摘要
目的:了解产前孕妇焦虑及抑郁情绪反应,为做好产前心理咨询提供依据。方法:采用抑郁自评量表(SDS)和焦虑自评量表(SAS),对218例孕晚期住院待产的孕妇的心理状态和影响因素进行调查和分析。将标准分与国内常模进行比较,各分组之间相互比较。结果:孕妇焦虑,抑郁群体标准均分高于正常人群(P<0.05)。产前有焦虑症状者占27.1%,有抑郁症状者占44.5%。抑郁与文化程度,职业,生育史,病史,倾向产式等因素均无关。焦虑与孕妇的文化程度有关。孕妇的文化程度越低,发生率越高(P<0.05),反之越低。焦虑与孕妇的职业因素有关(P<0.05),其中,干部焦虑的发生率最低,而家庭妇女和农民发生率则较高,焦虑与生育史,病史,倾向产式等因素均无关。结论:产前应该对孕妇进行心理咨询和指导,加强孕晚期健康教育工作,疏导孕妇心理压力,以提高孕产妇心理健康,减少产后焦虑,抑郁的发生。
Objective： To understand depression and anxiety state of pregnant women, provide a basis for prenatal psychological consultation. Methods： Psychological state and effect factors of 218 pregnant women at late pregnancy were investigated and analysed by self -rating depression scale （SDS） and self- rating anxiety scale （SAS）, then the results were compared with those of national norm and between different groups. Results： Standard scores of depression and anxiety in pregnant women were significantly higher than those in normal population （P 〈 0. 05 ） ; the proportions of women with symptoms of anxiety and depression were 27. 1% and 44. 5% , respectively; there was no correlation between depression and educational level, occupation, history of pregnancy and delivery, medical history, choice of delivery modes ; anxiety was related to educational level of pregnant women, the incidence increased with educational level （ P 〈 0. 05 ） ; anxiety was related to occupation of pregnant women （P 〈 0. 05 ） , the incidence of anxiety in cadres was the lowest, the incidences of anxiety in housewives and peasantry were higher; there was no correlation between anxiety and history of pregnancy and delivery, medical history, choice of delivery modes. Conclusion ： Prenatal psychological consultation and direction of pregnant women should be carried out, strengthening health education at late pregnancy and relieving mental pressure may promote mental health and reduce postnatal anxiety and depression.
出处
《中国妇幼保健》
CAS
北大核心
2009年第35期5028-5030,共3页
Maternal and Child Health Care of China
关键词
产前
焦虑
抑郁
焦虑自评量表
抑郁自评量表
Prenatal
Anxiety
Depression
Self-rating anxiety scale
Self-rating depression scale
