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初产妇分娩后负性情绪发生现状及相关影响因素分析

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目的:分析初产妇分娩后负性情绪发生情况及其相关影响因素。方法:回顾性分析 2020 年 1 月至 2022 年 12 月于本院分娩的 103 例初产妇的临床资料,统计其分娩后负性情绪发生情况;另收集初产妇的年龄分娩方式、文化程度、家庭月收入、既往流产史、妊娠期并发症、丈夫陪伴、分娩过程等资料,以多因素Logistic回归分析模型分析其负性情绪发生的相关影响因素。结果:103 例初产妇中,分娩后负性情绪发生的有 28 例,发生率为 27。18%(28/103)。单因素分析显示:年龄、分娩方式、文化程度、既往流产史与初产妇分娩后负性情绪的发生无关,差异无统计学意义(P>0。05);而家庭月收入、妊娠期并发症、丈夫陪伴、分娩过程与初产妇分娩后负性情绪的发生有关,差异有统计学意义(P<0。05)。多因素Logistic回归分析显示:家庭月收入<8000 元(β=1。974,OR=7。200,95%CI=2。762~18。766)、有妊娠期并发症(β=2。671,OR=14。455,95%CI=4。489~46。545)、无丈夫陪伴(β=0。921,OR=2。513,95%CI=1。035~6。099)、分娩过程不顺利(β=1。155,OR=3。173,95%CI=1。288~7。820)为初产妇分娩后负性情绪发生的主要影响因素(P<0。05)。结论:初产妇分娩后负性情绪发生率较高,而其负性情绪发生的因素较为多样,如家庭月收入<8000 元、有妊娠期并发症、无丈夫陪伴、分娩过程不顺利等,临床需对上述高危人群给予高度关注。
Analysis of the current situation and related influencing factors of negative emotions in primipara after delivery
Objective:To analyze the occurrence of negative emotions in primipara after delivery and its related influencing fac-tors.Methods:The clinical data of 103 primipara who delivered in our hospital from January 2020 to December 2022 were ret-rospectively analyzed,and the occurrence of negative emotions after delivery was statistically analyzed;In addition,data on the age,delivery style,education level,monthly family income,previous abortion history,pregnancy complications,husband's company,and delivery process of primipara were collected.The related factors affecting the occurrence of negative emotions were analyzed using a multivariate logistic regression analysis model.Results:Among 103 primiparas,there were 28 cases with negative emotions after delivery,the incidence rate was 27.18%(28/103).Univariate analysis showed that age,delivery mode,education level and previous abortion history had nothing to do with the occurrence of negative emotions of primiparas after de-livery,and the difference was not statistically significant(P>0.05).However,the monthly family income,pregnancy com-plications,husband's company and delivery process were related to the occurrence of negative emotions of primiparas after deliv-ery,and the difference was statistically significant(P<0.05).Multivariate Logistic regression analysis showed that the monthly family income was less than 8000 yuan(β=1.974,OR=7.200,95%CI=2.762~18.766)and there were complica-tions during pregnancy(β=2.671,OR=14.455,95%CI = 4.489~46).95%CI=1.035~6.099)and the unsmooth delivery process(β=1.155,OR=3.173,95%CI=1.288~7.820)were the main influencing factors of negative emotions after delivery(P<0.05).Conclusion:The incidence of negative emotions in primipara after delivery is high,and the factors that affect the occurrence of negative emotions are diverse,such as family monthly income<8000 yuan,pregnancy complications,absence of husband,and poor delivery process.Clinical attention should be paid to the above high-risk groups.

PrimiparaDeliveryNegative emotionsInfluencing factorsPregnancy complications

刘叶、张艳、王花

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淄博市张店区人民医院妇产科,山东 淄博 255025

初产妇 分娩 负性情绪 影响因素 妊娠期并发症

淄博市妇幼保健领域科研创新与科技领域计划(2022)

2022024

2024

中外女性健康研究
武汉大学

中外女性健康研究

ISSN:2096-0417
年,卷(期):2024.(4)
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