摘要
目的探讨产后女性尤其是二胎产后女性的心理健康状态及其相关影响因素。方法调查2016年8月到2018年12月在江苏省妇幼保健院门诊进行产后常规检查的869例妇女,记录研究对象的年龄、教育程度、产次、分娩方式指标,采用90项症状量表(SCL-90)进行心理状况评估,分析相关影响因素与产妇产后SCL-90评分的关系。结果869例产妇中SCL-90总分超过160分的有77例(8.86%)。不同年龄层、文化程度及分娩方式的产妇间产后SCL-90评分阳性例数差异有统计学意义(P<0.05)。其中,产妇产后强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性因子等在不同年龄组间差异有统计学意义(P<0.05),且17~24岁组各因子分均显著高于其他组;恐怖因子分、偏执因子分及其他因子在不同文化程度组间差异有统计学意义(P<0.05),这3个因子分在初中及以下学历产妇中水平最高。此外,进一步分析286例二胎产妇,发现人际关系敏感因子分在不同年龄组间差异有统计学意义(P<0.05),其中17~24岁组(1.41±0.67)分最高,>34~39岁组(1.20±0.34)分最低;其他因子分在不同文化程度的产妇间差异有统计学意义(P<0.05)。结论低龄(17~24岁)与文化程度低(初中及以下学历)的产妇产后更易产生负性情绪,需要得到家庭与医生的更多关注。
Objective To explore the mental health status and its related influencing factors of postpartum women,especially women with a second child.Methods A total of 869 female cases who received postpartum routine examinations in Jiangsu Hospital of Maternal and Child Healthcare from August 2016 to December 2018 were studied.Records were kept of age,educational background,parity,and delivery mode,and Symptom Checklist 90(SCL-90)was used to assess mental status and analyze the relationship between the results of SCL-90 and related influencing factors.Results The SCL-90 total scores of 77(8.86%)among 869 postpartum women were higher than 160.The positive numbers of SCL-90 total scores were statistically different between groups of different ages,educational backgrounds and delivery modes(P<0.05).There were significant differences in factors of obsessiveness,interpersonal sensitivity,depression,anxiety,hostility,fear,paranoia,and psychosis between different age groups(P<0.05).All the factors in 17-24 years-old group scored significantly higher than the other age groups.Scores of fear,paranoid and the other factors were significantly different between groups with different educational backgrounds(P<0.05),and these three factors scored the highest in women with junior high school education and lower.In addition,further analysis of the data of 286 women with a second child showed that the scores of interpersonal sensitivity were significantly different between different age groups(P<0.05),which reached the highest in the 17-24 years-old group[(1.41±0.67)],and the lowest in the>34-39 years-old group[(1.20±0.34)].The other factors scored significantly different between women with different educational backgrounds(P<0.05).Conclusion Postpartum women of low age(17-24 years old)or low literacy level(junior high school education and lower)were more susceptible to negative emotions,who need much care and concern from doctors and family members.
作者
陈文曦
夏静
浦丹华
陶新城
葛环
吴洁
CHEN Wenxi;XIA Jing;PU Danhua;TAO Xincheng;GE Huan;WU Jie(Department of Maternal Health Care,The First Affiliated Hospital of Nanjing Medical University,Jiangsu Provincial Hospital,Jiangsu Hospital of Maternal and Child Healthcare,Nanjing,Jiangsu 210036,China)
出处
《安徽医药》
CAS
2020年第6期1141-1146,共6页
Anhui Medical and Pharmaceutical Journal
基金
江苏省卫生计生委妇幼健康重点学科(FXK201701)。
