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二胎孕妇产前抑郁状况及其影响因素

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目的 探讨二胎孕妇产前抑郁现状及其影响因素.方法 本研究对象为2022年1月~2022年10月来我院就诊的108例二胎孕妇,孕晚期采用Zung抑郁自评量表(SDS)进行产前抑郁筛查,设为产前抑郁组以及无产前抑郁组,对比两组孕妇年龄、学历以及是否为计划妊娠等一般资料,通过单因素及多因素分析的形式探讨产前抑郁的影响因素.结果 108例二胎孕妇检出产前抑郁28例,检出率25.93%;产前抑郁组与无产前抑郁组年龄、是否计划妊娠、孕检异常诊断史、期待新生儿性别、家庭月收入、学历差异具有统计学意义(P<0.05);两组一胎分娩方式、居住地、工作情况差异无统计学意义(P>0.05);多因素分析显示,非计划妊娠、年龄>35岁、孕检异常诊断史、期待新生儿性别、家庭月收入<3000元是二胎孕妇产前抑郁的影响因素.结论 二胎孕妇产前抑郁检出率较高,与非计划妊娠、年龄较大等因素有关,应加强此类孕妇的健康教育以及心理指导.
The status of prenatal depression in second trimester pregnant women and its influencing factors
Objective o explore the status and influencing factors of prenatal depression in second trimester pregnant women.Methods A total of 108 pregnant women with second pregnancies from January 2022 to October 2022 were selected as the study subjects.Prenatal depression screening was conducted using the Zung Depression Self Rating Scale(SDS)in the third trimester of pregnancy,and they were divided into the prenatal depression group and the non prenatal depression group.The general information such as age,educational background,and whether the two groups of pregnant women are planning pregnancy were compared.The single factor and multivariate analysis were used to single factor and multivariate analysis.Results Prenatal depression was detected in 28 of 108 pregnant women with second pregnancies,with a detection rate of 25.93%.There were statistically significant differences between the pre-natal depression group and the non prenatal depression group in terms of age,planned pregnancy,history of abnormal diagnosis during pregnancy testing,expected newborn gender,family monthly income,and educational background(P<0.05).There was no statistically significant difference between the two groups in terms of delivery mode,resi-dence,and work status of a single child(P>0.05).Multivariate analysis showed that unplanned pregnancy,age>35 years old,history of abnormal diagnosis in pregnancy testing,expected newborn gender,and family monthly in-come<3000 yuan were the influencing factors for prenatal depression in second trimester pregnant women.Conclusion The detection rate of prenatal depression in pregnant women with second trimester is high,which is related to factors such as unplanned pregnancy and older age.Health education and psychological guidance should be strengthened for such pregnant women.

Second childPregnant womanAntenatal depressionInfluence factor

王青芸、禹彩云

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晋城市妇幼保健院(晋城,048000)

二胎 孕妇 产前抑郁

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(3)
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