无指征剖宫产孕妇的心理因素分析

Psychological Factor Analysis of Pregnant Women Who Adopted Unnecessary Cesarean Section

目的对无医学指征而自愿要求剖宫产的孕妇进行术前心理状态分析,探讨其心理状态和剖宫产的关系。方法选取无医学指征而自愿要求行剖宫产术的孕妇104人作为研究对象,选取同期选择阴道分娩的孕妇104人作为参照组,对两组孕妇施测心理状态调查表(自编)、焦虑自评量表(SAS)和抑郁自评量表(SDS)。结果无指征剖宫产组孕妇在紧张、恐惧、担心自己方面的人数比例(χ2=6.65,P<0.01;χ2=23.62,P<0.005;χ2=46.62,P<0.005)以及焦虑、抑郁上的评分(t=6.54,P<0.001;t=6.04,P<0.001)均显著高于阴道分娩组孕妇,只有在担心胎儿的人数比例上不存在显著差异(χ2=3.78,P>0.05)。结论孕妇在产前过分紧张、恐惧、焦虑、抑郁、担心自己,是使得她们在没有医学指征的情况下自愿选择剖宫产的一个重要原因。

Objective Analyzing the psychological states of pregnant women who adopted unnecessary cesarean section and exploring the relationship of psychological states and cesare section.Methods In our research 208 pregnant women were randomly selected to complete the questionnaires of psychological states,SAS and SDS,including 104 women who adopted unnecessary cesarean section and 104 women who adopted vaginal delivery.Results Compared with the women who adopted vaginal delivery,the ratio of women adopted unnecessary cesarean section who were nervous and scared of delivery （χ2=6.65,P0.01;χ2=23.62,P0.005）and the scores of SAS and SDS （t=6.54,P0.001;t=6.04,P0.001） were significantly higher.There was not a significant difference on the worry of babies between them（χ2=3.78,P0.05）.Conclusion One of the important reasons why the pregnant women adopt unnecessary cesarean section is that the pregnant women are excessively nervous,scared,anxious of delivery and over worryed about themselves.