人工流产女性术前焦虑抑郁情绪调查及相关因素分析  

Investigation and relative factors analysis of anxiety and depression of women before induced abortion

作　　者：徐青[1] 马慧媛[1] 马洁桦[1] 方敏[1] 周婕 叶青[1] XU Qing;MA Huiyuan;MA Jiehua;FANG Min;ZHOU Jie;YE Qing(Women’s Hospital Affiliated to Nanjing Medical University/Nanjing Maternity and Child Health Care Hospital,Nanjing,Jiangsu Province,210004)

机构地区：[1]南京医科大学附属妇产医院/南京市妇幼保健院,210004

出　　处：《中国计划生育学杂志》2020年第7期990-993,997,共5页Chinese Journal of Family Planning

基　　金：第二期青年长效可逆避孕(青年LARC)专项研究基金。

摘　　要：目的:了解人工流产女性术前焦虑、抑郁状况及影响因素,为更好地开展心理干预提供参考依据。方法:选取2018年12月-2019年5月在本院计划生育门诊行人工流产术的早孕女性1108例,其中未婚组560人,已婚组548人。在术前采用健康问卷抑郁症状群量表(PHQ-9)和广泛性焦虑量表(GAD-7)问卷调查,对引起抑郁及焦虑的各因素进行分析。结果:抑郁总检出率为55.0%,未婚组检出率64.3%,已婚组检出率45.4%;焦虑总检出率为34.5%,未婚组检出率41.4%,已婚组检出率27.4%;两组抑郁、焦虑检出率有统计学差异(P<0.05)。多元logistic回归分析显示,流产对象年龄(<25岁)、户籍(外地)是抑郁、焦虑发生的危险因素。结论:人工流产女性焦虑、抑郁发生率较高,特别是未婚、年轻和外地户籍妇女;医务人员有必要给予心理干预,更好地保护人工流产妇女的身心健康。Objective:To evaluate the situation and relative factors analysis of anxiety and depression of women before induced abortion, and to provide evidence of physiological intervention for them. Methods: 1108 women wanted to abortion because of early unintended pregnancy were recruited from December 2018 to May 2019, and were divided into group A(560 unmarried women) and group B(548 married women). Patient Health Questionaire-9(PHQ-9) and Generalized Anxiety Disorder-7(GAD-7) were used to investigate and analyze the effect factors of anxiety and depression. Results: The rate of depression of women in the two groups was 55.0%, which include 64.3% in group A and 45.4% in group B. The rate of anxiety of women in the two groups was 34.5%, which include 41.4% in group A and 27.4% in group B. There were statistical significant difference in the rates of depression and anxiety between the two groups(P<0.05). Multiple Logistic regression analysis showed that age <25 years old and nonlocal census register were the risk factors of anxiety and depression occurrence. Conclusion: The incidence of anxiety and depression among women with induced abortion is relatively high, especially among unmarried or young women, and women with nonlocal census register, so it is necessary to give them some psychological intervention by medical providers for better protecting the physical and mental health of women with induced abortion.

关 键 词：人工流产 焦虑 抑郁 因素分析 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]