妊娠期甲状腺功能减退孕妇社会支持与早期联合干预的相关性研究

Study on the correlation between social support and early joint intervention in pregnant women with hypothyroidism during pregnancy

目的：了解妊娠期甲状腺功能减退孕妇的心理健康现状并探讨社会支持与早期联合干预的关系。方法：对2011年1月～2013年3月在河北医科大学第四医院进行孕检的178例妊娠期甲状腺功能减退孕妇（临床甲状腺功能减退68例、亚临床甲状腺功能减退110例）进行调查，另选择同期在该院进行孕检的200例甲状腺功能正常孕妇作为对照组。测定两组的社会支持情况，并进行统计学分析。结果：①甲状腺功能减退孕妇社会支持评定量表（SSRS）得分与对照组比较，差异有统计学意义（P〈0．05）；亚临床甲状腺功能减退孕妇SSRS得分与临床甲状腺功能减退孕妇比较，差异有统计学意义（P〈0．05）；两组主观支持维度与对支持的利用度比较，差异有统计学意义（P〈0．05）。社会支持与早期联合干预呈正相关（P〈0．05）。结论：妊娠期甲状腺功能减退孕妇特别是亚临床甲状腺功能减退孕妇心理状况不佳，需要家庭和社会支持；实施早期联合干预可显著提高甲状腺功能减退孕妇的心理健康水平。

Objective： To understand the current situation of psychological health among pregnant women with hypothyroidism dur- ing pregnancy and explore the relationship between social support and early joint intervention. Methods： A total of 178 pregnant women with hypothyroidism during pregnancy （including 68 pregnant women with clinical hypothyroidism and 110 pregnant women with subclinical hypot- hyroidism） receiving prenatal examination in the hospital from January 2011 to March 2013 were selected as survey objects, and 200 pregnant women with normal thyroid function receiving prenatal examination in the hospital during the same period were selected as control group; the social support conditions in the two groups were measured and a statistical analysis was performed. Results： There was statistically signifi- cant difference in SSRS score between hypothyroidism group and control group （ P 〈 0. 05 ） ; there was statistically significant difference in SSRS score between subclinical hypothyroidism group and clinical hypothyroidism group （ P 〈 0.05 ） ; there were statistically significant differences in subjective support dimension and utilization of support between the two groups （P 〈 0. 05 ） ; social support was positively corre- lated with early joint intervention （ P 〈 0. 05 ） . Conclusion： Psychological status of pregnant women with hypothyroidism during pregnancy is not good, especially in pregnant women with subclinical hypothyroidism, family and social supports are needed ; early joint intervention can significantly improve psychological health level of pregnant women with hypothyroidism.