产前孕妇生活满意度及影响因素研究

Status and influence factors of life satisfaction among pregnant women

目的探讨产前孕妇生活满意度状况,并在分析其可能的影响因素基础上,为进一步开展孕妇产前保健及制定干预措施提供科学依据。方法采用自制调查问卷、生活满意度量表（satisfaction with life scale,SWLS）和焦虑自评量表（self-rating anxiety scale,SAS）对孕38周以上孕妇进行调查;采用χ2检验、非条件logistic回归分析可能的影响产前孕妇生活满意度的相关因素。结果467名孕妇生活满意度平均得分（27.56±6.40）分,69人（14.8%）对生活不满意。与家人关系好者对生活满意的可能性是与家人关系一般者的5.974倍（OR=5.974,95%CI：3.414~10.453）;孕前未患贫血者对生活满意的可能性为患者的3.322倍（OR=3.322,95%CI：1.858~5.938）;产前焦虑为生活满意度的危险因素,患产前焦虑者对生活满意的可能性是未患产前焦虑者的0.234倍（OR=0.234,95%CI：0.132~0.417）。结论加强妊娠期生理护理、改善孕妇家庭支持和心理支持状况对提高孕妇生活满意度、改善孕妇生活质量具有重要意义。

Objective To explore life satisfaction of pregnant women and its influencing factors,so as to provide scientific basis for antenatal care and intervention.Methods A self-made questionnaire,satisfaction with life scale（SWLS）and self-rating anxiety scale（SAS）were used to collect information among pregnant women with more than 38 weeks of gestation.Chi-square test and non-conditional logistic regression analysis were performed to find the influencing factors of their life satisfaction.Results The average score of life satisfaction among 467 subjects was 27.56±6.41,with 69 pregnant women（14.8%）unsatisfied with their life.Pregnant women with good family support had 5.974 times of possibility to be satisfied with life than those with bad family support（OR=5.974,95%CI：3.414~10.453）.Pregnant without anemia before pregnancy was 3.322 times more likely to be satisfied with life than those who had anemia before pregnancy（OR=3.322,95%CI：1.858~5.938）.Antepartum anxiety was the main risking factor of life satisfaction.Pregnant women with antepartum anxiety was 0.234 time more likely to be satisfied with life than those without（OR=0.234,95%CI：0.132~0.417）.Conclusion The life satisfaction and quality of pregnant women can be improved by strengthening physical care,family support and mental support.