家庭功能和孕期生活事件对孕晚期“二孩”孕妇的影响

Effect of family function and pregnancy life events on second child pregnant women in their third trimesters

目的了解孕晚期“二孩”孕妇产前抑郁情绪现状,探讨其与家庭功能、孕期生活事件之间的相关性。方法选取2018年7月—10月在长沙市某三级甲等医院产科门诊定期产检的306例孕晚期“二孩”孕妇作为研究对象,采用爱丁堡产后抑郁量表、家庭关怀度指数问卷和孕期生活事件量表进行调查。结果 36.3%的孕晚期“二孩”孕妇产前存在抑郁情绪,其中7.5%存在严重抑郁情绪。孕期生活事件总分、孕期主观生活事件、孕期客观生活事件OE2和OE3与抑郁情绪呈正相关(P<0.05),家庭功能总分及各维度与抑郁情绪呈负相关(P<0.01)。多元逐步回归分析显示,文化程度、妊娠合并症、家庭亲密度、孕期主观生活事件和孕期客观生活事件OE3是孕晚期“二孩”孕妇产前抑郁情绪的影响因素。结论部分孕晚期“二孩”孕妇产前存在不同程度的抑郁情绪,尤其是低文化程度、有妊娠合并症、家庭亲密度较差和发生重大孕期生活事件的孕妇产前存在抑郁情绪的概率较高,医护工作者应当采取有效的措施减少“二孩”孕妇产前抑郁情绪。

Objective To investigate the level of the antenatal depressive symptoms and its relationship with family function and pregnancy life events among second child pregnant women in their third trimesters.Methods From July to October 2018,306 pregnant women with “second child” in late pregnancy who underwent regular obstetric examination in the obstetric clinic of a tertiary hospital in Changsha were selected as the subjects of study and investigated with Chinese version of Edinburgh Postpartum Depression Scale,Family APGAR Index,Life Events Scale for Pregnant Woman.Results The prevalence of antenatal depressive symptoms among second child pregnant women was 36.3%,severe depressive symptoms was 7.5%. The total scores of live events,subjective events and objective events of OE2 and OE3 were significantly and positively correlated with EPDS(P<0.05). The total scores and dimension scores of family function were significantly and negatively correlated with EPDS(P<0.01). Regression analysis indicated that lower education level,pregnancy complications,family intimacy,subjective events and objective events of OE3 were influencing factors of antenatal depressive symptoms.Conclusion The prevalence of antenatal depressive symptoms among second child pregnant women in their third trimesters is common,especially the women with lower education level,having pregnancy complications,poor family intimacy and occurring severe pregnancy life events are prone to suffer depressive symptoms. Therefore,health care worker should take effective measures to decrease the occurrence of antenatal depressive symptoms.