二胎孕妇妊娠焦虑状态调查分析  

Investigation and analysis of pregnancy anxiety status of second-child pregnant women

作　　者：甄玉梅 周方 仝玉丽[2] ZHEN Yumei;ZHOU Fang;TONG Yuli(Cao County Maternal and Child Health Hospital in Heze City,Shandong Province,Heze 274400,China;Department of Obstetrics and Gynecology,Heze Municipal Hospital,Shandong Province,Heze 274000,China)

机构地区：[1]山东省菏泽市曹县妇幼保健院,山东菏泽274400 [2]山东省菏泽市立医院妇产科,山东菏泽274000

出　　处：《妇儿健康导刊》2025年第2期183-187,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的调查二胎孕妇妊娠焦虑发生情况并分析其影响因素。方法选取曹县妇幼保健院2023年1月至12月接收的150例二胎孕妇作为研究对象展开问卷调查,收集孕妇的一般资料,并借助焦虑自评量表评估其焦虑程度,分析二胎孕妇出现焦虑的影响因素。结果150例中,74.00%无焦虑,26.00%存在焦虑,其中轻度焦虑17例、中度焦虑14例、重度焦虑8例。单因素分析结果显示,年龄≥35岁、有妊娠并发症、家庭关系差、对胎儿性别有期待、有不良妊娠史与二胎孕妇焦虑有关(P<0.05)。多因素logistic回归分析结果显示,年龄、有无妊娠并发症、家庭关系、对胎儿性别有无期待、有无不良妊娠史为二胎孕妇出现妊娠焦虑的影响因素(P<0.05)。结论二胎孕妇存在焦虑状态,与年龄、有无妊娠并发症、家庭关系、对胎儿性别有无期待、有无不良妊娠史多种因素有关,临床有必要为存在以上因素的二胎孕妇提供针对性的护理干预,以调节二胎孕妇的心理状态。Objective To investigate the incidence of pregnancy anxiety in second-child pregnant women and analyze its influencing factors.Methods A total of 150 second-child pregnant women who were admitted to Cao County Maternal and Child Health Hospital from January to December 2023 were selected as the research objects to conduct a questionnaire survey.The general information of pregnant women was collected,the degree of anxiety was evaluated by self-rating anxiety scale,to analyze the influencing factors of anxiety in second-child pregnant women.Results Among the 150 patients,74.00%had no anxiety,26.00%had anxiety,including 17 cases of mild anxiety,14 cases of moderate anxiety,and 8 cases of severe anxiety.The results of univariate analysis showed that the age≥35 years,pregnancy complications,poor family relationship,expectation of fetal gender and adverse pregnancy history were related to anxiety of second-child pregnant women(P<0.05).Multivariate logistic regression analysis showed that age,pregnancy complications,family relationship,expectation of fetal gender,and adverse pregnancy history were the influencing factors of pregnancy anxiety in second-child pregnant women(P<0.05).Conclusion Second-child pregnant women have anxiety state,which is related to many factors such as age,pregnancy complications,family relationship,expectation of fetal gender,and adverse pregnancy history.It is necessary to provide targeted nursing intervention for second-child pregnant women with the above factors,so as to regulate the psychological state of second-child pregnant women.

关 键 词：二胎孕妇 焦虑状态 年龄 妊娠并发症 

分 类 号：R473.71[医药卫生—护理学]