乙型肝炎病毒感染孕妇合并焦虑的影响因素及心理护理策略分析  

Analysis of infuencing factors and psychological nursing strategies of anxiety in pregnant women infected with hepatitis B virus

作　　者：陆曼霞 蔡青芳 张春 LU Manxia;CAI Qingfang;ZHANG Chun(Department of Preventive Health Care,Panzhou People's Hospital,Liupanshui 561600,China;Department of Nursing,Panzhou People's Hospital,Liupanshui 561600,China)

机构地区：[1]盘州市人民医院,预防保健科,贵州六盘水561600 [2]盘州市人民医院,护理部,贵州六盘水561600

出　　处：《心理月刊》2025年第6期78-80,共3页

摘　　要：目的探究乙型肝炎病毒(HBV)感染孕妇合并焦虑的影响因素,并分析心理护理策略。方法选取2023年1月~2024年1月盘州市人民医院收治的100例HBV感染孕妇,采用焦虑自评量表(SAS)评估焦虑情绪,根据评估结果分为焦虑组和非焦虑组,并收集所有孕妇年龄、文化程度、孕前慢性病、户籍、家庭人均月收入、家庭关系、工作情况、应对方式、妊娠情况及妊娠并发症等一般资料,开展Logistic回归分析,获得影响焦虑的高危因素。结果100例HBV感染孕妇中共有33例存在焦虑情绪,焦虑发生率为33.00%(33/100);单因素分析显示,孕前慢性病、户籍、工作情况、妊娠情况及孕次与HBV感染孕妇合并焦虑无关,无统计学差异(P>0.05);年龄、文化程度、家庭人均月收入、家庭关系、应对方式、妊娠合并症与HBV感染孕妇合并焦虑有关,有统计学差异(P<0.05);多因素Logistic回归分析显示,年龄≥35岁(OR=2.426,95%置信区间=1.033~5.698)、文化程度高中及以下(OR=3.826,95%置信区间=1.584~9.244)、家庭人均月收入≤3000元(OR=3.348,95%置信区间=1.402~7.993)、家庭关系较差(OR=2.963,95%置信区间=1.238~7.094)、消极应对(OR=2.760,95%置信区间=1.164~6.540)、有妊娠合并症(OR=3.147,95%置信区间=1.326~7.471)均是影响HBV感染孕妇合并焦虑的高危因素(P<0.05且OR>1)。结论HBV感染孕妇合并焦虑与年龄、文化程度、家庭人均月收入、家庭关系、应对方式、妊娠合并症均有关,临床需提高重视度,据此采取科学有效心理护理策略。Objective To explore the influencing factors of anxiety in pregnant women infected with hepatitis B virus(HBV)and analyze psychological nursing strategies.Methods A total of 100 HBV-infected pregnant women admitted to Panzhou People's Hospital from January 2023 to January 2024 were selected to evaluate their anxiety by self-rating anxiety scale(SAS).According to the evaluation results,they were divided into anxious group and non-anxious group.General data of all pregnant women,such as age,education level,pre-pregnancy chronic disease,household registration,per capita monthly family income,family relationship,work situation,coping style,pregnancy and pregnancy complications,were collected,and Logistic regression analysis was carried out to obtain the risk factors affecting anxiety.Results Among 100 pregnant women infected with HBV,33 cases had anxiety,the incidence of anxiety was 33.00%(33/100).Univariate analysis showed that pre-pregnancy chronic disease,household registration,work status,pregnancy and pregnancy times were not related to the anxiety of HBV infected pregnant women,and there was no statistical difference(P>0.05).Age,education level,family per capita monthly income,family relationship,coping style,pregnancy complications were associated with anxiety in HBV infected pregnant women,and there were statistical differences(P<0.05).Multivariate Logistic regression analysis showed that age≥35 years old(OR=2.426,95%confidence interval=1.033~5.698),education level high school OR below(OR=3.826,95%confidence interval=1.584~9.244),per capita monthly family income≤3000 yuan(OR=3.348,95%confidence interval=1.402~7.993),poor family relationship(OR=2.963,95%confidence interval=1.238~7.094),negative coping(OR=2.760,95%confidence interval=1.164~6.540),pregnancy complications(OR=3.147,95%confidence interval=1.326~7.471)were high risk factors for anxiety in pregnant women infected with HBV(P<0.05 and OR>1).Conclusion The anxiety of pregnant women infected with HBV is related to age,education level,family per capit

关 键 词：乙型肝炎病毒 孕妇 焦虑 影响因素 心理护理策略 

分 类 号：R47[医药卫生—护理学]