1000例孕妇孕期心身健康状况分析对比  

Analysis and comparison of physical and mental health status of 1000 pregnant women during pregnancy

作　　者：李建娟 陈婉钰 秦峰 Li Jianjuan;Chen Wanyu;Qin Feng(Perinatal Health Care Center,Beichen Maternal and Child Health and Family Planning Service Center,Tianjin 300400,China;Research Base of Psychosomatic Health Clinic for Pregnancy and Puerperium,Beijing 100142,China)

机构地区：[1]天津市北辰区妇幼保健计划生育服务中心围产保健中心,天津300400 [2]全国孕产妇心身健康门诊总课题组,北京100142

出　　处：《保健医学研究与实践》2023年第5期49-52,共4页Health Medicine Research and Practice

基　　金：中国健康促进基金会身心健康专项基金(CHSX20190601)。

摘　　要：目的分析孕妇在不同妊娠阶段发生抑郁情绪的风险以及对躯体功能障碍症状发生的影响,以探究孕妇的心身健康状况。方法选取2021年1—9月在天津市北辰区妇幼保健计划生育服务中心围产保健中心进行产检的1000例孕妇作为研究对象。采用抑郁自评量表(PHQ-9)对研究对象进行抑郁情绪筛查;采用孕妇主诉和医生问诊方式,对孕妇躯体功能障碍症状进行诊察,并对所得数据进行统计分析。结果研究对象有537人处于孕早期,有463人处于孕中期。依据研究对象的PHQ-9调查结果,孕早期孕妇抑郁情绪发生率为33.71%(181/537),高于孕中期孕妇的18.79%(87/463),且差异具有统计学意义(χ^(2)=28.195,P<0.001)。研究对象中有268人有抑郁情绪,732人无抑郁情绪,据此将研究对象分为2组(有抑郁情绪组和无抑郁情绪组),对2组孕妇的睡眠障碍(持续、偶发)、食欲不振(持续、偶发)、恶心(持续、偶发)、呕吐(持续、偶发)、夜尿增多(持续、偶发)、便秘(持续、偶发)、口干(持续、偶发)等躯体功能障碍症状发生情况进行比较,结果显示:有抑郁情绪组孕妇的睡眠障碍(持续)、食欲不振(持续、偶发)、恶心(持续)、呕吐(持续)、便秘(持续、偶发)发生率均高于无抑郁情绪组,且差异均有统计学意义(P<0.05)。结论关注孕妇心理健康应从孕早期开始,并应同步开展孕产期心身障碍诊查,发现问题应及早干预,从而改善不良妊娠结局,提高母婴健康水平。Objective This study aimed to analyze the risk of depressed mood in pregnant women at different stages of pregnancy and the effect on the occurrence of symptoms of physical dysfunction to investigate their psychosomatic health status.Methods A total of 1000 pregnant women who underwent prenatal examinations in Tianjin Beichen Maternal and Child Health and Family Planning Service Center from January to September 2021 were selected as the study participants.The Patient Health Questionnaire(PHQ-9)was used to screen the participants for depressed mood.Pregnant women's chief complaints and physician interviews were adopted to examine the symptoms of physical dysfunction in pregnant women.Statistical analyses were performed on the obtained data.Results There were 537 participants in the first trimester and 463 in the second trimester.According to the PHQ-9 survey results,the incidence of depressed mood in pregnant women in the first trimester was 33.71%(181/537),which was significantly higher than that in pregnant women in the second trimester(18.79%,87/463;χ^(2)=28.195,P<0.001).Among participants,268 of them had depressed moods and 732 had no depressed mood.Based on this,they were assigned to two groups(the group with depressed moods and the group without it).The incidence of somatic dysfunction symptoms such as sleep disorder(persistent,occasional),loss of appetite(persistent,occasional),nausea(persistent,occasional),vomiting(persistent,occasional),increased nocturia(persistent,occasional),constipation(persistent,occasional)and dry mouth(persistent,occasional)was compared between the groups.The results showed that the incidence of sleep disorder(persistent),loss of appetite(persistent,occasional),nausea(persistent),vomiting(persistent),and constipation(persistent,occasional)in the group with depressed mood was significantly higher than that in the group without it(P<0.05).Conclusion To improve adverse pregnancy outcomes and promote maternal and child health,attention to the mental health of pregnant women should sta

关 键 词：孕妇 妊娠期 抑郁 躯体型障碍 心身健康 

分 类 号：R714.7[医药卫生—妇产科学]