瘢痕子宫再次妊娠待产妇心理健康状况评价及其影响因素

Evaluation and influencing factors of mental health status of expectant mothers who were re-pregnancy and underwent scarred uterus

目的探究瘢痕子宫再次妊娠待产妇心理健康状况及其影响因素。方法选择医院2016年11月—2019年11月收治的瘢痕子宫再次妊娠待产妇90例,根据待产妇心理健康状况评分,分为心理健康状况较差组20例,良好组70例。借助一般资料量表调查基础信息,选择症状自评量表(SCL-90)调查其心理健康状况,通过多因素Logistic回归分析筛选瘢痕子宫再次妊娠待产妇心理健康状况的影响因素。结果调查结果显示,瘢痕子宫再次妊娠待产妇心理健康状况评分为145.48±12.12分,总体心理健康状况良好。单因素分析显示,年龄、家庭经济水平、孕期身体状况、孕期并发症、妊娠反应、睡眠质量、社会支持、家庭关怀度、负性生活事件、不良妊娠经历、周围朋友瘢痕子宫再次妊娠不良妊娠结局对瘢痕子宫再次妊娠待产妇心理健康状况影响比较差异具有统计学意义(P<0.05);经多因素Logistic回归分析发现,瘢痕子宫再次妊娠待产妇心理健康状况的影响因素有孕期并发症、不良妊娠经历、负性生活事件、周围朋友瘢痕子宫再次妊娠不良妊娠结局、睡眠质量差、社会支持不足、家庭关怀度低(P<0.05)。结论瘢痕子宫再次妊娠待产妇总体心理状况良好,但仍有部分患者心理健康状况较差,且其影响因素复杂,临床应据此确定护理方案,强化护理干预。

Objective To explore the mental health status of expectant mothers who were re-pregnancy and underwent scarred uterus,and its influencing factors.Methods To select 90 cases of expectant mothers who underwent scarred uterus and were admitted to hospital from November 2016 to November 2019,and according to the mental health score of the expectant mothers,they were divided into a poor mental health group with 20 cases,and a good group with 70 cases.With the help of the general data scale to investigate the basic information,the self-reporting inventory(SCL-90)was selected to investigate their mental health status,and the influencing factors of the mental health status of expectant mothers with scarred uterus were screened by multi-factor Logistic regression analysis.Results The results of the survey showed that the mental health status of expectant mothers with scarred uterus was 145.48±12.12 points,and the overall mental health status was good.Univariate analysis showed that the comparative difference of pregnancy outcome on the mental health status of pregnant women with scarred uterus affected by the age,family economic level,physical condition during pregnancy,complications during pregnancy,pregnancy reaction,sleep quality,social support,family care,negative life events,adverse pregnancy experience,and scarred uterus re-pregnant and bad pregnancy outcome from surrounding friends was statistically significant(P<0.05).Multivariate Logistic regression analysis showed that the factors affecting the mental health of pregnant women with scarred uterus were the complications during pregnancy,adverse pregnancy experience,negative life events,negative life events,poor sleep quality,insufficient social support,and low family care(P<0.05).Conclusion The overall psychological status of expectant mothers with scarred uterus is good,but there were still some patients with poor mental health and its influencing factors were complex.The clinical nursing plan should be determined based on this and the nursing intervention should be strengthened.