城市妇女二胎妊娠期间心理健康状况与相关社会因素关系研究

Study on relationship between mental health status and related social factors during second pregnancy of urban women

目的:研究城市妇女二胎妊娠期间心理健康,分析妇女二胎妊娠期间心理健康状况的影响因素。方法:采用便利抽样法选取我院2017年5月-2017年12月期间收入的200例二胎妊娠妇女作为研究对象。收集所有研究对象一般资料,分析二胎妊娠女性妊娠期间心理健康情况。对比心理状况较好和心理状况较差妇女的一般资料,将有差异资料带入Logistic回归方程中计算,分析城市妇女二胎妊娠期间心理健康的影响因素。结果:200例城市二胎妊娠妇女中心理健康较好者127例,占63.5%;心理健康较差者73例,占36.5%。心理健康较好的二胎妇女与心理健康较差的二胎妇女在年龄、学历水平、职业、医疗费用支出方式、人均收入水平以及有无性别期待方面均有差异,P <0.05。将上述有差异资料带入Logistic回归方程计算发现,年龄、学历水平、职业、医疗费用支出方式、人均收入水平以及有无性别期待均是城市妇女二胎妊娠期间心理健康的影响因素,P <0.05。结论:城市妇女二胎妊娠期间心理健康受到多因素的影响,早期干预可有效缓解孕妇心理负担,改善妊娠结局,值得临床应用及推广。

Objective: To study the mental health of urban women during their second pregnancy and analyze the influencing factors of mental health during their second pregnancy. Methods: The convenience sampling method was used to select 200 second-child pregnant women from May 2017 to December 2017. General data of all subjects were collected to analyze the mental health of women with second pregnancy. Results: Among 200 urban women with second pregnancy, 127 had better mental health, accounting for 63.5%. There were 73 cases of poor mental health, accounting for 36.5%. There were differences in age, educational level, occupation, medical expenditure pattern, per capita income level and gender expectation between the women with good mental health and those with poor mental health, P<0.05. It was found that age, educational level, occupation, medical expenses, per capita income level and gender expectation were all influencing factors of urban women’s mental health during their second pregnancy, P<0.05. Conclusion: The mental health of urban women during their second pregnancy was affected by many factors. Early intervention could effectively relieve the psychological burden of pregnant women and improve the pregnancy outcome, which was worthy of clinical application and promotion.