A study on the factors influencing the psychological state of pregnant women with infectious diseases and the effect of psychological intervention
Objective To study the psychological state of pregnant women with infectious diseases and the effect of psychological intervention.Methods Among 200 pregnant women who underwent regular prenatal examination at the obstetric clinic,103 cases were infected with chronic hepatitis B virus,70 cases were infected with syphilis,and 27 cases were normal.Pregnant women with chronic hepatitis B virus infection and syphilis infection should be given psychological intervention,and normal pregnant women should be given routine prenatal examination.The clinical characteristics(age,educational level,gestational age,type of parturient)of pregnant women infected with chronic hepatitis B virus and syphilis and normal pregnant women were collected and compared.The psychological state of pregnant women infected with chronic hepatitis B virus and syphilis and normal pregnant women was compared;the psychological state of pregnant women infected with chronic hepatitis B virus and syphilis after intervention in different pregnancy periods was compared;the factors influencing anxiety and depression in pregnant women with infectious diseases were analyzed.Results There was no difference in age,education level,gestational age and type of parturient between pregnant women infected with chronic hepatitis B virus and syphilis and normal pregnant women(P>0.05).There was a significant difference in standard scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between pregnant women infected with chronic hepatitis B virus and syphilis and normal pregnant women(P<0.05).After LSD pairwise comparison,the standard scores of SAS and SDS in pregnant women with infected with syphilis were(48.56±9.42)and(49.35±9.79)points,which were higher than(44.74±9.98)and(45.19±9.86)points of pregnant women infected with chronic hepatitis B virus,and(31.48±3.86)and(31.74±3.02)points of normal pregnant women.There was a difference(P<0.05).The standard scores of SAS and SDS in pregnant women infected with chronic hepatitis B virus were higher than those in normal pregnant women,and there was a difference(P<0.05).After intervention,the standard scores of SAS and SDS of pregnant women infected with chronic hepatitis B virus in the early,middle and late pregnancy were different(P<0.05).After LSD pairwise comparison,the standard scores of SAS and SDS of pregnant women in early and middle pregnancy were higher than those in late pregnancy,and there was a difference(P<0.05).There was no difference in SAS and SDS scores between pregnant women in early and middle pregnancy(P>0.05).After intervention,the standard scores of SAS and SDS of pregnant women infected with syphilis in early,middle and late pregnancy were different(P<0.05).After LSD pairwise comparison,the standard scores of SAS and SDS among pregnant women in early and middle pregnancy were higher than those in late pregnancy,and there was a difference(P<0.05).There was no difference in SAS and SDS scores between pregnant women in early and middle pregnancy(P>0.05).Logistic regression analysis showed that age,education level,gestational age,type of parturient and diagnosis were all independent influencing factors of anxiety and depression in pregnant women with infectious diseases(P<0.05).Conclusion Age,education level,gestational age,type of parturient and diagnosis ARE all independent influencing factors of anxiety and depression in pregnant women with infectious diseases.Implementing psychological intervention during pregnancy can help improve the adverse psychological state of infected pregnant women,reduce anxiety and depression scores.
PregnancyInfectious diseasesPregnant womenHepatitis B virusSyphilisPsychological intervention
万方数据
维普
