孕晚期妇女心理健康状况现状调查及其影响因素分析  

Investigation of mental health status of pregnant women in late pregnancy and analysis of the influencing factors

作　　者：陈佳 郭春燕[1] 陈怀梅 王亚冬[2] CHEN Jia;GUO Chunyan;CHEN Huaimei;WANG Yadong(Department of Gynecology and Obstetrics,Chongqing Municipal Emergency Medical Center,Chongqin 400014,China;Department of Mastology and Thyriodology,Chongqing TCM Hospital,Chongqing 400021,China)

机构地区：[1]重庆市急救医疗中心妇产科,重庆400014 [2]重庆市中医院乳腺甲状腺科,重庆400021

出　　处：《中国妇幼健康研究》2021年第8期1162-1165,共4页Chinese Journal of Woman and Child Health Research

基　　金：重庆市卫生计生委2015年医学科研计划项目(2015MSXM216)。

摘　　要：目的探讨孕晚期妇女心理健康状况并分析其影响因素。方法选择2019年1月至2020年1月就诊于重庆市急救医疗中心妇产科的150例孕晚期妇女为研究对象,根据其心理状态分为心理不良组(伴有焦虑或抑郁状态,n=76)和健康组(n=74),采用多因素Logistic回归模型分析孕晚期妇女出现不良心理状态的危险因素。结果本研究150例孕晚期妇女中单纯焦虑状态的孕妇占比为20.67%(31/150),单纯抑郁状态的孕妇占比为22.00%(33/150),焦虑合并抑郁的孕妇占比为8.00%(12/150),存在不良心理状态(焦虑或抑郁)的孕妇占比为50.67%(76/150);多因素Logistic回归分析结果显示,家庭经济收入较低、职业为农民、医疗费用支出方式为自费、经产妇、存在流产史、存在妊娠期高血压疾病及妊娠期糖尿病均是孕晚期出现不良心理状态的独立危险因素,其OR值及95%CI分别为1.781(1.124~3.152)、1.851(1.556~2.856)、1.679(1.349~3.106)、2.317(1.414~3.556)、1.887(1.618~7.034)、1.341(1.209~2.916)、1.894(1.115~4.527),P<0.05。结论家庭经济收入较低、农民、自费医疗、经产妇、存在流产史、存在妊娠期并发症均是孕晚期出现不良心理状态的独立危险因素,临床上对于此类患者需引起重视,适时干预,改善母婴出生结局。Objective To investigate mental health status of pregnant women in late pregnancy and analyze the influencing factors.Methods 150 pregnant women in late pregnancy who received prenatal examination in our hospital from January 2019 to January 2020 were selected as study subjects.According to their mental state, the late pregnant women were divided into adverse mental state group(n=76) and healthy group(n=74).Mulivariate logistic regression model was used to analyze the risk factors of adverse mental tate of the late pregnant women.Results Among 150 late pregnant women, these with simple anxiety accounted for 20.67%(31/150),and those with simple depression accounted for 22.00%(33/150),and 12/150(8.00%) pregnant women had anxiety combined with depression.The proportion of the pregnant women with adverse mental state(anxiety and/or depression) was 50.67%(76/150).Multivariate logistic regression analysis showed that low family income, farmer of occupation, self-pay for medical expenses, being multipara, having history of abortion, presenting hypertensive disease and gestational diabetes mellitus(GDM) were all independent risk factors for adverse mental state in the third trimester of pregnancy, the OR values(95% CI) were 1.781(1.124~3.152),1.851(1.556~2.856),1.679(1.349~3.106),2.317(1.414~3.556),1.887(1.618~7.034),1.341(1.209~2.916) and 1.894(1.115~4.527) respectively, all P<0.05.Conclusion Low family income, farmer of occupation, self-pay for medical expenses, being multipara, having history of abortion, presence of pregnancy complications are all risk factors for occurrence of adverse emotions in late pregnancy.Clinically, more and close attention should be paid to those pregnant women with risk factors, and intervention measures should be given at right time to improve the maternal and infantile outcomes.

关 键 词：孕晚期 产妇 心理健康 现状调查 影响因素 

分 类 号：R173[医药卫生—妇幼卫生保健] R715.3[医药卫生—公共卫生与预防医学]