妊娠晚期抑郁与社会支持的相关性研究

摘要

目的 探讨妊娠晚期孕妇抑郁与社会支持的相关性.方法 选择妊娠晚期孕妇467例,采用抑郁自评量表和领悟社会支持量表分别调查孕妇的抑郁和社会支持情况.结果 ①467例妊娠晚期孕妇抑郁检出率为47.8％,不同文化程度、职业、父母婚姻状况的妊娠晚期孕妇抑郁检出率差异均有统计学意义(P均＜0.05).②467例妊娠晚期孕妇的抑郁自评量表(SDS)得分为(48.55±10.54)分,不同文化程度、职业、父母婚姻状况以及孕周的妊娠晚期孕妇的SDS得分差异均有统计学意义(P均＜0.05);妊娠晚期孕妇领悟社会支持量表(PSSS)得分为(64.84±10.85)分.不同民族、文化程度、职业的妊娠晚期孕妇PSSS得分差异均有统计学意义(P均＜0.05).③SDS与PSSS得分呈负相关(r=-0.313,P=0.000),3个维度社会支持得分与SDS得分均呈负相关(P均＜0.05).④多因素Logistic回归分析显示,文化程度、社会支持、职业和怀孕周数是妊娠晚期孕妇发生抑郁的影响因素.结论 对文化程度低、从事体力劳动的妊娠晚期孕妇给予大力社会支持和心理护理,以减少抑郁的发生.%Objective To explore the correlation between depression and social support in late pregnant women.Methods 467 pregnant women with late pregnancy were selected.The depressive self-rating scale and the social support scale were used to investigate the depression and social support of pregnant women.Results ① The detection rate of depression in 467 pregnant women was 47.8％.There were significant differences in the detection rate of depression among pregnant women with different educational level,occupation and parental marital status (P＜0.05).②467 pregnant women in late pregnancy self-rating depression scale mean score (48.55± 10.54) points.There were significant differences in SDS scores between different educational levels,occupation,parental status and gestational age (P＜0.05).Total score of social support was(64.84±10.85).There were significant differences in PSSS scores among pregnant women with different ethnic groups,educational level and occupation (P＜0.05).③SDS was negatively correlated with PSSS score (r=--0.313,P=-0.01).There was a negative correlation between the three dimensions of social support scores and SDS scores(P＜0.05).④Multivariate logistic regression analysis showed that the education level,social support,occupation and the number of weeks of pregnancy were the influencing factors of depression in late pregnant women.Conclusion Late pregnant women with low degree of education,engaged in physical labor should be given strong social support and psychological care for reducing the occurrence of depression in this group.