新型冠状病毒肺炎疫情期间孕产妇应对方式及心理状态调查  

The investigation on maternal coping style and mental status during the pandemic of COVID-19

作　　者：庄幼青[1] 李雪然[1] 李志云[1] 曾丽玲[1] 邹文霞[1] 姚琳琳[1] 刘燕[1] 温济英[1] ZHUANG You-qing;LI Xue-ran;LI Zhi-yun;ZENG Li-ling;ZOU Wen-xia;YAO Lin-lin;LIU Yan;WEN Ji-ying(Department of Obstetrics,Women and Children's Hospital of Guangdong Province,Guangzhou 510010,Guangdong,China)

机构地区：[1]广东省妇幼保健院产科,广东广州510010

出　　处：《广东医学》2020年第19期1949-1953,共5页Guangdong Medical Journal

摘　　要：目的了解孕产妇在新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)疫情期间心理现状及应对方式,为临床心理健康教育提供依据。方法采用一般情况调查问卷、疫情担忧量表、简易应对方式问卷、PHQ-9抑郁量表、GAD-7焦虑量表对201位孕产妇进行调查,采用描述性分析、χ^2分析、Spearman相关分析等分析相关资料。结果90.0%的孕产妇受到COVID-19疫情的影响,56.7%孕产妇出现不良心理症状;中专以下文化水平、生活偶尔或一直受到疫情影响的孕产妇在担心被感染及担心受到歧视方面得分较高(P<0.05);家庭月收入低于6001元以下的孕产妇较少采取积极应对(P<0.05);多因素分析发现焦虑、抑郁共同的影响因素为:应对方式、担心受到歧视、生活偶尔或一直受到疫情的影响,其中焦虑、抑郁与消极应对方式正向影响关系,与积极应对方式负向影响关系。结论大部分孕产妇受到COVID-19疫情不同程度的影响,低学历的孕产妇容易出现过度担忧,低收入的孕产妇较少采取积极应对方式;较多的担心受到歧视、较多的消极应对方式、较少的积极应对方式、偶尔或一直受到疫情影响的孕产妇更容易出现焦虑、抑郁症状。Objective To understand the psychological status and countenneasures of pregnant women during the novel coronavirus disease 2019(COVID-19)outbreak,and to provide evidence for clinical mental health education.Methods A general situation questionnaire,an epidemic fear scale,a simple coping style questionnaire,PHQ-9 depression scale and GAD-7 anxiety scale were applied on 201 pregnant women.Descriptive analysis,Spearman correlation analysis and other methods were used to analyze the relevant data.Results Ninety percent pregnant women were affected by COVID-19,and 56.7%had adverse psychological symptoms.Pregnant women with lower education level and living level,and those occasionally or always affected by the pandemic had significantly higher scores in the aspects of fear of infection and fear of discrimination(P<0.05).Pregnant women with monthly family income less than 6001 yuan were significantly less likely to take active measures(P < 0.05).The multi-factor analysis showed that the common influencing factors of anxiety and depression were coping style,fear of being discriminated against,and living occasionally or always affected by the epidemic.Among them,anxiety and depression had a positive influence on the negative coping style,and a negative influence on the positive coping style.Conclusion The majority of pregnant women were affected to varying degrees by the COVID-19 outbreak.Low educated pregnant women are prone to excessive worry.Low income pregnant women are less likely to adopt active coping strategies.Pregnant women who are more worried about discrimination,have more negative coping styles,less active coping styles,and occasionally or continuously affected by the epidemic are more likely to develop symptoms of anxiety and depression.

关 键 词：孕产妇 新型冠状病毒 肺炎 应对方式 心理 

分 类 号：R714.7[医药卫生—妇产科学] R563.9[医药卫生—临床医学]