自尊在孕妇产前抑郁与妊娠期疲劳间的中介作用
Mediating effect of self-esteem on the relationship between prenatal depression and fatigue in pregnant women
张子琪 1聂蓉 1芮小勤 1刘新文2
作者信息
- 1. 武汉轻工大学医学与健康学院(湖北武汉,430023)
- 2. 武汉市妇女儿童医疗保健中心护理部
- 折叠
摘要
目的 探讨自尊在孕妇产前抑郁与妊娠期疲劳间的中介作用,为制定针对性干预措施提供参考.方法 采用一般资料调查表、爱丁堡产后抑郁量表、自尊量表、疲劳自评量表对401名门诊产检的孕妇进行调查.结果 孕妇产前抑郁、自尊与疲劳得分分别为10.00(7.00,13.00)分、(32.28±4.00)分和8.93(3.57,25.00)分.妊娠期疲劳与产前抑郁呈正相关,与自尊呈负相关,产前抑郁与自尊负相关(均P＜0.05);自尊在产前抑郁与妊娠期疲劳间的中介效应为0.076,占总效应的18.67％.结论 孕妇中轻度疲劳发生率较高,自尊在抑郁与妊娠期疲劳间起部分中介作用;可通过提升孕妇自尊水平及缓解产前抑郁症状,从而改善疲劳.
Abstract
Objective To explore the mediating role of self-esteem on the relationship between prenatal depression and fatigue in preg-nant women,so as to provide a reference for developing targeted intervention.Methods A total of 401 pregnant women from an out-patient department for antenatal examination were surveyed by using a general information questionnaire,the Edinburgh Postpar-tum Depression Scale(EPDS),the Self-Esteem Scale(SES),and the Fatigue Self-Assessment Scale(FSAS).Results The partici-pants'scores of the EPDS,SES and FSAS were 10.00(7.00,13.00),(32.28±4.00)and 8.93(3.57,25.00)respectively.Fatigue during pregnancy was positively correlated with prenatal depression and negatively correlated with self-esteem,while prenatal de-pression was negatively correlated with self-esteem(all P＜0.05).The mediating effect value of self-esteem on the relationship be-tween prenatal depression and fatigue was 0.076,which accounted for 18.67％of the total effect.Conclusion The incidence of mild and moderate fatigue in pregnant women is high,and self-esteem plays a mediating role between prenatal depression and fatigue.It is suggested to improve pregnant women's self-esteem and alleviate prenatal depression,thereby relieve their fatigue.
关键词
孕妇/产前检查/妊娠期疲劳/产前抑郁/自尊/心理障碍/心理健康/中介效应Key words
pregnant women/antenatal examination/fatigue during pregnancy/prenatal depression/self-esteem/mental disorder/mental health/mediating effect引用本文复制引用
出版年
2024
NETL
NSTL
万方数据