住院因素对高危孕妇焦虑抑郁状况的影响及原因分析

摘要

目的：选择2013年9月1日至2014年2月28日在成都市某三甲妇产儿童专科医院产前病房住院的高危保胎孕妇，用医院焦虑抑郁量表（HADS）、住院孕妇心理影响因素调查表等对符合纳入标准的住院高危孕妇355例进行调查。方法于孕妇入院48小时内，孕妇自行填写医院焦虑抑郁量表(HADS)、住院孕妇心理影响因素调查表。采用SPSS19.0进行统计分析。结果住院高危孕妇入院时焦虑抑郁得分为6.89±3.40分和5.50±3.31分，按照9分作为临界值标准分为有焦虑和无焦虑，入院时有焦虑者占28.0%，抑郁者占17.9%，焦虑抑郁的单、多因素分析结果显示，入院次数等因素对住院高危孕妇的焦虑抑郁状况有影响。结论住院高危孕妇焦虑和抑郁得分均高于常模；住院因素对高危孕妇焦虑影响的危险因素为入院次数、担心胎儿性别；住院因素对高危孕妇抑郁影响的危险因素入院次数、担心疾病对健康的影响、家庭支持不足等，保护因素为掌握康复锻炼技能。%Objectives To analyze the psychological status and hospital influencing factors of the high-risk pregnant women.Methods This study was conducted in maternal ward of a Women and Children hospital in Chengdu.The psychological status of the high-risk pregnant women before delivery was surveyed by the following scales:Hospital Anxiety and Depression Scale (HADS) and Questionnaire of affecting factors and general materials in high-risk pregnant women in hospitalization.SPSS19.0 was used in the statistical analysis.Results the anxiety and depression score of high-risk pregnant women was 6.89±3.40 and 5.50±3.31.Factors affecting the anxiety and depression status of high-risk pregnant women included the times of admission and so on.Conclusion Compared with the normal patients,the scores of anxiety and the depression were higher in high-risk pregnant women in hospitalization.Dangerous factors affected the anxiety status of high-risk pregnant women included the times of admission,fetal sex;Dangerous factors affected the depression status of high-risk pregnant women included the times of admission,self-worrying in the affection of diseases,families support.Protective factors affected the depression status of high-risk pregnant women included rehabilitation skills.