摘要
目的:了解深圳地区复发性先兆流产患者抑郁、焦虑负面情绪情况,并探讨其影响因素,为临床预防和干预先兆流产患者抑郁、焦虑负面情绪发生提供科学依据。方法:选择2019年2月-2020年6月在深圳市大鹏新区妇幼保健院和宝安区福永人民医院妇产科确诊为复发性先兆流产患者172例为观察组,同时选择同期健康孕检的早孕孕妇120名为对照组,分别采用抑郁自评量表(SDS)和焦虑自评量表(SAS)问卷调查评估两组抑郁、焦虑情绪,并对抑郁、焦虑发生率及发病危险因素进行统计分析。结果:观察组焦虑、抑郁负面情绪发生率分别48.26%(83/172)和47.09%(81/172),明显高于对照组的7.50%(9/120)和8.33%(10/120),差异有统计学意义(χ~2=13.095 2、11.951 6,P<0.01);观察组SAS、SDS评分分别为(52.92±6.06)、(55.36±5.79)分,明显高于对照组的(27.45±2.91)、(28.75±3.02)分,差异均有统计学意义(t=2.971 6、3.052 4,P<0.05);观察组不同年龄、流产次数、文化程度的复发性先兆流产患者SAS、SDS评分差异有统计学意义(P<0.01);通过Logistic回归分析结果显示,年龄、流产次数及文化程度是复发性先兆流产患者抑郁、焦虑负面情绪发生的独立危险因素(P<0.05)。结论:深圳地区复发性先兆流产患者抑郁、焦虑负面情绪有较高的发生率,且SAS、SDS评分得分明显升高。同时年龄、流产次数及文化程度是复发性先兆流产患者抑郁、焦虑负面情绪发生的独立危险因素。
Objective:To investigate the status of depression and anxiety in patients with recurrent threatened abortion in Shenzhen,and to explore its influencing factors,so as to provide scientific basis for clinical prevention and intervention of negative emotions of depression and anxiety in patients with threatened abortion.Method:A total of 172 patients with recurrent threatened abortion diagnosed in the obstetrics and gynecology of Maternal and Child Health Hospital in Dapeng New District of Shenzhen and Shenzhen Baoan District Fuyong People’s Hospital from February 2019 to June 2020 were selected as the observation group.At the same time,120 cases of healthy pregnancy test pregnancy pregnant women were selected as the control group.The self-rating depression scale(SDS)and self-rating anxiety scale(SAS)questionnaire were used to assess depression and anxiety emotions of the two groups,and the incidence of depression,anxiety and the risk factors were analyzed.Result:The incidence of anxiety and depression in the observation group was 48.26%(83/172)and 47.09%(81/172),which were significantly higher than 7.50%(9/120)and 8.33%(10/120)in the control group,the differences were statistically significant(χ~2=13.0952,11.9516,P<0.01).The SAS and SDS scores in the observation group were(52.92±6.06),(55.36±5.79)points,which were significantly higher than(27.45±2.91),(28.75±3.02)points in the control group,respectively,the differences were statistically significant(t=2.9716,3.0524,P<0.05).In the observation group,there were statistically significant differences in SAS and SDS scores among patients with recurrent threatened abortion at different ages,times of abortion and educational levels(P<0.01).The results of Logistic regression analysis showed that age,times of abortion and educational level were independent risk factors for the incidence of depression and anxiety in patients with recurrent threatened abortions(P<0.05).Conclusion:Patients with recurrent threatened abortion in Shenzhen have a high incidence of depression
作者
庄静
李小林
余赛红
ZHUANG Jing;LI Xiaolin;YU Saihong(Maternal and Child Health Hospital in Dapeng New District of Shenzhen,Shenzhen 518120,China)
出处
《中外医学研究》
2021年第5期166-168,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
深圳市宝安区科技局基金项目(2020JD074)。
关键词
先兆流产
抑郁
焦虑
负面情绪
发生率
影响因素
Threatened abortion
Depression
Anxiety
Negative emotions
Incidence
Influence factor
