孕期情绪状态、健康促进行为及自我护理能力与妊娠结局的相关性  

Correlation between the emotional state,the health promotion behavior and the self-care ability of pregnant women and their pregnancy outcomes

作　　者：邓玉玲[1] 于彬 樊娜娜 王青[1] DENG Yuling;YU Bin;FAN Nana;WANG Qing(Maternal and Child Health Care Hospital of Zaozhuang,Zaozhuang,Shandong Province,277000)

机构地区：[1]山东省枣庄市妇幼保健院,277000

出　　处：《中国计划生育学杂志》2025年第4期866-869,共4页Chinese Journal of Family Planning

基　　金：山东省医药卫生科技项目(202405020654)。

摘　　要：目的:探讨孕期情绪状态、健康促进行为及自我保护理能力与妊娠结局的相关性。方法:选取2024年1-6月在本院定期产检并分娩的单胎初产孕妇983例作为研究对象,于孕28~32周产检时发放焦虑自评量表(SAS)、抑郁自评量表(SDS)、健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)及自我护理能力量表(ESCA)调查问卷,调查问卷现场收回,并追踪其妊娠结局,按妊娠结局分为妊娠结局良好组和妊娠结局不良组。分析SAS、SDS、HPLP-Ⅱ、ESCA评分与妊娠结局的相关性。结果:妊娠结局不良组344人,妊娠结局良好组639人,存在焦虑状态242(24.6%)人,存在抑郁状态283(28.8%)人。妊娠结局不良组的SAS、SDS评分均高于妊娠结局良好组(P<0.05)。妊娠结局不良组HPLP-Ⅱ、ESCA评分均低于妊娠结局良好组(P<0.05)。采用Spearman相关分析结果,SAS、SDS评分与妊娠结局不良呈正相关(r=0.49,r=0.67),HPLP-Ⅱ、ESCA评分与妊娠结局不良呈负相关(r=-0.65,r=-0.53)。SAS、SDS评分与剖宫产(r=0.44,r=0.35)、胎膜早破(r=0.55,r=0.41)、产后出血(r=0.43,r=0.31)、胎儿窘迫(r=0.37,r=0.40)呈正相关,HPLP-Ⅱ、ESCA评分与剖宫产(r=-0.28,r=-0.49)、胎膜早破(r=-0.35,r=-0.35)、产后出血(r=-0.32,r=-0.24)、胎儿窘迫(r=-0.39,r=-0.41)呈负相关;SDS评分与早产呈正相关(r=0.30),HPLP-Ⅱ评分与早产呈负相关(r=-0.39);SAS、SDS评分与巨大儿呈正相关(r=0.26,r=0.42),HPLP-Ⅱ评分与巨大儿呈负相关(r=-0.45)。结论:孕期情绪状态、健康促进行为、自我护理能力与妊娠结局有一定关系。Objective:To explore the correlation between the emotional state,the health promotion behavior and the self-care ability of pregnant women and their pregnancy outcomes.Methods:From January 2024 to June 2024,a total of 983 single pregnant women who accepted regular prenatal examination and would give birth in the hospital were selected as the study objects.The questionnaires about the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),health promotion lifestyle scale-II(HPLP-II)and self-care ability scale(ESCA)were distributed to the pregnant women during their 28-32 gestational weeks of outpatient prenatal examination.The questionnaires were collected on site and the pregnancy outcomes of the pregnant women were tracked.These women were divided into group A(women with the normal pregnancy outcomes)and group B(women with the adverse pregnancy outcomes).The correlation between the scores of SAS,SDS,HPLP-Ⅱand ESCA of the women and their pregnancy outcomes was analyzed.Results:There were 344 women in group B and 639 women in group A.there were 242(24.6%)women with anxiety and 283(28.8%)women with depression.The SAS and SDS scores of the women in group B were significantly higher than those of the women in group A(P<0.05).The scores of HPLP-Ⅱand ESCA of the women in group B were significantly lower than those of the women in group A(P<0.05).The results of Spearman correlation analysis showed that the SAS and SDS scores of the women in group B were positively correlated with their adverse pregnancy outcomes(r=0.49,r=0.67),and the HPLP-Ⅱand ESCA scores of the women in group B were negatively correlated with their adverse pregnancy outcomes(r=-0.65,r=-0.53).The scores of SAS and SDS of the women were positively correlated with their cesarean section(r=0.44,r=0.35),premature rupture of membranes(r=0.55,r=0.41),postpartum hemorrhage(r=0.43,r=0.31respectively)and fetal distress(r=0.37,r=0.40).The scores of HPLP-Ⅱand ESCA of the women were negatively correlated with their cesarean section(r=0.

关 键 词：初产妇 情绪状态 妊娠结局 相关性 

分 类 号：R714.7[医药卫生—妇产科学]