高危孕产妇围产期的心理健康状况与产前感知压力、社会支持的关系  

Relationship between perinatal mental health status of high-risk pregnant women and prenatal perceived stress and social support

作　　者：贺利平 冀璇 郭先菊[2] 张瑛[3] HE Liping;JI Xuan;GUO Xianju;ZHANG Ying(Department of Nursing,Shanxi Changzhi Medical College,Changzhi 046000,China;Department of Clinical Psychology,Heping Hospital Affiliated to Shanxi Changzhi Medical College;Department of Neonatology,Heji Hospital Affiliated to Shanxi Changzhi Medical College)

机构地区：[1]长治医学院护理学系,046000 [2]长治医学院附属和平医院临床心理科 [3]长治医学院附属和济医院新生儿科

出　　处：《中国健康心理学杂志》2023年第2期180-186,共7页China Journal of Health Psychology

基　　金：国家卫生计生委医药卫生科技发展研究中心基金资助项目(编号:W2016EWSX06);山西省哲学社会科学规划课题(编号:2020YY168);山西省高等学校哲学社会科学研究项目(编号:2020W082)。

摘　　要：目的:探究高危孕产妇围产期的心理健康状况与产前感知压力、社会支持的关系。方法:选取2019年1月-2021年12月长治医学院附属和济医院收治的195例高危孕产妇作为研究对象,采用自制的一般资料调查问卷、症状自评量表(SCL-90)、感知压力量表(CPSS)、社会支持评定量表(SSRS)调查其一般资料及围产期心理健康状况、感知压力水平、社会支持度,比较高危孕产妇SCL-90评分与全国常模的差异,采用Pearson相关性分析心理健康状况与产前感知压力水平、社会支持度的相关性。结果:195例高危孕产妇的围产期SCL-90总分为138.05±5.54分,其中41例检出SCL-90阳性率为21.03%。SCL-90量表中躯体化、抑郁、焦虑、人际关系敏感、强迫因子得分及总分均显著高于全国常模,差异有统计学意义(t=5.861,4.440,4.341,6.151,4.100.9.237;P<0.01),敌对、恐怖、偏执、精神病性因子得分与全国常模比较,差异无统计学意义。经Pearson相关分析,SCL-90量表中躯体化、抑郁、焦虑、人际关系敏感、强迫因子及总分与CPSS量表中紧张感、失控感2个维度及总分呈正相关性,与SSRS量表客观支持、主观支持、支持利用度3个维度及总分呈负相关性。多元逐步回归分析表明围产期心理健康状况对产前感知压力具有显著的正向预测作用(β=0.177,SE=0.08,P<0.01),对社会支持具有显著的负向预测作用(β=-0.149,SE=0.10,P<0.05)。结论:高危孕产妇围产期存在不同程度的心理健康问题,且其围产期心理健康状况与产前感知压力水平呈正相关,与产前社会支持度呈负相关,心理健康状况对产前感知压力、社会支持分别具有显著的正向和负向预测作用。Objective:To explore the relationship between perinatal mental health status of high-risk pregnant women and prenatal perceived stress and social support.Methods:A total of 195 high-risk pregnant women treated in X Hospital from January 2019 to December 2021 were selected as the research objects.The symptom check list 90(SCL-90),Chinese perceived stress scale(CPSS),and the social support rate scale(SSRs)was used to investigate the general information,perinatal mental health status,perceived stress level and social support;the difference between SCL-90 score of high-risk pregnant women and the national norm,and the correlation between mental health status and prenatal perceived stress level and social support were analyzed.Results:The total perinatal SCL-90 score of 195 high-risk pregnant women was138.05±5.54,of which 41 cases were positive for SCL-90,and the positive rate was 21.03%.The scores and total scores of somatization,depression,anxiety,interpersonal sensitivity and obsessive-compulsive factors in SCL-90 were significantly higher than those in the national norm,and the difference was statistically significant(t=5.861,4.440,4.341,6.151,4.100.9.237;P<0.01).The scores of hostile,terrorist,paranoid and psychotic factors were compared with the national norm.There was no significant difference.Pearson correlation analysis showed that somatization,depression,anxiety,interpersonal sensitivity,obsessive-compulsive factors and total scores in SCL-90 were positively correlated with the two dimensions and total scores of tension and out of control in CPSS(P<0.01),and negatively correlated with the three dimensions and total scores of objective support,subjective support and support utilization in SSRs(P<0.01).Stepwise method showed perinatal mental health status had a significantly positive predictive effect on prenatal perceived stress(β=0.177,SE=0.08,P<0.01),which had a significantly negative predictive effect on social support(β=-0.149,SE=0.10,P<0.05).Conclusion:High risk pregnant women have different degrees o

关 键 词：高危孕产妇 围产期 心理健康状况 感知压力 社会支持 

分 类 号：R395.9[哲学宗教—心理学]