摘要
(1)目的分析孕产妇的认知功能障碍以明确其影响因素,为采取应对措施提供理论依据。(2)方法选取2018年10月~2019年4月唐山市第三医院妇产科住院孕产妇330例,采用蒙特利尔认知评估量表(MoCA)对孕产妇认知功能状况进行评测。(3)结果孕产妇认知功能总分为(26.42±1.47)分,其中存在认知功能障碍者171例(51.8%);多因素Logistic回归分析显示内向型性格(OR=0.081)、保胎经历(OR=4.541)、不良孕产史(OR=3.664)、妊娠期高血压(OR=0.073)、妊娠期糖尿病(OR=0.161)是影响认知功能障碍的危险因素;常住地(OR=0.078)、岗位压力情况(OR=0.195)是影响认知功能障碍的保护因素。(4)结论孕产妇发生认知功能障碍率高,妊娠期并发症、不良妊娠与保胎经历影响认知功能,应引起重视,尽量消除危险因素的影响,降低认知障碍的发生率,提升母婴生活质量。
Objective To analyze the cognitive dysfunction of pregnant and lying-in women and its influencing factors,and to provide theoretical basis for coping strategies.Methods A total of 330 cases of obstetrics and gynaecology in Tangshan Third Hospital from October 2018 to April 2019 were selected and the cognitive function of pregnant and lying-in women was evaluated by Montreal Cognitive Assessment Scale.Results The total score of cognitive function of pregnant and lying-in women was(26.42±1.47),of which 171(51.8%)had cognitive impairment.Multivariate Logistic regression analysis showed personality(OR=0.081),fetal preservation experience(OR=4.541)and history of adverse pregnancy(OR=3.664),gestational hypertension(OR=0.073)and gestational diabetes mellitus(OR=0.161)were the risk factors of cognitive impairment.Permanent residence(OR=0.078)and post stress(OR=0.195)were the protective factors of cognitive impairment.Conclusion The incidence of cognitive impairment in pregnant women is high,complications during pregnancy,adverse pregnancy and fetal preservation experience affect cognitive impairment,attention should be paid to it,the influence of risk factors should be reduced as much as possible,and the incidence of cognitive impairment should be reduced as much as possible.Improve the quality of life of mother and child.
作者
王颖
陈长香
赵海艳
WANG Ying;CHEN Changxiang;ZHAO Haiyan(The College of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan 063210,China)
出处
《华北理工大学学报（医学版）》
2020年第6期474-477,488,共5页
Journal of North China University of Science and Technology：Health Sciences Edition
基金
河北省医学科学研究重点课题(编号:20181358)。
关键词
孕产妇
认知功能障碍
影响因素
Pregnant women
Cognitive impairment
Influencing factors
