不同阶段孕产妇焦虑抑郁症状及其影响因素  

Anxious-depressive symptoms of gravida and parturient at different stages and influencing factors

作　　者：吴雨函 张钰群 王慧泽[2] Wu Yuhan;Zhang Yuqun;Wang Huize(Nursing College of Nanjing University of Chinese Medicine,Nanjing 210023,Jiangsu,China;不详)

机构地区：[1]南京中医药大学,江苏南京210000 [2]东南大学附属中大医院,江苏南京210009

出　　处：《临床心身疾病杂志》2023年第3期56-60,共5页Journal of Clinical Psychosomatic Diseases

基　　金：国家自然科学基金项目(编号82001426);南京中医药大学大学生创新创业训练计划项目(编号103152021043);校基青年项目资助(编号NZY82001426)。

摘　　要：目的了解孕产妇不同阶段焦虑抑郁的情绪症状,探讨其重要影响因素。方法对112名孕产妇进行调查。采用量表评估孕产妇焦虑、抑郁状况以及睡眠质量。结果产褥期与孕中期、孕晚期孕产妇的焦虑和睡眠症状具有显著统计学差异(P<0.05);分娩1次及以上组的孕产妇匹茨堡睡眠质量指数量表评分显著高于分娩0次孕产妇(P<0.05)。皮尔逊相关性分析显示孕产妇焦虑与抑郁高度相关,孕产妇睡眠质量与抑郁、焦虑中度相关。结论睡眠质量是孕产妇抑郁的重要影响因素。孕产妇在不同阶段,焦虑的严重程度不同,睡眠质量亦有所差别,医务人员可在不同阶段采取相应措施进行干预。Objective To find out anxious-depressive symptoms of gravida and parturient at different stages and explore their important influencing factors.Methods Investigations were conducted in 112 gravidas and parturients.Anxious-depressive status and sleep quality were assessed with scales.Results There were significantly statistical differences in anxious symptoms and sleep quality in the puerperium,middle and later stage of pregnant(P<0.05);score on the PSQI(Pittsburgh Sleep Quality Index)was significantly higher in multiparas than in primiparas group(P<0.05).Pearson correlation analysis showed that anxiety was highly associated with depression,sleep quality moderately with depression and anxiety.Conclusion Sleep quality was an important influencing factor of depression in gravida and parturient.At different stages severities of anxiety in gravida and parturient are different,sleep qualities also differences to some extent,and medical staff may take corresponding measures to intervene.

关 键 词：孕产妇 妊娠阶段 焦虑 抑郁 影响因素 

分 类 号：R395[哲学宗教—心理学]