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茂名市孕妇妊娠焦虑状态调查

Investigation on pregnancy anxiety among pregnant women in Maoming City

  • 摘要: 目的 调查茂名市孕妇妊娠焦虑状态,并分析其影响因素。方法 选取2012年9月-2016年7月期间茂名市茂南区人民医院和茂名市人民医院两家医院妇产科收治的1784名孕妇。采用妊娠相关焦虑量表(PAQ)、状态焦虑问卷(SAI)、特质焦虑问卷(TAI)、社会支持评定量表(SSRS)、简易应对方式问卷(SCSQ)评分等方法评测孕妇的焦虑状态。并收集孕妇的详细资料,分析孕妇焦虑状态的影响因素。结果 1784名孕妇的PAQ评分为(20.87±3.33)分,SAI (44.97±5.63)分,TAI (40.82±4.50)分,SSRS (33.09±4.33)分,SCSQ (1.87±0.25)分。且随着孕妇孕周的增加,孕妇PAQ、SAI、TAI、SSRS、SCSQ评分呈明显上升趋势(P<0.05)。多因素Logistic回归分析显示,婆媳关系时有冲突、伴侣关系时有冲突、意外怀孕、家庭月收入<6000是孕妇妊娠期间发生焦虑状态的危险因素(OR>1,P<0.05);孕次≥2次、妊娠期间工作是孕妇妊娠期间发生焦虑状态的保护因素(OR<1,P<0.05)。结论 受家庭环境、社会环境,以及身体等因素的影响,茂名市孕妇发生妊娠相关焦虑情况较为普遍。

     

    Abstract: Objective To investigate the status of pregnancy anxiety among pregnant women in Maoming City and analyze the influencing factors.Methods From September 2012 to July 2016, 1784 pregnant women admitted to the Department of Obstetrics and Gynecology at Maonan District People's Hosptial and Maoming Municipal People's Hospital were selected. The PAQ, SAI, TAI, SSRS, and SCSQ scores were used to evaluate the anxiety status of pregnant women. Details data of pregnant women were collected and the factors that influenced the state of anxiety in pregnant women were analyzed.Results A total of 1784 pregnant women had a PAQ score of (20. 87 ± 3. 33); SAI (44. 97 ± 5. 63); TAI (40. 82 ± 4. 50); SSRS (33. 09 ± 4. 33); SCSQ (1. 87 ± 0. 25), respectively.With the increase of the gestational age of pregnant women, the PAQ, SAI, TAI, SSRS, and SCSQ scores of pregnant women showed a significant upward trend (P<0. 05). In addition, multivariate logistic regression analysis revealed that conflict between mother and father, conflict between partners, unintended pregnancy, and family monthly income < 6000 were the risk factors for anxiety during pregnancy (OR > 1, P<0. 05). Pregnancy time ≥ 2 times, working during pregnancy were the protective factors for pregnancy anxiety (OR < 1, P<0. 05).Conclusion Pregnant-related anxiety is common among pregnant women in Maoming City due to factors such as family environment, social environment and physical condition.

     

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