广东省孕妇妊娠期焦虑情绪现状及特点分析

Anxiety Status and Characteristics of Pregnant Women during Pregnancy in Guangdong Province

目的 了解广东省孕妇在妊娠期焦虑情绪现状,分析其危险因素和保护因素,为有针对性地开展该特殊人群的情绪调节与干预提供参考.方法 采用自编的一般资料问卷、焦虑自评量表(self-rating anxiety scale,SAS)、社会支持评定量表(social support rating scale,SSRS)、简易应对方式问卷(simple coping style questionnaire,SCSQ)对广东省6所三级甲等医院共799名孕妇进行调查.结果 广东省6所三级甲等医院799例孕妇焦虑情绪发生率为35.7%.Logistic回归分析提示,半职工作状态以及自身为独生子女是该地区孕妇焦虑发生的危险因素(OR=1.754、2.356);社会支持良好和积极应对方式是孕妇焦虑发生的保护因素(OR=0.486、0.131).结论 广东省孕妇妊娠期焦虑情绪值得关注,尤其需重视半职工作及身为独生子女的孕妇;提高妊娠期孕妇的社会支持力量,鼓励其多采取积极应对方式,可作为下一步制定有针对性焦虑情绪干预的措施依据.

Objective To understand the current situation of pregnant women’s anxiety during pregnancy in Guangdong province,and the risk factors and protective factors were analyzed to provide a reference for the targeted emotional regulation and intervention of the special population.Methods A total of 799 pregnant women from six tertiary hospitals in Guangdong province were investigated with the Basic Data Questionnaire,Self-rating Anxiety Scale(SAS),Social Support Rating Scale(SSRS),and Simple Coping Style Questionnaire(SCSQ).Results The incidence of anxiety among 799 pregnant women from six hospitals in Guangdong province was about 35.7%.Logistic regression analysis showed that the risk factors for anxiety of pregnant women in this area were pregnant women with part-time job and the only child in the family(OR=1.754,2.356).Pregnant women with good social support and positive coping styles were protective factors of anxiety(OR=0.486,0.131).Conclusions Pregnant women in Guangdong province should pay attention to their anxiety during pregnancy,especially those who are part-time workers or the only child in her family.Improving the social support of pregnant women during pregnancy and encouraging them to take more positive measures can serve as the basis for formulating targeted intervention for anxiety in the next step.