新型冠状病毒肺炎疫情防控期间孕产妇心理健康状况调查及相关因素分析  

Investigation on Maternal Mental Health and Analysis of Related Factors during the Coronavirus Disease 2019(COVID-19)Epidemic Period

作　　者：王蕾 杨娟[2] 任倩倩 梁艳[3] 王艳丽 袁艺蕊 王海丽 WANG Lei;YANG Juan;REN Qian-qian(Henan Population and Family Planning Science and Technology Research Institute,Zhengzhou,450052,China;不详)

机构地区：[1]河南省人口和计划生育科研院,国家卫生健康委出生缺陷预防重点实验室,河南人口缺陷干预技术研究重点实验室,郑州450052 [2]郑州大学第一附属医院,郑州450052 [3]郑州市妇幼保健院,郑州450052

出　　处：《中国初级卫生保健》2020年第11期70-73,共4页Chinese Primary Health Care

基　　金：2018年度河南省重大科技攻关专项(182102310165);河南省属科研院所基本科研业务费专项基金项目(JBKY2020004)。

摘　　要：目的研究新型冠状病毒肺炎(COVID-19)疫情防控期间孕产妇心理健康状况,为突发公共卫生事件下孕产妇保健和心理干预提供依据。方法于疫情爆发期对1237名孕产妇进行线上问卷调查,运用Spearman相关和多元线性回归分析法等对孕产妇心理健康状况进行分析。结果高学历、居住在城市、孕早期、头胎、家庭高经济收入的孕产妇在身体、情绪和认知3个维度的得分均高于其他组(P<0.01)。以心理健康状况总得分为因变量,进入回归方程COVID-19相关变量前3位是身体健康状况(β=0.31)、睡眠情况(β=0.22)、担心疫情影响正常产检或分娩(β=0.17)。结论COVID-19疫情对孕产妇的影响主要在情绪和认知方面,其中高龄、头胎和孕早期的孕产妇是高危人群,应及早提供针对性心理干预。OBJECTIVE To study the maternal mental health during the COVID-19 epidemic period,and to provide a basis for maternal health care in public health emergencies.METHODS An online questionnaire survey was conducted on 1237 pregnant women and lying-in women during the outbreak period.The mental health of pregnant women were analyzed by Spearman’s correlation and multi-liner regression analysis.RESULTS A pairwise comparison found that people with high education,living in the city,early pregnancy,first child,family high economic income scored higher in all three dimensions(P<0.01).Taking total mental health score as the dependent variable and epidemic-related factors as independent variables,the variables that finally entered the regression equation were physical condition(β=0.31),sleep quality(β=0.22),worrying about the epidemic affected the normal delivery(β=0.17).CONCLUSION The impact of the epidemic on maternal was mainly emotional and cognitive.The elderly,first-born,early pregnancy women were high-risk groups with adverse mental health conditions.It was recommended to carry out targeted psychological interventions.

关 键 词：新型冠状病毒肺炎 疫情 孕产妇 心理健康状况 

分 类 号：R174.2[医药卫生—妇幼卫生保健]