SAS与SDS在胎儿异常引产孕妇中的适用性研究

Applicability research of Self-Rating Anxiety Scale and Self-Rating Depression Scale in termination of pregnancy caused by fetal abnormality

目的探讨焦虑自评量表和抑郁自评量表在胎儿异常引产孕妇中的适用性。方法采用一般资料问卷、焦虑自评量表和抑郁自评量表对70例因胎儿异常住院引产的孕妇进行调查,利用项目分析、临床问卷症状归因等分析两量表的适用性。结果在该调查人群中,焦虑和抑郁的发生率分别为15.7%和17.1%。焦虑自评量表和抑郁自评量表的Cronbach’sɑ系数分别为0.852和0.895,但项目分析中两量表均有部分条目的条目总分相关性较低或删除后Cronbach’sα系数增大。根据临床症状归因和临床观察,量表中测评的焦虑和抑郁的多项症状如疲乏、尿频、睡眠障碍等在该类孕妇是由心理、生理、环境等多因素作用。结论胎儿异常引产孕妇的焦虑和抑郁水平较高,焦虑自评量表和抑郁自评量表在胎儿异常引产孕妇中的适用性值得怀疑。

Objective To study the applicability of Self-Rating Anxiety Scale（SAS）and Self-Rating Depression Scale（SDS）for women with termination of pregnancy caused by fetal abnormality.Method Investigate 70 pregnant women terminating pregnancy because of fetal abnormality by general information scale,SAS and SDS.Analyze applicability of SAS and SDS by item analysis and clinical questionnaire attribution.Result Incidences of anxiety and depression are 15.7% and17.1%in this group of people.Cronbach＇sɑcoefficients of SAS and SDS are 0.852 and 0.895.But the total score of some items in two scales have low correlation or its Cronbach＇sɑcoefficient increases after deleted in item analysis.Symptoms of fatigue,frequent micturition and sleep disorders of anxiety and depression are effected by factors of pregnant women＇s psychological,physiological and environmental status according to clinical symptom attribution and clinical observation.Conclusion Level of anxiety and depression are high for pregnant women terminating pregnancy because of fetal abnormality.Applicability of SAS and SDS are suspectable for women with termination of pregnancy caused by fetal abnormality.