孕妇跌倒恐惧现状及影响因素分析

The status and influencing factors of fall fear in pregnant women

目的探讨孕妇跌倒恐惧现状及其影响因素。方法选取浙江省某三级甲等妇产科医院门诊的243名孕妇作为研究对象,采用一般资料调查表、国际版跌倒效能量表、家庭关怀度指数量表和居家跌倒风险筛查量表对孕妇进行问卷调查。结果243名孕妇跌倒恐惧得分(40.43±9.29)分。跌倒恐惧得分与家庭关怀度得分、家庭环境得分呈负相关(r=-0.446、-0.337,均P<0.001)。多元线性回归分析结果显示,孕周、受孕方式、孕期是否工作、孕期有无跌倒史、家庭关怀度、家庭环境是孕妇跌倒恐惧的主要影响因素(P<0.05),可共同解释跌倒恐惧水平48.5%的变异度。结论孕妇跌倒恐惧水平较高,并受多种因素影响。妇幼保健机构医务工作者应重视孕妇跌倒恐惧的评估,关注其跌倒恐惧心理并采取有效措施进行干预。

Objective To explore the status and influencing factors of fall fear in pregnant women.Methods A total of 243 pregnant women in a tertiary obstetrics and gynecology hospital in Zhejiang province were recruited.The women were investigated by general data questionnaire,Falls Efficacy Scale International,Family Adaptation Partnership Growth Affection and Resolve Index and Home Falls and Accidents Screening Tool.Results The total score of fall fear in 243 pregnant women was(40.43±9.29).Fear of falling was negatively correlated with family care and family environment(r=-0.446、-0.337,P<0.001).Multiple linear regression analysis showed that gestational age,conception mode,working during pregnancy,falling history during pregnancy,family caring level and family environment were the main influencing factors(P<0.05),which could explain 48.5%variation of fall fear level.Conclusion Pregnant women's fear of falling is in the middle level and is affected by many factors.Medical workers in maternal and child health care institutions should strengthen the fall education,pay attention to pregnant women's fear of falling and take effective measures to manage their fear.