常态化疫情防控下孕产妇心理健康状况调查

Investigation on the mental health of pregnant and lying-in women under normalized epidemic prevention and control

目的 探讨常态化疫情防控下孕产妇的心理健康状况,并提出相应的防治措施。方法 采用电子问卷对1 146名孕产妇进行调查,分析影响孕产妇心理状态的主要因素。结果 孕产妇抑郁占29.85%,焦虑占23.53%,心理健康状态不良占20.54%。积极应对与消极应对评分比较,差异有统计学意义(u=48.240,P<0.05)。一般健康问卷评分与健康问卷抑郁症状群量表(r=0.666)、广泛性焦虑量表(r=0.679)评分呈正相关(P<0.05)。学历、家人感染新冠病毒情况、担心自己及孩子感染新冠病毒等是孕产妇抑郁的影响因素(P<0.05);年龄、身边孕产妇感染新冠病毒情况、新冠肺炎疫情对家庭经济造成影响等是孕产妇焦虑的影响因素。结论 常态化疫情防控下,孕产妇易产生抑郁、焦虑等心理问题,应重视其心理健康状态,并根据自身实际情况进行针对性干预。

ObjectiveTo explore maternal mental health under normalized epidemic prevention and control.MethodsA questionnaire was used to investigate 1 146 pregnant women, and the main factors affecting the psychological status of pregnant women were analyzed.ResultsDepression of pregnant women accounted for 29.85%, anxiety accounted for23.53%, and poor mental health accounted for 20.54%. There was significant difference between positive coping score and negative coping score(u=48.240,P<0.05). The General Health Questionnaire score was positively correlated with Health Questionnaire Depression Scale(r=0.666) and the Generalized Anxiety Disorder score(r=0.679), and the difference was statistically significant(P<0.05). Educational background, family members infected with COVID-19 virus situation, and worrying about themselves and their children infected with COVID-19 virus were the influencing factors of maternal depression(P<0.05). Age, the situation of pregnant and lying-in women infected with COVID-19 virus, and the impact of COVID-19 epidemic on the family economy were the influencing factors of maternal anxiety.Conclusion Under the normalization of epidemic prevention and control, pregnant women in China are prone to psychological problems, such as depression and anxiety. Attention should be paid to their mental status, and targeted interventions should be carried out according to the actual situation of the individual.