孕妇抑郁预警量表的编制  

Development of depression warning scale for pregnant women

作　　者：朱苗苗 张洁茹 王慧洁 明玉杰 张聪 李孝明[3] 王平 ZHU Miaomiao;ZHANG Jieru;WANG Huijie;MING Yujie;ZHANG Cong;LI Xiaoming;WANG Ping(School of Public Health,Anhui Medical University,Hefei 230032,China)

机构地区：[1]安徽医科大学公共卫生学院,合肥230032 [2]安徽医科大学第一临床医学院 [3]安徽医科大学精神卫生与心理科学学院医学心理学系 [4]安徽医科大学创新创业学院

出　　处：《中国生育健康杂志》2023年第6期526-531,共6页Chinese Journal of Reproductive Health

基　　金：安徽省哲学社会科学规划项目研究成果(AHSKF2019D014)。

摘　　要：目的 基于国内孕妇抑郁的现状,编制孕妇抑郁预警量表,进一步监测围产期妇女的心理健康状况,预测抑郁倾向,以减少围产期妇女发生抑郁的风险。方法 首先,采用文献法构建孕妇抑郁预警量表的理论结构假设,并于2020年10月初在安徽省合肥市某医院内随机挑选了18名孕妇进行开放式问卷调查,平均年龄(28.46±3.37)岁,在此基础上形成75个项目的初测问卷。其次,选取2020年10月10日至2021年1月10日前往合肥市某医院妇产科就诊的孕妇进行预测,参与调查的孕妇共170名,采用初测问卷对170名孕妇进行第一次施测,对数据进行项目分析、探索性分析后,最终形成了24个项目的孕妇抑郁预警量表。最后,选取2021年4月23日至6月23日前往合肥市某医院妇产科就诊的孕妇开展第二次施测,参与调查的孕妇共有215名,采用正式量表对215名孕妇进行第二次施测,回收数据进行结构验证和信效度分析后,最终形成了包括5个因子的孕妇抑郁预警量表。结果 经SPSS 23.0数据处理系统处理,得到总量表的α系数为0.68>0.6,各因子的α系数都处于可接受范围内。经AMOS 26.0建立结构方程模型(SEM)验证,χ2/df为1.26,RMSEA为0.04,IFI为0.93,PNFI为0.61,各项指标均理想。结论 本次研究确定了孕妇抑郁预警量表的五个维度,即自我认同、社会关系支持、挫折承受能力、产后体态担忧、新生儿状况担忧,形成了包含24个条目的孕妇抑郁预警量表。经检测,量表效度良好,信度尚在可接受范围。Objective Based on the current situation of depression among Chinese pregnant women,a depression warning scale for pregnant women was developed to monitor the mental health during perinatal period,further predict the tendency of depression and hence to reduce the risk of depression.Methods Firstly,the theoretical structure hypothesis of scale was constructed based on bibliographic method.18 pregnant women,average age was(28.46±3.37)years old,were randomly selected for an open questionnaire survey in early October 2020 at a hospital in Hefei,Anhui Province.A preliminary questionnaire consisting of 75 items was formed based on this pre-survey.Secondly,170 pregnant women who visited the obstetrics and gynecology department of a hospital in Hefei during October 10,2020 to January 10,2021 were selected for prediction and the preliminary questionnaire was administered to them for the first time.After data analysis and exploratory analysis,a pregnant women depression warning scale with 24 items was finally formed.Finally,a second test was conducted on 215 pregnant women who visited the obstetrics and gynecology department of a hospital in Hefei during April 23 to June 23,2021.The formal scale was administered to them for the second time,and the data was collected for structural validation and reliability analysis,through which a pregnant women depression warning scale with 5 factors was finally formed.Results SPSS 23.0 software was used for data analysis.Theαcoefficient of the total amount table was 0.68>0.6,and theαcoefficient of each factor was within the acceptable range.Theχ2/DF,RMSEA,IFI and PNFI values were 1.26,0.04,0.93 and 0.61,respectively,verified by structural equation model(SEM)established by AMOS 26.0.Conclusion A 24-item pregnant women depression early warning scale which covered five dimensions,namely,self-identification,social relationship support,frustration tolerance,postpartum posture worry,newborn status worry,was formed and identified.The scale validity is good,and the reliability is within an

关 键 词：围产期妇女 预防抑郁 量表编制 

分 类 号：R17[医药卫生—妇幼卫生保健]