产妇产前的心理状态及相关因素分析

An Analysis of Antenatal Psychological Status and its Related Factors

目的探讨孕妇产前心理状态及相关因素，为做好产前心理咨询提供依据。方法采用自制问卷、症状自评量表、汉米顿抑郁量表及汉米顿焦虑量表，对１００例临产初产妇的心理状态进行调查分析。结果产前有抑郁症状者５例，占５％；有焦虑症状者５例，占５％；出现焦虑抑郁者共１１例，占１１％。单因素分析显示，处世表现，情绪控制，流产史，与父母关系，对分娩心理准备，家庭角色充当６项因素与产妇心理状态相关。多因素分析显示，与父母关系，对分娩心理准备，处世表现与孕妇产前心理状态呈正相关性。结论与父母关系，对分娩心理准备，处世表现是影响产妇产前心理状态最主要因素，针对上述３个因素。

Objective To provide basis for antenatal psychological counselling by investigating psychological status and related factors of parturients. Methods Analysing psychological status of 100 primigravida by selfmade questionaires. Symptom checklist go (Sclgo), HAMD and HAMA. Results Singlefactor analysis showed: six factors, that were social behavior, mood controlling, history of abortion, relation with parents, psychological preparation for delivery and family roles, are correlated with psychological status of pregnant women. Multifactor analysis indicated: 3 factors i.e. relation with parents, psychological preparation for delivery and social behavior were positively correlated with psychological status of parturients. Conclusions Relation with parents, preparation for delivery and social behavior are the most important factors to influence antenatal psychological status and useful references for antenatal psychological counselling.