辅助生殖与自然妊娠女性焦虑水平及影响因素调查

Investigation on maternal anxiety level and the influencing factors between assisted reproduction and spontaneous reproduction

目的探讨辅助生殖与自然妊娠女性焦虑水平的差异及影响因素和对策。方法选取2015年11-12月在山东省三级甲等医院的孕妇110例,其中辅助生殖技术妊娠56例,自然妊娠54例。采用一般资料表、妊娠早期相关知识调查表、妊娠早期焦虑状况调查表和焦虑(SAS)调查表等进行调查,调查数据应用二元Logistic回归分析法进行多因素分析。结果所有妊娠期女性的焦虑得分为(53.61±7.48)分,高于国内常模值50分(P<0.05),焦虑症状的检出率为64.5%。辅助生殖与自然妊娠女性的焦虑得分分别为(56.61±6.85)分和(50.35±6.60)分,差异有统计学意义(P<0.05)。影响焦虑的主要因素有年龄、流产史、辅助生殖技术妊娠、妊娠早期相关焦虑和学历(P<0.05)。结论妊娠期女性存在焦虑,流产史、辅助生殖技术妊娠和妊娠早期相关焦虑是影响妊娠期女性焦虑的危险因素。因此,需要针对这些影响因素采取相关措施,缓解焦虑情绪。

Objective To explore the difference of maternal anxiety level, influencing factors, and strategies between assisted repro- duction and spontaneous reproduction. Methods A total of 110 pregnant women in tertiary hospitals in Shandong from November to Decem- ber in 2015 were selected, which consisted of 56 cases of assisted reproduction and 54 cases of spontaneous reproduction. The general infor- mation scale, early pregnancy-related knowledge scale, early pregnancy-related anxiety scale, and self-rating anxiety scale （SAS） were used to evaluate the pregnant women, the data was analyzed by binary logistic regression analysis. Results The score of anxiety among all the pregnant women was （53. 61±7. 48 ） points, which was statistically significantly higher than the domestic norm （50 points） （P〈0. 05 ）. The detection rate of anxiety symptoms was 64. 5%. The scores of anxiety among women of assisted reproduction and spontaneous reproduc- tion were （ 56. 61±6. 85 ） points and （ 50. 35 ±6.60） points, respectively, there was statistically significant difference （ P〈0.05 ） . The main influencing factors of anxiety included age, abortion history-, pregnancy through assisted reproduction technology, early pregnancy-re- lated anxiety, and educational background （P〈0. 05 ） . Conclusion Anxiety, abortion history, pregnancy through assisted reproduction technology, and early pregnancy-related anxiety are main risk facors of maternal anxiety during pregnancy. Corresponding measures should be taken to relieve anxiety targeting to the influencing factors.