摘要
目的研究COVID-19疫情爆发期间孕产妇情绪状况,为突发公共卫生事件下孕产妇情绪健康状况的监测、干预提供科学依据。方法本研究于2020年2月14日至2020年2月25日新冠肺炎疫情流行高峰期进行问卷调查,采用线上自愿无记名形式发放问卷,共计抽取2504名孕产妇作为调查对象。采用自编一般情况调查表、心理健康状况调查表进行调查。采用Kruskal-Wallish H检验、逐步多元线性回归分析法对孕产妇情绪状况进行分析。结果孕产妇学历、居住地、胎次、孕产期、职业、有无并发症及家庭收入在情绪状况得分上均存在显著性差异(H=15.83、32.85、10.81、35.07、28.46、14.81、10.80,均P<0.05)。两两比较发现,高学历、居住在城市、第一胎、孕早期、有并发症、高家庭收入者情绪状况得分较高,产后妇女及职业为农民的妇女情绪状况得分较低。以情绪得分为因变量,进入回归方程的显著性变量依次是身体状况(β=0.33)、睡眠变化(β=0.20)、社会支持(β=-0.15)、消极应对(β=0.18)、担心家人会被传染(β=0.07)、积极应对(β=-0.13)、日常运动(β=0.07)、担心疫情影响分娩(β=0.07)、担心生病(β=0.04)、周围有无人与新冠感染者或疑似感染者接触(β=-0.03),均P<0.05。结论孕产妇对疫情的主观认知、身体状况、运动情况、睡眠状况、应对方式和社会支持等因素与孕产妇情绪状况相关,建议重点针对这些方面对孕产妇情绪进行疏导和干预。
Objective To study the emotional state of maternal during the outbreak of COVID-19,and provide scientific basis for the monitoring and intervention of maternal emotional health during public health emergencies.Methods A questionnaire survey was conducted during the peak period of COVID-19epidemic from February 14to 25,2020.The questionnaire was distributed online and anonymously,and a total of 2504maternal were selected as survey objects.A self-made general situation questionnaire and a mental health questionnaire were used for investigation.Kruskal-Wallish H test and stepwise multiple linear regression analysis were used to analyze the emotional status of maternal.Results There were significant differences in the emotional status scores of maternal in terms of education,place of residence,parity,different periods of pregnancy,occupation,with or without complications,and family income(H=15.83,32.85,10.81,35.07,28.46,14.81,10.80,all P<0.05).A pairwise comparison found that people with high education,living in the city,first child,early pregnancy,complications,and high family income higher on emotional status,and postpartum women and women living in rural areas had lower emotional scores.With emotion as the dependent variable,the significant variables that entered the regression equation were physical condition(β=0.33),sleep changes(β=0.20),social support(β=-0.15),negative coping(β=0.18),and worried that family concerns would be infected(β=0.07),positive respond(β=-0.13),daily exercise(β=0.07),worried that the epidemic affected delivery(β=0.07),worried sick(β=0.04),whether there were people contact with COVID-19patients or suspected patients(β=-0.03),all P<0.05.Conclusion Factors such as the subjective cognition of the epidemic,physical condition,exercise,sleep status,coping style,and social support were related to maternal emotional status.It was recommended to focus on these aspects to guide and intervene in maternal emotions.
作者
李燕晖
张欣文
齐晶
晟玮
王朝晖
LI Yanhui;ZHANG Xinwen;QI Jing;SHENG Wei;WANG Zhaohui(Department of Child Health,the Fourth Hospital of Xi'an,Shaanxi Xi'an 710004,China;Department of Obstetrics and Gynecology,the Fourth Hospital of Xi'an,Shaanxi Xi'an 710004,China;Department of Pediatrics,the First Hospital of Weinan,Shaanxi Weinan 714000,China)
出处
《中国妇幼健康研究》
2020年第3期296-301,共6页
Chinese Journal of Woman and Child Health Research
基金
陕西省科技厅资助项目(编号:2018SF-081)
西安市科技局资助项目[编号:201805098YX6SF32(8)]。
