【摘要】：背景:高危孕婦與普通孕婦相比在妊娠期會出現(xiàn)更多的并發(fā)癥,高危因素作為一種應(yīng)激因素更易誘發(fā)孕婦產(chǎn)生焦慮、抑郁等負面情緒癥狀。目前國內(nèi)外對高危孕婦焦慮、抑郁癥狀的研究相對較少。目標:調(diào)查產(chǎn)科高危妊娠孕婦焦慮、抑郁癥狀發(fā)生率及其相關(guān)危險因素。方法:對197例孕中期(16-20周)的高危孕婦在妊娠最后4月每月進行綜合性醫(yī)院焦慮/抑郁量表(HAD)評估和風(fēng)險因素調(diào)查。產(chǎn)后3-7天、42天及3月進行愛丁堡產(chǎn)后抑郁量表(EPDS)評估和風(fēng)險因素調(diào)查。結(jié)果:入組時高危孕婦HAD焦慮均分:3.69(2.76),抑郁均分:3.42(2.53)。焦慮癥狀14例(7.18%),抑郁癥狀10例(5.13%)。多因素分析顯示,懷孕有無保胎(OR:8.162,95%CI:1.213-54.914)和乙肝陽性(OR:8.912,95%CI:1.052-75.498)與焦慮癥狀相關(guān)。尿糖陽性(OR:30.529,95%CI:1.312-710.610)和既往出血史(OR:7.122,95%CI:1.015-49.984)與抑郁癥狀相關(guān)。孕期影響高危孕婦焦慮、抑郁癥狀的因素有:近3月孕婦健康狀況、擔(dān)心胎兒健康、夫妻關(guān)系、婆媳關(guān)系等。結(jié)論:高危妊娠孕婦焦慮、抑郁癥狀較常見。近3月孕婦健康狀況、婆媳關(guān)系、夫妻關(guān)系、擔(dān)心胎兒健康是高危孕婦孕期焦慮、抑郁癥狀的風(fēng)險因素。
[Abstract]:Background: compared with normal pregnant women, high-risk pregnant women will have more complications during pregnancy. As a stress factor, high-risk factors are more likely to induce anxiety, depression and other negative emotional symptoms in pregnant women. At present, there are relatively few studies on anxiety and depression in high-risk pregnant women at home and abroad. Objective: to investigate the incidence and risk factors of anxiety and depression in pregnant women at high risk of obstetrics. Methods: a total of 197 high-risk pregnant women in the second trimester of pregnancy (16 to 20 weeks) were assessed with the General Hospital anxiety / Depression scale (HAD) and risk factors in the last four months of gestation. The Edinburgh postpartum depression scale (EPDS) and risk factors were evaluated at 3 days, 42 days and 3 months after delivery. Results: the average scores of HAD anxiety and depression in high risk pregnant women were 3.69 (2.76) and 3.42 (2.53) respectively. Anxiety symptoms were 14 cases (7.18%) and depression symptoms 10 cases (5.13%). Multivariate analysis showed that pregnancy with or without pregnancy (OR:8.162,95%CI:1.213-54.914) and hepatitis B positive (OR:8.912,95%CI:1.052-75.498) were associated with anxiety symptoms. Urinary glucose positive (OR:30.529,95%CI:1.312-710.610) and past bleeding history (OR:7.122,95%CI:1.015-49.984) were associated with depressive symptoms. The factors affecting anxiety and depression in high-risk pregnant women during pregnancy include: maternal health status in recent three months, fear of fetal health, marital relationship, relationship between mother-in-law and daughter-in-law, and so on. Conclusion: anxiety and depression are more common in high-risk pregnant women. In recent 3 months, the health status of pregnant women, the relationship between mother-in-law and daughter-in-law, the relationship between husband and wife, and the fear of fetal health are the risk factors of anxiety and depression in high risk pregnant women.
【作者單位】： Shanghai
【基金】：funded by the Shanghai Municipal Commission of Health and Family Planning“Effect of cognitive psychological intervention on the anxiety of the postpartum pregnant women at high risk”project.Project number:2009107
【分類號】：R749;R714.25

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