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高龄孕妇的心理健康状态调查及其危险因素分析

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2024-11-28 16:24

高龄孕妇的心理健康状态调查及其危险因素分析

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Analysis of psychological health status and related risk factors among older pregnant women

The first maternal and child health hospital of Huizhou City, Guangdong Province 516000, China

摘要

摘要: 目的探讨高龄孕妇的心理健康状态调查及其危险因素分析。方法回顾性分析2014年3月-2016年3月,惠州市第一妇幼保健院确诊治疗的高龄孕妇200例的临床资料,采用焦虑自评量表(SAS)评估焦虑状态,采用抑郁自评量表(SDS)评估抑郁状态,依据是否存在焦虑或抑郁分为不良组和健康组,采用单因素分析法分析心理健康状态的影响因素,采用Logistics多因素分析法筛选其危险因素,统计分析所有孕妇焦虑、抑郁、文化程度、年龄、孕周、孕次、产次、流产史、妊娠并发症等情况。结果本次调查中,有焦虑情绪者114例,焦虑率为57.00%,有抑郁情绪者69例,抑郁率为34.50%,焦虑或抑郁情况者有134例,不良心理状态率67.00%。单因素结果显示,不良组孕妇的孕晚期率、经产妇率、流产史、妊娠并发症发生率明显高于健康组,差异有统计学意义(P<0.05);Logistics多因素分析法结果显示,孕晚期、经产妇、流产史、妊娠并发症是高龄孕妇不良心理状态的独立危险因素(P<0.05)。结论孕晚期、经产妇、流产史、妊娠并发症与高龄孕妇的心理健康状态有关,也是后者的独立危险因素,提示医师应积极加强对上述人群的心理干预,以改善高龄孕妇的心理状态。

关键词: 高龄 / 孕妇 / 心理 / 健康状态 / 危险因素

Abstract: Objective To explore the psychological health status and its risk factors among older pregnant women.Methods 200 patients older pregnant women cured in the first maternal and child health hospital of Huizhou City from Match 2014 to Match 2016 were selected.Self-evaluation of the anxiety scale (SAS) was used to assess the state of anxiety,depression self rating scale (SDS) was used to assess depression.According to anxiety or depression,all the women were divided into negative group and healthy group.Single factor method was used to analyze the influence factors of the mental health status,logistics multi-factor analysis was used to screen the risk factors,and the related factors contained pregnant women anxiety,depression,degree of culture,age,gestational age,pregnancy time,production time,history of abortion,pregnancy complications,and so on.Results The anxiety rate was 57.00%(n=114),and the depression rate was 34.50%(n=69),134 cases were anxiety or depression,the adverse psychological state rate was 67.00%.Single factor analysis showed that negative group had higher rate in late pregnancy,multipara,history of abortion,pregnancy complications than those in healthy group,and the difference was statistical significant (P<0.05);Logistics multi-factor analysis showed late pregnancy,multipara,history of abortion,pregnancy complications were independent risk factors for adverse psychological state of pregnant women (P<0.05).Conclusions Late pregnancy,multipara,history of abortion and pregnancy complications were related to mental health state of the pregnant women,and they were the independent risk factors.Physicians should strengthen the psychological intervention of pregnant women actively,and help to improve the psychological status of older pregnant women.

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