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早发型子痫前期患者妊娠感知压力的影响因素

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目的:分析早发型子痫前期患者妊娠感知压力的影响因素.方法:选取 2021-2023 年该院收治的 80 例早发型子痫前期患者进行横断面研究,收集患者的临床资料,采用中文版感知压力量表(CPSS)评估患者的妊娠感知压力,采用多元线性回归分析早发型子痫前期患者妊娠感知压力的影响因素.结果:80 例早发型子痫前期患者平均CPSS评分为(32.78±6.95)分;不同年龄、孕周、产次、学历、在职情况、医疗付费方式、家庭环境患者的CPSS评分比较,差异均无统计学意义(P>0.05);有不良妊娠史、非计划妊娠、家庭平均月收入<3000 元、受孕方式为胚胎移植、社会支持评定量表评分≤22 分、中文版病人健康问卷抑郁量表-2(PHQ-2)评分≥3 分患者的CPSS评分均高于其他类型患者,差异有统计学意义(P<0.05);多元线性回归分析结果显示,有不良妊娠史、非计划妊娠、家庭平均月收入<3000 元、受孕方式为胚胎移植、PHQ-2 评分≥3 分均为早发型子痫前期患者妊娠感知压力的危险因素(P<0.05).结论:有不良妊娠史、非计划妊娠、家庭平均月收入<3000 元、受孕方式为胚胎移植、PHQ-2 评分≥3 分均为早发型子痫前期患者妊娠感知压力的危险因素.
Influencing factors of pregnancy perceived stress in patients with early-onset preeclampsia
Objective:To analyze influencing factors of pregnancy perceived stress in patients with early-onset preeclampsia.Methods:A cross-sectional study was conducted on 80 patients with early-onset preeclampsia admitted to this hospital from 2021 to 2023.The clinical data of these patients were collected.The Chinese version of perceived stress scale(CPSS)was used to assess the patients'perceived stress during pregnancy.Multiple linear regression was used to analyze the influencing factors of pregnancy perceived stress in the patients with early-onset preeclampsia.Results:The average CPSS score of the 80 patients with early-onset preeclampsia was(32.78±6.95).There were no significant differences in the CPSS score among the patients with different ages,gestational weeks,parity,educational background,on-the-job status,medical payment methods,and family environment(P>0.05).The CPSS scores of the patients with adverse pregnancy history,unplanned pregnancy,family average monthly income<3000 yuan,embryo transfer,social support rating scale score≤22 points,Chinese version of patient health questionnaire depression scale-2(PHQ-2)score≥3 points were higher than those of other types of patients,and the differences were statistically significant(P<0.05).The multiple linear regression analysis showed that adverse pregnancy history,unplanned pregnancy,family average monthly income<3000 yuan,embryo transfer,and PHQ-2 score≥3 were risk factors for pregnancy perceived stress in the patients with early-onset preeclampsia(P<0.05).Conclusions:Adverse pregnancy history,unplanned pregnancy,family average monthly income<3000 yuan,embryo transfer,PHQ-2 score≥3 points are the risk factors for pregnancy perceived stress in the patients with early-onset preeclampsia.

PreeclampsiaEarly-onsetPregnancyPerceived stressInfluencing factor

张蕾、钟敏

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商丘市立医院妇产科,河南 商丘 476000

子痫前期 早发型 妊娠 感知压力 影响因素

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(17)