孕妇焦虑抑郁状况调查及其影响因素分析

Surveys of anxiety-depression status and analyses of influen- cing factors in pregnant women

目的了解孕妇焦虑抑郁状况及其影响因素，为围产期保健提供依据。方法对2112名孕28周妇女采用爱丁堡产后抑郁量表、焦虑自评量表进行测评分析，并对筛查出伴焦虑和抑郁者采用围产期抑郁相关因素调查表进行测评分析。结果2112名孕28周妇女检出焦虑抑郁情绪544例，检出率为25．8％。544例伴焦虑抑郁情绪孕妇均受到社会心理因素影响，其中生活、工作的压力占45．2％，近期有让您很难受的事件占11．9％，对未来及抚养小孩的担心占39．3％，社会、家庭支持不够占3．5％。结论孕妇伴发焦虑抑郁情绪发生率较高，影响因素众多，围产期保健应重视对孕妇的心理干预工作。

Objective To investigate anxiety-depression status and analyses of influencing factors in preg- nant women in order to provide basis for perinatal care. Methods Assessments were conducted with the Edinburgh Postnatal Depression Scale （EPDS） and Self-rating Anxiety Scale （SAS） in 2,112 women with 28-week pregnancy and with self-made perinatal pepression correlation factor questionnaire screened pa- tients with anxiety and depression. Results Anxiety-depressive emotions were detected in 544 ones of 2,112 pregnant women, detection rate was 25.8%. Anxiety-depressive emotions of 544 pregnant women were influenced by psychosocial factors, among psychosocial factors life and working stress made up 45.2%, near unbearable events 11.9%, worry about future and rearing children 39.3% and poor social and family support 3.5 %. Conclusion The incidence of accompanied anxiety-depressive emotions is higher in pregnant women, influencing factors are numerous, and to gravida＇s mental intervention attentionshould be paid.