产前筛查高风险孕妇心理状态分析

Investigation of Psychological Status of High-risk Pregnant Woman in Antenatal Screening

目的探讨产前筛查高风险孕妇焦虑、抑郁的严重程度和特点,为心理评估和心理护理提供依据。方法用Zung氏焦虑自评量表(SAS)和抑郁自评量表(SDS)测评1500例产前筛查高风险孕妇的焦虑、抑郁状态。结果产前筛查高风险孕妇均存在明显焦虑、抑郁,与常模相比差异有统计学意义(p<0.001)。不同介入性产前诊断指征、不同文化程度孕妇焦虑、抑郁的程度不同(p<0.001),受过高等教育和地中海贫血孕妇其焦虑、抑郁评分较高。结论产前筛查高风险孕妇心理健康状态较差。及时的心理疏导与相关知识教育能有效减轻孕妇精神压力,从而避免并发症发生,提高产前诊断质量及安全度。

Objective：To explore the psychological status of High-risk pregnant woman in antenatal screening so as to provide evidence for psychological and nursing intervention.Mcthodes：A total of 1500 high-risk pregnant woman in antenatal screening were investigated by filling out Zung＇s self-rating Anxiety Scale （SAS） and self-rating Depression Scale （SDS）.Results：Obvious anxiety and depression above norms （p〈0.001） existed in high-risk pregnant woman,the pregnant woman with higher education and Mediterranean anemia demonstrated higher anxiety and depression score （p〈0.001）.Conclusion：The anxiety and depression of high risk pregnant woman is relatively severe.It suggests that clinical nursing stuffs should give timely psychological counseling and relevant health education,so as to relieve their mental stress, avoid development of complications and improve the quality and safety of prenatal diagnosis.