孕妇焦虑抑郁情绪100例调查分析

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1、孕妇焦虑抑郁情绪100例调查分析【摘要】目的：探讨孕妇的焦虑抑郁情绪的发生现状及其相关因素，引导她们进行心理调节，顺利渡过妊娠期。方法：采用抑郁自评量表(SDS)和焦虑自评量表(SAS)，随机抽取在本院妇产科门诊建立孕期保健卡的孕妇共100例进行调查。结果：孕妇抑郁、焦虑高于正常人群(P<0.05），孕妇中有抑郁情绪的占42.0%，有焦虑情绪的占64.0%。两者均与产妇性格类型、年龄、受教育程度、经济条件、孕期保健质量、孕期并发症、家人关心支持及重男轻女思想等因素密切相关。结论：孕妇的心理状况与正常人群差异显

2、著，且与许多社会心理因素密切相关，需要有针对性地进行临床干预。【关键词】孕妇；抑郁；焦虑ResearchonAnxious&DepressiveEmotionsofthePregnantWomenWANGSuping,LIZhenChronicDiseaseControllingHospitalNanshanDistrict,Shenzhen,518056,Guangdong,China【ABSTRACT】Objective:Toinvestigatethecurrentstatus9andrelevan

3、telementsfortheanxiousanddepressiveemotionsofpregnantwomen,guidingtheminmentalregulationsothattheycouldgetthroughtheirgestationalperiodsmoothly.Methods:100pregnantwomenwhohavetheirpregnancyhealthcardestablishedwiththeoutpatientdepartmentofobstetricsandgynecol

4、ogyinourhospitalwereselectedrandomly,andtheresearchwasconductedbyusingselfratingdepressivescale(SDS)andselfratinganxietyscale(SAS).Results:Theanxiousanddepressiveemotionssufferedbypregnantwomenweremuchhigherthanthatofnormalgroups.Amongtheselectedpregnantwomen,

5、42.0%werewithanxiousemotionswhile64.0%werewithdepressiveemotions.Andboththeseemotionshadalottodowiththeelementssuchasthepregnantwomanscharacter,age,educationalbackground,financialstatus,thequalityofthepregnancyhealthcareshereceived,thepregnancycomplicationshe

6、suffered,thefamilysupportshegotaswellashowsheperceivedtheconcept“menaresuperiortowomen”.Conclusion:Thereisasignificantdifferencebetweenthementalconditionofpregnantwomenandthatofnormalgroups,occurrenceofpregnantwomensanxiousanddepressiveemotionshasalottodowith

7、theirsocialpsychologicalfactors,andthereisneedforclinicalinterventions.9【KEYWORDS】Pregnantwomen;Depressive;Anxiety妇女由于妊娠、分娩带来的种种应激反应，造成孕产妇出现一些心理变化，其中主要表现为焦虑，其次为抑郁[1]。研究表明，孕妇中有焦虑情绪者为63.8%，抑郁发生率为48.8%[2]，孕期不良的情绪反应会给胎儿及产程带来不利的影响，较为严重的心理反应会导致围产期和产褥期的某些病理性临床问题，如妊娠剧

8、吐、妊高症、流产、早产、产力异常、乳汁分泌障碍、产后出血等，还会增加产后抑郁症的发病率。产后抑郁症是产妇常见的心理行为异常，严重危害产妇的身心健康，影响婴儿情绪、智力及行为的正常发育，给家庭及社会造成巨大的危害[3,4]。因此必须早期进行干预和治疗。Glover[5]等指出产前焦虑比产后抑郁症本身对婴儿的负面影响还要大，张荣莲[6]等人认为孕期焦虑和抑郁会影