医院门诊中未婚妊娠女性焦虑、抑郁状况调查分析

Investigation and analysis of situation of anxiety and depression of unmarried pregnant women in hospital outpatient clinic

目的:探讨医院门诊未婚妊娠女性焦虑、抑郁状况及其影响因素。方法:以2012年—2016年本院行人工流产的未婚妊娠女性为研究对象,调查问卷了解并分析女性焦虑、抑郁状态及影响因素。结果:5年间门诊人工流产的未婚妊娠女性逐年增加,但发生焦虑、抑郁比例逐年下降;<20岁、小学及以下文化及妊娠≥2次比例均逐年升高,而焦虑、抑郁比例逐年降低(P<0.05)。logistic回归分析显示,年龄高、文化程度高、年份近、妊娠次数≥2次是未婚先孕女性焦虑、抑郁及抑郁合并焦虑心理状态的保护因素。结论:近年来,本院门诊收治的人工流产未婚妊娠女性人数增加,但其焦虑、抑郁发生比例有所降低;焦虑、抑郁的发生受年龄、文化程度、妊娠次数等多种因素影响,医疗机构应给予充分的重视。

Objective： To investigate the situation of anxiety and depression of unmarried pregnant women in hospital outpatient clinic, and to analyze its influencing factors. Methods： The unmarried pregnant women who had experienced artificial abortion in population and family planning maternal and child service center of Heshun county from 2012 to 2016 were selected as the subjects, and the questionnaire was used to investigate the situation of anxiety and depression of those women, and its influencing factors were also analyzed. Results： In the past 5 years, the number of umnarried pregnant women who had experienced artificial abortion increased year by year, but the incidences of anxiety and de pression were decreased year by year. The proportions of women less than ~20 years old, the level of education equal to or less than primary school, or gravidity equal to or more than 2 times were increased year by year （P〈0.05）. Lo- gistic regression analysis had showed that older age, high education level, and gravidity equal to or more than 2 times were the protective factors of anxiety, depression, or depression combined with anxiety in unmarried pregnant women. Conclusion： In recent years, the number of unmarried pregnant women who experienced artificial abortion in hospital outpatient clinic of population and family planning maternal and child service center of Heshun county is increasing, but the proportion of women with anxiety or depression is reducing. The incidences of anxiety and depression of unwanted pregnant women are influenced by age, education level and gravidity times, so it should be paid more attention to.