复发性流产女性的负性情绪及社会支持状况调查  

Investigation of the negative emotion and social support status of women with spontaneous recurrent abortion

作　　者：史杨[1] 姚利[1] 吴玉[1] 吴佩蔚[1] SHI Yang;YAO Li;WU Yu;WU Peiwei(Nanyang Central Hospital,Henan Province,473000)

机构地区：[1]河南省南阳市中心医院,473000

出　　处：《中国计划生育学杂志》2022年第3期514-519,共6页Chinese Journal of Family Planning

摘　　要：目的:调查复发性流产女性的负性情绪及社会支持现状,分析二者的相关性及负性情绪影响因素。方法:选取2020年5月-2021年5月本院就诊的复发性流产患者292例作为调查对象,采用问卷法,利用一般资料调查表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会支持评定量表(SSRS)收集患者社会人口学信息并评估负性情绪、社会支持情况及其相关性,分析负性情绪相关影响因素。结果:SAS评分(50.65±2.57分),焦虑发生率为54.7%,SDS评分(52.03±4.28分),抑郁发生率为79.9%。SSRS总分(40.02±7.77分),SSRS总分<20分31.8%。复发性流产患者SAS、SDS评分与SSRS各维度评分、SSRS总分均呈负相关(P<0.05)。多因素分析显示,年龄(36~40岁、>40岁)、结婚年限>5年、家庭月收入(5001~10000元、10001~30000元、>30000元)是复发性流产患者焦虑的危险因素,学历(大专、本科及以上)、家庭月收入(5001~10000元、10001~30000元、>30000元)、有生育史、SSRS评分均是复发性流产患者焦虑的保护因素(均P<0.05);年龄(36~40岁、>40岁)、结婚年限>5年为复发性流产患者抑郁的危险因素,有生育史、SSRS评分是复发性流产患者抑郁的保护因素(均P<0.05)。结论:复发性流产患者焦虑、抑郁负性情绪明显,社会支持水平有待提高,患者的负性情绪主要受到年龄、生育史、社会支持水平等影响。Objective:To investigate the status of negative emotion and social support of women with recurrent spontaneous abortion(RSA),to analyze the correlation between the negative emotion and social support,and to study the influencing factors of the negative emotion.Methods:292 women with RSA were selected as the investigation object.The general information questionnaire,self rating anxiety scale(SAS),self rating depression scale(SDS),and social support rating scale(SSRS)were used to collect social demographic information,and to evaluate the negative emotions and social support,and to study the correlation between the negative emotion and social support.The related influencing factors of the negative emotion were analyzed.Results:The SAS score of the women was 50.65±2.57 points,the anxiety rate of the women was 54.7%,and the SDS score of the women was 52.03±4.28,and the depression rate of the women was 79.9%.The total score of SSRS of the women was 40.02±7.77 points.The rate of the total score of SSRS<20 points was 31.8%.The SAS and SDS scores of the women with RSA were negatively correlated with their SSRS score and their total SSRS score(P<0.05).Multivariate analysis showed that age(36-40 years old,>40 years old),marriage duration>5 years,monthly family income(5001-10000 Yuan,10001-30000 Yuan,>30000 Yuan)were the risk factors of anxiety of the women with RSA.Educational level(college,bachelor or above),monthly family income(5001-10000 Yuan,10001-30000 Yuan,>30000 Yuan),childbearing history,and SSRS score were all the protective factors of anxiety of the women with RSA(all P<0.05).Age(36-40 years old,>40 years old)and married years(>5 years)were the risk factors of depression of the women with RSA,while childbearing history and SSRS score were the protective factors of depression of the women with RSA(all P<0.05).Conclusion:The women with RSA have obvious negative emotions of anxiety and depression,and the level of social support for them needs to be improved.The negative emotion of the women with RSA is mainly aff

关 键 词：复发性流产 心理健康 焦虑 抑郁 社会支持 影响因素 

分 类 号：R714.21[医药卫生—妇产科学]