摘要
目的了解孕妇焦虑、抑郁现状,探讨孕妇焦虑、抑郁不良情绪与妊娠结局的关系。方法采用前瞻性队列研究方法,以2013年1—6月期间在海口市妇幼保健院进行孕期健康保健并有明确意向在该院分娩的孕妇作为研究对象,采用焦虑—状态特质量表(STAI)、流行病学调查用抑郁自评量表(CES-D)对研究对象的焦虑、抑郁和社会支持现状进行问卷调查,并追踪随访其妊娠结局,采用Spearman相关系数描述孕妇焦虑、抑郁与孕妇妊娠结局的相关关系,采用单因素χ2检验及多因素logistic回归模型分析影响孕妇不良妊娠结局发生的危险因素。结果322名孕妇中,存在焦虑情绪18人(5.6%),其中状态焦虑者13人(4.0%),特质焦虑者5人(1.6%);有95名(29.5%)孕妇存在抑郁情绪,有89名(27.6%)孕妇表现为有抑郁倾向。孕妇状态焦虑、特质焦虑与低出生体重之间存在正相关关系(P<0.05)。孕妇不良妊娠结局影响因素的单因素分析结果显示,年龄、流产史、孕期感染史、孕期用药史、有状态焦虑、特质焦虑、抑郁情绪与孕妇不良妊娠结局的发生有关(P<0.05);多因素logistic回归分析显示,影响孕妇发生不良妊娠结局的主要危险因素有高龄、孕期感染史、孕期用药史、孕期特质焦虑情绪、孕期抑郁情绪。结论孕妇孕期焦虑、抑郁等不良情绪普遍存,且与不良妊娠结局存在一定相关性,孕期特质焦虑情绪和抑郁情绪是发生不良妊娠结局的重要危险因素。
[Objective]To understand the status of anxiety and depression in pregnant women, explore the relationship between anxiety/depression and adverse pregnancy outcome. [nethods]A prospective cohort study method was used in this study. The pregnant women who have received the antenatal care in Haikou Women and Children Hospital from January to June 2013, and have a clear intention of childbirth in this hospital were recruited. Using the State-Trait Anxiety Inventory Scale （STAI） and the Center for Epidemiological Studies Depression Scale （CES-D）, the anxiety, depression and social support of subjects were investigated, and their pregnancy outcomes were followed up. The correlations between maternal anxiety, depression and pregnancy outcomes were described by the Spearman correlation coefficient. The single factor chi-square？ test and multiple logistic regression model were applied to analyze the risk factors of adverse pregnancy outcomes of pregnant women. [Results]Among the 322 pregnant women, 18（5.6%） people had the anxiety, including 13（4.0%） people in state anxiety and 5 （1.6%） people in trait anxiety, 95 （29.5%） pregnant women had the depressive emotion, and 89 （27.6%） were prone to depression. There was a positive correlation between the pregnant state anxiety, trait anxiety and low birth weight（P〈0.05）. Single factor analysis showed that the age, history of abortion, pregnancy infection history, pregnancy medication history, state anxiety, trait anxiety and depressive emotion were related to the adverse pregnancy outcome of pregnant women（P〈0.05）. Multiple logistic regression analysis revealed that the main influencing factors of adverse pregnancy outcome included advanced age, pregnancy infection history, pregnancy medication history, maternal trait anxiety and depressive emotion during pregnancy.[Conclusion]The maternal anxiety and depression are common among pregnant women, and there are the correlations between the unhealthy emotion and adverse pregnancy outcomes. The trait anxiety and depressive emotion are the important risk factors for adverse pregnancy outcomes.
出处
《职业与健康》
CAS
2015年第9期1213-1216,共4页
Occupation and Health
关键词
孕妇
焦虑
抑郁
妊娠结局
相关性
Pregnant woman
Anxiety
Depression
Pregnancy outcome
Relationship
