中华重症医学电子杂志(网络版)2023，Vol.9Issue(2) ：198-204.DOI:10.3877/cma.j.issn.2096-1537.2023.02.011

危重症孕产妇的心理状况及其影响因素的调查

Study on anxiety and depression status and the influential factors in maternal women

吴玥琳 欧泳琳 肖海燕 段业英 陆翠薇 李德阳 王懿春 唐灏珂
中华重症医学电子杂志(网络版)2023，Vol.9Issue(2) ：198-204.DOI:10.3877/cma.j.issn.2096-1537.2023.02.011
✕
  • 万方数据

危重症孕产妇的心理状况及其影响因素的调查

Study on anxiety and depression status and the influential factors in maternal women

吴玥琳 1欧泳琳 2肖海燕 3段业英 3陆翠薇 4李德阳 4王懿春 3唐灏珂5
扫码查看

作者信息

  • 1. 510180 广州，广州医科大学精神卫生学院
  • 2. 510180 广州，广州医科大学公共卫生学院
  • 3. 510150 广州，广州医科大学附属第三医院重症医学科
  • 4. 510180 广州，广州医科大学卫生管理学院
  • 5. 510150 广州，广州医科大学附属第三医院护理部
  • 折叠

摘要

目的:探讨危重症孕产妇的心理状况及其影响因素。方法:选择入住ICU的101例危重症孕产妇作为研究对象，应用医院焦虑抑郁量表对患者的焦虑/抑郁情况进行测定评分，筛选焦虑/抑郁患者，并对这些患者的焦虑/抑郁发生的相关因素进行分析。结果:危重症孕产妇的焦虑症状检出率为50.5%（51/101），抑郁症状检出率为49.5%（50/101）。单因素分析显示，患者焦虑/抑郁水平与受教育程度（焦虑χ2=8.755，P＜0.05；抑郁χ2=12.695，P＜0.01）、妊娠结局（抑郁χ2=6.179，P＜0.05）、疼痛程度评分（焦虑Z=2.091，P＜0.05）和APACHE Ⅱ评分（焦虑Z=2.663，P＜0.01）有关；与年龄、婚姻、医保付费情况、产次、流产经历、有创机械通气情况和镇痛镇静药物的使用情况无关（P＞0.05）。多因素Logistic回归分析显示，较高疼痛程度（OR=1.185，P＜0.05）、较高APACHE Ⅱ评分（OR=1.095，P＜0.05）和不良妊娠结局（OR=4.067，P＜0.01）为焦虑/抑郁发生的危险因素，较高受教育程度为焦虑/抑郁发生的保护因素（焦虑：大专及以上OR=0.253，P＜0.01；抑郁：中专及高中OR=0.183，P＜0.01，大专及以上OR=0.148，P＜0.001）。结论:入住ICU的孕产妇焦虑/抑郁发生率较高，患者的妊娠结局、疾病严重程度、疼痛严重程度和受教育程度是其重要影响因素。

Abstract

Objective:To investigate the psychological status and its related factors of maternal women in the intensive care unit (ICU).Methods:A total of 101 maternal women in the ICU were included in the study. The Hospital Anxiety and Depression Scale was used to screen the anxiety and/or depression of include patients. The factors that associated with anxiety and depression were analyzed.Results:The anxiety rate was 50.5% (51/101) and depressive rate was 49.5% (50/101) in these patients. Univariate analysis showed that education (χ2=8.755, P＜0.05; χ2=12.695, P＜0.01), pregnancy outcome (χ2=6.179, P＜0.05), VAS score (Z=2.091, P＜0.05) and APACHE Ⅱ score (Z=2.663, P＜0.01) other than age, marriage, health insurance payment status, number of deliveries, the experience of miscarriage, receive mechanical ventilation and sedative drug (P＞0.05) were associated with anxiety and depression. Multivariable logistic regression analysis showed that high VAS score (OR=1.185, P＜0.05), high APACHE Ⅱ score (OR=1.095, P＜0.05) and adverse pregnancy outcome (OR=4.067, P＜0.01) were risk factors of the development of anxiety and depression, while high education was a protective factor for the development of anxiety and depression (OR=0.253, P＜0.01; OR=0.183, P＜0.01; OR=0.148, P＜0.001).Conclusion:There is a high incidence of maternal anxiety and depression in the ICU in maternal patients. The pregnancy outcome, severity of illness, pain severity and education level are associated with anxiety and depression.

关键词

危重症孕产妇/焦虑/抑郁

引用本文复制引用

基金项目

国家级大学生创新创业训练计划项目(202110570039)

广东省科技创新战略专项资金(大学生科技创新培育)项目(pdjh2021b0414)

广州医科大学学生课外学术科技立项项目(2020A100)

出版年

2023
中华重症医学电子杂志(网络版)

中华重症医学电子杂志(网络版)

ISSN：
参考文献量11
段落导航相关论文