林鈺婷,杨敬红,张莉.绵阳市初产妇妊娠反应的心理社会因素[J].四川精神卫生杂志,2021,34(2):164-167.Lin Yuting,Yang Jinghong,Zhang Li,Psychosocial factors affecting pregnancy reactions of primipara in Mianyang[J].SICHUAN MENTAL HEALTH,2021,34(2):164-167
绵阳市初产妇妊娠反应的心理社会因素
Psychosocial factors affecting pregnancy reactions of primipara in Mianyang
投稿时间:2021-02-05  
DOI:10.11886/scjsws20210205001
中文关键词:  妊娠反应  焦虑  抑郁  影响因素
英文关键词:Primiparas  Pregnancy pressure  Depression  Factors
基金项目:绵阳市社会心理服务体系建设试点工作(项目名称:孕产妇心理服务体系建设与模式创新,项目编号:20XL05)
作者单位邮编
林鈺婷 绵阳市妇幼保健计划生育服务中心·绵阳市妇幼保健院四川 绵阳 621000 621000
杨敬红 绵阳市妇幼保健计划生育服务中心·绵阳市妇幼保健院四川 绵阳 621000 621000
张莉 绵阳市妇幼保健计划生育服务中心·绵阳市妇幼保健院四川 绵阳 621000 621000
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中文摘要:
      目的 探讨影响初产妇妊娠反应的心理社会因素,以期为缓解初产妇孕早期妊娠反应提供参考。方法 选取2020年4月-6月于绵阳市某医院建立产检档案的初产妇为研究对象,采用自编基本情况信息调查表、症状自评量表(SCL-90)、妊娠压力量表(PPS)、恶心呕吐量化表(PUQE)进行调查,采用多元线性回归分析探讨妊娠反应的主要心理社会因素。结果 共100名孕妇完成调查,PUQE评分为(4.39±1.14)分,PPS评分为(10.89±6.94)分, SCL-90评分为(112.75±22.27)分,其中存在轻度妊娠反应93人(93%),中度6人(6%),重度1人(1%);单因素方差分析结果显示,不同年龄、工作状况、受教育程度、家庭年收入的初产妇PUQE评分比较差异均无统计学意义(F=0.57、0.07、0.89、0.51,P均>0.05);多因素回归分析显示,最终进入模型的因素有:PPS评分、SCL-90总评分、强迫症状、抑郁水平、敌对、偏执及其他(P<0.05或0.01)。结论 初产妇孕早期的妊娠压力、心身症状(强迫、抑郁水平、偏执、敌对、睡眠与饮食等其他)是影响妊娠反应的主要心理社会因素。
英文摘要:
      Objective To explore the psychosocial factors affecting pregnancy reactions of primipara, so as to alleviate pregnancy reactions in early pregnancy stage.Methods Basic information scale, Symptom Checklist 90 (SCL-90), Pregnancy Pressure Scale (PPS) and Pregnancy-unique Quantification of Emesis and Nausea (PUQE) were used to assess the primiparas in a hospital from April to June 2020, thereafter, multiple linear regression was used to screen the main psychosocial factors affecting pregnancy reaction.Results A total of 100 pregnant women completed the survey, and the scores of PUQE, PPS and SCL-90 were (4.39±1.14), (10.89±6.94) and (112.75±22.27), respectively. Analysis showed that the pregnancy reactions were mild in 93 cases (93%), moderate in 6 cases (6%) and severe in 1 case (1%). One-way ANOVA results showed that there was no significant difference in PUQE score among primipara of different age, working status, education levels and average annual family incomes (F=0.57, 0.07, 0.89, 0.51, P>0.05). Multifactorial regression analysis showed that pregnancy stress, SCL-90 score, obsessive-compulsive symptoms, depression levels, hostility, paranoia and others had statistical significance (P<0.05 or 0.01).Conclusion The main psychosocial factors influencing pregnancy reaction are the pregnancy stress and psychosomatic symptoms including obsessive-compulsive symptoms, depression levels, paranoia, hostility, sleep status, diet and others.
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