[1]王晶,陈瑜,杨文娇,等.妊娠晚期孕妇抑郁与焦虑情绪共存现状及影响因素研究[J].军事护理,2022,39(10):33.[doi:10.3969/j.issn.2097-1826.2022.10.009]
 WANG Jing,CHEN Yu,YANG Wenjiao,et al.Co-existence of Depression and Anxiety in Pregnant Women in the Third Trimester and Its Influencing Factors[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):33.[doi:10.3969/j.issn.2097-1826.2022.10.009]
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妊娠晚期孕妇抑郁与焦虑情绪共存现状及影响因素研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年10期
页码:
33
栏目:
论著
出版日期:
2022-10-15

文章信息/Info

Title:
Co-existence of Depression and Anxiety in Pregnant Women in the Third Trimester and Its Influencing Factors
文章编号:
2097-1826(2022)10-0033-05
作者:
王晶12陈瑜2杨文娇3彭静1钟红玲1王钰莹2刘文婷2
(1.陆军军医大学第一附属医院 门诊部,重庆 400038; 2.南方医科大学 护理学院,广东广州 510515; 3.南方医科大学珠江医院 临床技能中心,广东 广州 510280)
Author(s):
WANG Jing12CHEN Yu2YANG Wenjiao3PENG Jing1ZHONG Hongling1WANG Yuying2LIU Wenting2
(1.Outpatient Department,The First Affiliated Hospital of Army Medical University,Chongqing 400038,China; 2.School of Nursing,Southern Medical University,Guangzhou 510515,Guangdong Province,China; 3.Clinical Skills Training Center,Zhujiang Hospital of Southern Medical University,Guangzhou 510280,Guangdong Province,China)
关键词:
孕妇 妊娠晚期 抑郁焦虑 应对方式 社会支持
Keywords:
pregnant women third trimester of pregnancy depression and anxiety coping styles social support
分类号:
R473.71; R828.2
DOI:
10.3969/j.issn.2097-1826.2022.10.009
文献标志码:
A
摘要:
目的 了解孕妇在妊娠晚期抑郁与焦虑情绪共存现状及其影响因素,为孕妇人群情绪问题早识别早干预提供参考。 方法 2018年10月至2019年2月,采用便利抽样选择广东省6所三级甲等医院门诊产检妊娠晚期孕妇503例为研究对象。采用一般资料调查表、抑郁自评量表、焦虑自评量表、社会支持评定量表、简易应对方式问卷对其调查。结果 妊娠晚期孕妇抑郁伴焦虑情绪发生率为30.22%。不同居住地、职业、学历(孕妇)、家庭月收入、应对方式的孕妇,抑郁伴焦虑情绪发生率差异均有统计学意义(均P<0.05); 是否发生抑郁伴焦虑的孕妇,其社会支持总分(t=3.679,P<0.001)、客观支持得分(t=3.397,P=0.001)的差异均有统计学意义。家庭月收入低、消极应对是妊娠晚期孕妇抑郁焦虑情绪共存的危险因素(OR=2.030、2.346、2.068); 客观支持是其保护因素(OR=0.948)。结论 妊娠晚期孕妇抑郁伴焦虑情绪发生率较高,抑郁焦虑情绪共存孕妇比单纯抑郁孕妇更倾向消极应对方式,客观支持水平更低,应重视妊娠晚期孕妇负性情绪的早识别早干预。
Abstract:
Objective To investigate the co-existence of depression and anxiety in pregnant women in the third trimester of pregnancy and its influencing factors,and to provide a reference for early identification and early intervention of emotional problems in pregnant women.Methods From October 2018 to February 2019,the pregnant women in the third trimester of outpatient clinics in 3 tertiary A hospitals in 6 cities in Guangdong province were selected by the convenience sampling method.A survey was conducted with the basic data questionnaire,self-rating depression scale,self-rating anxiety scale,social support rating scale,and simple coping style questionnaire.Results The incidence of depression and anxiety in the third trimester pregnant women was 30.22%.There were statistically significant differences in the incidence of depression and anxiety among pregnant women with different places of residence,occupations,educational background,family monthly income and coping styles(all P<0.05).There were significant differences in the total score of social support(t=3.679,P<0.001)and objective support score(t=3.397,P=0.001)among the pregnant women with depression and anxiety.Low monthly family income and negative coping were risk factors for the co-existence of depression and anxiety in the third trimester of pregnancy(OR=2.030,2.346,2.068).Objective support was the protective factor(OR=0.948).Conclusions The co-existence rate of depression and anxiety in pregnant women in the third trimester of pregnancy is high.Pregnant women with depression and anxiety are more likely to cope with negative coping styles and have lower levels of objective support.Early identification and early intervention of negative emotions in late pregnancy should be emphasized.

参考文献/References:

[1] 郑修霞.妇产科护理学[M].北京:人民卫生出版社,2015:47.
[2] CHEN C H,LIN H C.Prenatal care and adverse pregnancy outcomes among women with depression:a nationwide population-based study[J].Can J Psychiatry,2011,56(5):273-280.
[3] 田燕燕,胡金萍,刘秀英,等.妊娠晚期孕妇抑郁状况及影响因素研究[J].中华疾病控制杂志,2018,22(11):1152-1155.
[4] 胡海萍,吴志国,吴荣琴,等.上海市闸北区孕产妇焦虑、抑郁症状发生率及相关因素[J].中国临床心理学杂志,2014,22(1):110-114.
[5] 孙晓彤,杜彩素.妊娠晚期孕妇焦虑状况及影响因素分析[J].河北医药,2016,38(16):2528-2530.
[6] LAMERS F,VAN OPPEN P,COMIJS H C,et al.Comorbidity patterns of anxiety and depressive disorders in a large cohort study:the netherlands study of depression and anxiety(NESDA)[J].J Clin Psychiatry,2011,72(3):341-348.
[7] 国效峰,薛志敏.抑郁症与焦虑障碍共病的研究[J].国际精神病学杂志,2004,31(4):232-234.
[8] 马立强.米氮平联合重复高频经颅磁刺激治疗抑郁焦虑共病患者的临床疗效观察[J].中国实用医药,2020,15(4):126-128.
[9] DINDO L,ELMORE A,O'HARA M,et al.The comorbidity of Axis I disorders in depressed pregnant women[J].Arch Womens Ment Health,2017,20(6):757-764.
[10]MISRI S,SWIFT E.Generalized anxiety disorder and major depressive disorder in pregnant and postpartum women:maternal quality of life and treatment outcomes[J].J Obstet Gynaecol Can,2015,37(9):798-803.
[11]刘芬,邓爱辉,何英,等.初产孕妇产前焦虑与社会支持应对方式的相关性研究[J].护理学报,2014,21(4):69-71.
[12]REDINGER S,PEARSON R M,HOULE B,et al.Antenatal depression and anxiety across pregnancy in urban South Africa[J].J Affect Disord,2020(277):296-305.
[13]李珊珊,贝为武,张晓庆,等.孕妇焦虑抑郁状况及其影响因素调查研究[J].中国现代医学杂志,2016,26(24):124-128.
[14]王征宇,迟玉芬.抑郁自评量表(SDS)[J].上海精神医学,1984(2):71-72.
[15]王征宇,迟玉芬.焦虑自评量表(SAS)[J].上海精神医学,1984(2):73-74.
[16]肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,4(2):98-100.
[17]解亚宁.简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志,1998,6(2):114-115.
[18]戴晓阳.常用心理评估量表手册[M].北京:人民军医出版社,2010:83-84.
[19]苏比努尔·艾力,郑婕,向佳明,等.妊娠晚期孕妇症状群及其影响因素研究[J].护理学杂志,2021,36(7):26-30.
[20]贾彩丽,王立军,陆亚娟,等.孕晚期妇女抑郁现状及其影响因素分析[J].护理研究:下旬版,2016,30(11):4134-4137.
[21]陈波,张集慧,丁静华,等.心理治疗对老年抑郁和焦虑共病患者认知功能的疗效分析[J].中国农村卫生,2019,11(21):44-45.
[22]REDINGER S,PEARSON R M,HOULE B,et al.Thoughts of self-harm in early and late pregnancy in urban South Africa:investigating prevalence,predictors and screening options[J].S Afr Med J,2021,111(7):627-634.
[23]丁秀秀,毛雷婧,葛星,等.马鞍山市孕妇妊娠相关焦虑变化及其影响因素的纵向研究[J].卫生研究,2015,44(3):371-375.
[24]陈文君,石娜红,罗伟飞.二胎孕妇妊娠晚期压力的影响因素分析[J].中国妇幼保健,2021,36(16):3791-3794.
[25]杨怀洁,王涛,杨虹,等.919例妊娠晚期女性焦虑、抑郁发生情况及影响因素分析[J].护理研究,2020,34(13):2360-2364.
[26]胡焕青,张继,赵薇,等.中国6个县/区孕妇孕期焦虑、抑郁发生状况及影响因素[J].中华预防医学杂志,2017,51(1):47-52.
[27]CHEN X,HONG F,WANG D,et al.Related psychosocial factors and delivery mode of depression and anxiety in primipara in late pregnancy[J/OL].[2022-05-30].https://www.hindawi.com/journals/ecam/2021/3254707/.DOI:10.1155/2021/3254707.
[28]李君琴,曹淑殷,余晓燕.孕中晚期妇女妊娠相关焦虑及其影响因素分析[J].中华护理杂志,2016,51(7):798-803.
[29]张利卷,尹航,陈志红,等.孕妇产前抑郁社会心理因素及护理干预的研究进展[J].解放军护理杂志,2016,33(19):30-34.
[30]张玉,江琳.产后抑郁症患者认知模式的影响因素及其与人格特征、应对方式、社会支持之间的相关性[J].中国健康心理学杂志,2019,27(7):978-982.
[31]王杰,刘娜,孙维嘉,等.正念干预促进孕妇身心健康的研究进展[J].护理学杂志,2018,33(15):95-98.
[32]施莹娟,陆峥,曹蕾蕾,等.孕期焦虑抑郁症状与人格特征、社会支持的相关性研究[J].中国妇幼保健,2018,33(18):4265-4268.
[33]高玲玲,杨静萍,史航.社会支持与孕妇身心健康关系的研究现状[J].解放军护理杂志,2019,36(10):60-62.
[34]周临,张晶,陈丹丹,等.以家庭为中心的群组式孕期保健模式的应用及效果研究[J].中华护理杂志,2019,54(3):401-405.
[35]张亚亚,范红霞,潘敏.孕妇家庭亲密关系的差序格局及其对焦虑、抑郁情绪的影响[J].心理学探新,2019,39(1):90-96.
[36]王颖,王玉琼.孕妇妊娠各期抑郁发生状况的纵向研究[J].解放军护理杂志,2020,37(7):6-10.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-06-27 【 修回日期 】 2022-09-13
【 基金项目 】 国家自然科学基金面上项目(71874075; 72274090); 教育部人文社会科学研究规划基金项目(18YJAZH008); 广州市高校创新创业(就业)教育项目(穗教高教〔2019〕15 号)
【 作者简介 】 王晶,硕士,从事精神心理健康研究
【 通信作者 】 陈瑜,电话:020-61648747
更新日期/Last Update: 2022-10-15