复发性流产孕妇的焦虑、抑郁状况与社会支持、家庭功能的关系  

Relationship between anxiety,depression status and social support,family function in pregnant women with recurrent miscarriage.

作　　者：郭冀丹[1] 李巧平[1] 宫敏[2] GUO Ji-dan;LI Qiao-ping;GONG Min(Department of Obstetrics,Pediatric Intensive Care Unit(PICU),Shenzhen 518101,Guangdong,CHINA;Shenzhen Baoan District Maternal and Child Health Hospital,Shenzhen 518101,Guangdong,CHINA)

机构地区：[1]深圳市宝安区妇幼保健院产科,广东深圳518101 [2]深圳市宝安区妇幼保健院PICU,广东深圳518101

出　　处：《海南医学》2020年第20期2651-2654,共4页Hainan Medical Journal

摘　　要：目的研究复发性流产孕妇的焦虑、抑郁状况与社会支持、家庭功能的关系,为临床研究提供指导。方法选择2019年6月至2020年2月深圳市宝安区妇幼保健院收治的74例复发性流产孕妇作为观察组,并选取同期产检的正常孕妇74例作为对照组。孕妇在门诊就诊时,采用问卷法对所有孕妇的心理状态、社会支持以及家庭功能进行调查,应用抑郁自评量表(SDS)、焦虑自评量表(SAS)、家庭关怀度指数(PAGAR)、领悟社会支持量表(PSSS)进行评价,采用Spearman相关分析法分析焦虑和抑郁状况与社会支持、家庭功能的相关性。结果观察组孕妇的抑郁、焦虑发生率分别为81.08%、54.05%,明显高于对照组的36.49%、16.22%,SAS、SDS评分分别为(51.23±7.83)分、(63.27±4.22)分,明显高于对照组的(32.17±7.45)分、(35.15±3.31)分,差异均有统计学意义(P<0.05);观察组孕妇的适应度、成熟度、合作度、情感度、亲密度及家庭功能总分分别为(1.13±0.33)分、(1.19±0.35)分、(1.09±0.32)分、(1.15±0.34)分、(1.16±0.34)分、(5.68±1.71)分,明显低于对照组的(1.44±0.43)分、(1.40±0.42)分、(1.41±0.42)分、(1.47±0.44)分、(1.45±0.43)分、(7.28±2.18)分,差异均有统计学意义(P<0.05);观察组孕妇的朋友支持、家庭支持、其他支持及社会支持总分分别为(20.31±3.81)分、(21.54±4.91)分、(20.83±4.81)分、(61.67±10.26)分,明显低于对照组的(24.42±3.01)分、(24.34±3.35)分、(23.33±3.37)分、(71.06±8.22)分,差异均有统计学意义(P<0.05);经Spearman相关分析结果显示,抑郁、焦虑与家庭关怀和社会支持各维度之间存在不同程度相关性(P<0.05)。结论复发性流产孕妇极易发生抑郁、焦虑,心理健康状况不容乐观,且其家庭功能和社会支持水平有待提高,应加强以家庭为中心的早期心理干预,注意提高社会支持水平,促进产妇心理健康。Objective To study of the relationship between anxiety,depression status and social support,family function in pregnant women with recurrent miscarriage,and to provide guidance for clinical research.Methods From June 2019 to February 2020,74 pregnant women with recurrent miscarriage admitted to Shenzhen Baoan District Maternal and Child Health Hospital were selected as the observation group,and 74 normal pregnant women who underwent prenatal examination at the same time were selected as the control group.The mental state,social support,and family function of all pregnant women were investigated when they were in the outpatient clinic by Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS),Family Care Index(PAGAR),and Perceived Social Support Scale(PSSS).Spearman correlation analysis method was used to analyze the correlation between anxiety and depression and social support,family function.Results The incidences of depression and anxiety in the observation group were 81.08%and 54.05%,significantly higher than 36.49%and 16.22%in the control group(P<0.05);the SAS and SDS scores of observation group were(51.23±7.83)points and(63.27±4.22)points,which were significantly higher than(32.17±7.45)points,(35.15±3.31)points in the control group(P<0.05).The scores of fitness,maturity,cooperation,affection,intimacy,and family function of observation group were(1.13±0.33)points,(1.19±0.35)points,(1.09±0.32)points,(1.15±0.34)points,(1.16±0.34)points,(5.68±1.71)points,which were significantly lower than(1.44±0.43)points,(1.40±0.42)points,(1.41±0.42)points,(1.47±0.44)points,(1.45±0.43)points,(7.28±2.18)points in the control group(P<0.05).The total scores of friend support,family support,other support,and social support for observation group were(20.31±3.81)points,(21.54±4.91)points,(20.83±4.81)points,and(61.67±10.26)points,which were significantly lower than(24.42±3.01)points,(24.34±3.35)points,(23.33±3.37)points,(71.06±8.22)points in the control group(P<0.05).Spearman correlation analysis show

关 键 词：复发性流产 抑郁 焦虑 家庭功能 社会支持 

分 类 号：R714.21[医药卫生—妇产科学]