摘要
目的了解孕产妇分娩前焦虑抑郁的发生情况及其相关因素。方法采用在国内外具有良好效度和信度的自我评定量表《焦虑自评量表(SAS)》和《抑郁自评量表(SDS)》评定120例产妇产前焦虑、抑郁情绪。结果产妇焦虑及抑郁值高于一般人群(P<0.01);有妊娠合并症者焦虑值较无合并症者高,两者比较差异有统计学意义(t=2.43,P=0.017);经产妇与初产妇比较焦虑抑郁值差异均无统计学意义;家庭类型、经济状况、对婴儿性别的期望程度、担心分娩疼痛、担心不良体型、担心丈夫关心等与产妇的心理状态有显著相关性(P<0.01)。结论产妇产前普遍存在着焦虑抑郁情绪,且经产妇发生焦虑抑郁情绪不比初产妇低,针对易发因素对孕期妇女给予定期的心理咨询与指导,会明显的降低产妇孕产期心理障碍的发生率。
Objective To investigate the status of anxiety-depression and the relevant factors in puerpera before delivery. Methods The emotion of anxiety and depression in puerpera before delivery was evaluated by self-rating anxiety scale(SAS) and self-rating depression scale(SDS) which had satisfactory validity and retiability. Results The values of anxiety and depression in puerpera were higher than those of general crowd(P 〈 0.01 ). The values of anxiety in puerperal with complications were higher than those without complications,and the differences between them were significant( t = 2.43, P = 0. 017 ). The differences between the values of anxiety-depression in multipara and primipara were not significant. Types of family, economic status, expectation of infant's sex, worry of delivery pain, worry of deformed figure and worry of husband's concern were significantly in correlation to the mental state in puerpera(P〈 0.01 ). Conclusion Puerpera had the emotion of anxiety-depression generally. And multipara had no difference with primipara in the status of anxiety-depression, It would obviously cut clown the incidence rate of mental problems in durations of pregnancy and delivery by giving regular psychological counseling to puerperal who had liability factors.
出处
《中国基层医药》
CAS
2007年第10期1585-1586,共2页
Chinese Journal of Primary Medicine and Pharmacy
基金
2005年广东省汕头市重点科技计划项目(2005038)
关键词
分娩
焦虑
抑郁
相关因素
Delivery
Anxiety
Depression
Relevant factors