胎儿异常引产产妇反刍思维、病耻感与抑郁症状发生关系调查  

Correlation between the rumination thinking and the stigma of women with termination of pregnancy caused by the fetal anomaly and their depressive symptoms

作　　者：刘美 金蜜 俱彩欣 姚漫漫 李丽[1] LIU Mei;JIN Mi;JU Caixin;YAO Manman;LI Li(The Second Hospital of Shijiazhuang,Shijiazhuang,Hebei Province,050000;The Fourth Hospital of Shijiazhuang,Shijiazhuang;Shijiazhuang People's Hospital,Shijiazhuang)

机构地区：[1]河北省石家庄市第二医院,050000 [2]河北省石家庄市第四医院 [3]河北省石家庄市人民医院

出　　处：《中国计划生育学杂志》2024年第10期2225-2230,共6页Chinese Journal of Family Planning

摘　　要：目的:探讨反刍思维、病耻感与胎儿异常引产(TOPFA)产妇抑郁症状发生关系。方法:选取2021年1月-2023年12月石家庄市第二医院、石家庄市第四医院、石家庄市人民医院TOPFA产妇180例为研究对象。收集入选产妇一般资料,使用中文版爱丁堡产后抑郁量表(C-EPDS)评估产妇产后抑郁水平,中文版事件相关反刍性沉思问卷(C-ERRI)评价产妇反刍思维,个体水平引产病耻感量表(ILASS)评价产妇病耻感。Pearson相关性分析TOPFA产妇反刍思维、病耻感与产后抑郁发生的相关性;多元线性回归分析TOPFA产妇产后抑郁的影响因素。结果:回收有效问卷171份,回收合格率95.0%。171例TOPFA产妇,C-EPDS评分10.84±1.92分,TOPFA产妇产后抑郁发生率46.2%(79/171);C-ERRI总评分25.38±3.22分,ILASS总评分34.30±4.05分。单因素分析显示,TOPFA产妇受教育程度、居住地、不良孕产史、引产孕周与产后抑郁发生有关;Pearson相关性分析显示,TOPFA产妇反刍思维、病耻感均与产后抑郁呈正相关关系;多元线性回归分析显示,受教育程度高、引产孕周大、C-ERRI总分高、ILASS总分高是TOPFA产妇产后抑郁发生的影响因素(均P<0.05)。结论:TOPFA产妇产后抑郁水平较高,反刍思维、病耻感与产后抑郁发生具有正相关性,临床应予以重视,实施针对性干预以降低引产后抑郁发生风险。Objective:To investigate the correlation between the rumination thinking and the stigma of women with the termination of pregnancy for fetal anomaly(TOPFA)and their depressive symptoms.Methods:180 women with TOPFA from the second and the fourth hospital of Shijiazhuang and the Shijiazhuang people's hospital from January 2021 to December 2023 were selected as the research objects.The general data of these women were collected.Chinese edinburgh postnatal depression scale(C-EPDS)was used to evaluate the level of the postpartum depression of the women,Chinese event related rumination inventory(C-ERRI)was used to evaluate maternal rumination thinking of the women,and the individual level abortion stigma scale(ILASS)was used to evaluate the maternal stigma.The correlation between the rumination thinking and the stigma of the women and their postpartum depression was analyzed by Pearson correlation analysis.The influencing factors of the postpartum depression of the women with TOPFA were analyzed by multiple linear regression.Results:171 valid questionnaires were collected,and with the qualified rate of 95.0%.The C-EPDS score of 171 women with TOPFA was 10.84±1.92 points,and the incidence of the postpartum depression of these 171 women was 46.2%(79/171).The total scores of C-ERRI and ILASS of the women were 25.38±3.22 points and 34.30±4.05 points.Univariate analysis showed that the education level,the place of residence,the history of adverse pregnancy and delivery,the gestational age of induction of labor of the women with TOPFA were related to their postpartum depression.Pearson correlation analysis showed that the ruminant thinking and the stigma of the women with TOPFA were positively correlated with their postpartum depression.Multiple linear regression analysis showed that the high level of education,the more gestational weeks at induced labor,the high total score of C-ERRI and the high total score of ILASS of the women with TOPFA were the influence factors of their postpartum depression(all P<0.05).Conclusion:

关 键 词：胎儿异常引产 产后抑郁 反刍思维 病耻感 相关性 影响因素 

分 类 号：R715.3[医药卫生—妇产科学]