社会支持对乙型肝炎孕产妇心理的影响

Influence of social support on psychology of pregnant women with positive HBsAg

目的 探讨社会支持情况对乙肝表面抗原阳性孕产妇心理的影响。方法 随机抽取门诊或住院部就诊的乙肝表面抗原阳性孕产妇67例。采用社会支持评定量表评定乙肝表面抗原阳性孕产妇的社会支持情况；采用汉密尔顿抑郁量表、汉密尔顿焦虑量表及症状自评量表评定乙肝表面抗原阳性孕产妇的心理状况。结果 ？抑郁和焦虑均与社会支持呈负相关（r分别为-0.17、-0.22，均P〈0.05）；症状自评总分与社会支持总分、主观客观支持及支持利用度均呈负相关（r分别为-0.18、-0.07、-0.18，均P〈0.05）。结论 社会支持程度与乙肝表面抗原阳性孕产妇负性心理情绪反应有联系。在怀孕期间加强家庭、社会、医务人员的社会支持力度，培养乙肝表面抗原阳性孕产妇利用社会支持的能力有助于降低其分娩应激水平。

Objective To investigate influence of social support on psychology of pregnant women with positive hepatitis B surface antigen （HBsAg）. Methods 67 pregnant women with positive HBsAg were randomly selected from outpatient and inpatient departments of The First Affiliated Hospital of Medical College, Xi＇an Jiaotong University. The Social Support Rating Scale was used to assess the social support to the pregnant women with positive HBsAg. The Hamilton Rating Scale for Depression （HRSD） and the Hamilton Rating Scale for Anxiety （HAMA） were used to assess psychological status of the patient. The psychosomatic disorders of the pregnant women with positive HBsAg were assessed with symptom checklist 90（SCL-90）. Results Depression and anxiety were both negatively correlated with social support available （r=-0.17, -0.22 respectively,both P〈0.05）. The total scores in SCL90 of the patients were also negatively correlated with total scores in social support, subjective support and objective support and support availability （r=-0.18, -0.07 and -0.18 respectively, all P〈0.05）. Conclusion The results suggest that there is an association between social support and reduction of psychological stress of those pregnant women with positive HBsAg. Strengthening the support from social organizations, medical personnels and family members to the women in their pregnancy and cultivating ability of the pregnant women to ultilize the social support can decrease the stress level of the pregnant women in their parturition.