瘢痕子宫再次妊娠孕妇孕晚期抑郁发生情况及影响因素  

Depression The occurence of in pregnant women with scarred uterus during the third trimester of pregnancy and its influence factors

作　　者：肖新燕[1] 李燕敏 朱立华[1] XIAO Xinyan;LI Yanmin;ZHU Lihua(The Second People's Hospital of Liaocheng City,Liaocheng,Shandong Province,252600)

机构地区：[1]山东省聊城市第二人民医院,252600

出　　处：《中国计划生育学杂志》2024年第7期1483-1487,共5页Chinese Journal of Family Planning

摘　　要：目的:调查瘢痕子宫(SU)再次妊娠孕妇孕晚期抑郁发生情况并分析影响因素。方法:选择2021年1月-2023年12月在本院产前检测的278例SU再次妊娠孕妇,均于孕晚期采用健康问卷(PHQ-9)评定,根据评估结果分成抑郁组和无抑郁组。收集两组17项资料并开展比较,通过多因素分析筛查SU再次妊娠孕妇孕晚期抑郁发生的影响因素。结果:22.3%(62/278)的SU再次妊娠孕妇孕晚期发生抑郁;抑郁组和无抑郁组学历、不良妊娠经历、睡眠状况、妊娠并发症、性格内向、家庭关怀度、近期出现负性生活事件等均有差异(P<0.05);SU再次妊娠孕妇孕晚期抑郁发生的危险因素主要包括有不良妊娠经历(OR=2.816,95%CI 1.570~5.050)、睡眠状况差(OR=2.514,95%CI 1.377~4.589)、性格内向(OR=2.408,95%CI 1.289~4.500)、家庭关怀度差(OR=3.022,95%CI 1.708~5.316)、近期出现负性生活事件(OR=2.862,95%CI 1.577~5.193)。结论:不良妊娠经历、睡眠状况差、性格内向、家庭关怀度差、近期出现负性生活事件与SU再次妊娠孕妇孕晚期抑郁发生有关。提示临床应针对上述情况施以孕妇针对性教育、心理支持及健康行为干预,以预防抑郁发生。Objective:To investigate the depression current situation of pregnant women with scarred uterus(SU) during the third trimester of pregnancy,and to analyze the influencing factors of the depression.Methods:From January2021 to December 2023,278 pregnant women with SU who underwent prenatal examinations in hospital were selected in this study.These women were all evaluated by the patient health questionnaire(PHQ-9) during the third trimester of pregnancy,and based on the evaluation results.these women were divided into group A(women with depression)and group B(women without depression).The 17 items of the data in PHQ-9 of the women were collected and were compared between the two groups.Multivariate analysis was applied to screen the influencing factors of the depression occurrence of the pregnant women with SU during the third trimester of pregnancy.Results:22.3 %(62/278) women with SU had depression during the third trimester of pregnancy.There were significant differences in the educational background,the adverse pregnancy experience,the sleep status,the pregnancy complications rate,the introverted personality rate,the family care situation,and the recent negative life events of the women between group A and group B(P<0.05).The influencing factors of the depression occurrence of the pregnant women with SU during the third trimester of pregnancy mainly included the adverse pregnancy experience(OR=2.81,95% CI 1.570-5.050),the poor sleep status(OR=2.514,95%CI 1.377-4.589),and the introverted personality rate(OR=2.408,95%CI 1.289-4.500),the poor family care(OR=3.022,95%CI 1.708-5.316) and the recent negative life events(OR=2.862,95%CI 1.577-5.193).Conclusion:The adverse pregnancy experiences,the poor sleep status,the introverted personality,the poor lamily care and the recent negative life events of the pregnantwomen with SU are related to their depressionduring the third trimester of pregnaney. 'Therefore, the targeted education, the psychological support and the healthbehavior interventions for these women based on

关 键 词：瘢痕子宫 再次妊娠 孕晚期 抑郁 影响因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R714[医药卫生—临床医学]