摘要
目的了解城市流动人口孕妇焦虑与抑郁现状及其影响因素,为有针对性地开展心理干预提供科学建议。方法选取2017—2019年在东莞市厚街医院进行产前检查的流动人口孕妇为研究对象,采用焦虑自评量表(SAS)和9条目患者健康问卷(PHQ-9)分别评估流动人口孕妇焦虑和抑郁情况。结果541例孕妇年龄以20~<30岁为主(40.11%),孕期以孕中期为主(38.26%)。SAS和PHQ-9平均得分为(42.58±9.89)、(9.01±2.39)分,焦虑与抑郁存在相关性(P<0.05)。多因素logistic回归分析显示,孕妇高龄、农村户籍、孕晚期、初产妇、自费医疗、未规律产检、产检结果异常是孕妇焦虑和抑郁的危险因素,家庭生活不满意是孕妇焦虑的危险因素(P<0.05)。结论流动人口孕妇焦虑和抑郁需有针对性的心理健康干预。
Objective To understand the status and influencing factors of the anxiety and depression of floating pregnant women,so as to provide scientific advice for targeted psychological intervention.Methods The pregnant women of the floating population who were prenatally checked in Houjie Hospital of Dongguan from 2017 to 2019 were selected as the subjects of this study.The anxiety and depression of the pregnant women were evaluated by a self-rating anxiety scale(SAS)and a 9-item patient health questionnaire(PHQ-9)respectively.Results A total of 541 valid questionnaires were collected in this study.The age was mainly 20-<30 years old(40.11%),and the pregnancy period was mainly in the second trimester(38.26%).The average SAS score and the average PHQ-9 score were(42.58±9.89)and(9.01±2.39)points,respectively.There was a correlation between anxiety and depression(P<0.05).The multivariate logistic regression analysis showed that advanced maternal age,rural household registration,late pregnancy,primipara,self-paid payment,irregular birth inspection and abnormal results of birth inspection were risk factors for anxiety and depression of pregnant women,and dissatisfaction with family life was the risk factor for anxiety of pregnant women(P<0.05).Conclusion The anxiety and depression of floating pregnant women need the targeted mental health intervention.
作者
王燕燕
陈俊虎
向瑾操
王彩红
WANG Yanyan;CHEN Junhu;XIANG Jincao;WANG Caihong(Department of Obstetrics and Gynecology,Houjie Hospital of Dongguan,Dongguan,Guangdong 523945,China;Guangdong Provincial Institute of Biological Products and Materia Medica,Guangzhou,Guangdong 510440,China)
出处
《重庆医学》
CAS
2022年第6期1048-1051,1056,共5页
Chongqing medicine
基金
广东省医学科研基金项目(A2018228)。
关键词
流动人口
孕妇
焦虑
抑郁
量表
影响因素
floating population
pregnant women
anxiety
depression
scale
influence factors
