1.79 ±0.46)points.The main stressors were psychological pressures to protect the health of pregnant women and the safety of the fetus .The planned pregnancy was the influen-cing factor of psychological stress ( F =2.456, P =0.015 ).The negative life events and subjective support and stressors 1,2,3,etc.as independent variables ,the results showed that stress source 2,positive life events and anxiety were the main influencing factors of patients 'psychological stress ( t =6.874, 3.692,2.754, all P <0.05 ). Conclusion The psychological stress status of pregnant women in the third trimester is moderate ,and the planned pregnancy is the influencing factor.The main psychological stress is to protect the health of the pregnant woman and the safety of the fetus.Therefore,the clinical counseling can be actively carried out in the clinic and the intervention of pregnant women's psychology should be strengthened to alleviate the bad mood and relieve psychological stress .

关 键 词：妊娠末期 孕妇 心理疗法 因素分析 统计学 

分 类 号：R71[医药卫生—妇产科学]