重度子痫前期患者产前感知压力现状及其影响因素

Prenatal perceived stress status and its influencing factors in patients with severe preeclampsia

目的:分析重度子痫前期(SPE)患者产前感知压力现状及其影响因素。方法:选取2022年3—12月该院收治的113例SPE患者为研究对象,收集患者临床资料,采用改良中文版压力知觉量表(CPSS)评估产前感知压力状况,采用中文版Mishel疾病不确定感量表(MUIS-A)评估疾病不确定感,采用多元线性回归分析SPE患者产前感知压力的影响因素。结果:113例SPE患者平均CPSS评分为(41.18±5.36)分;不同年龄、孕周、既往产次、学历、职业、长期居住地、家庭人均收入、医疗付费方式、期望胎儿性别、与父母同住状况患者的CPSS评分比较,差异均无统计学意义(P>0.05);计划妊娠、重组家庭、既往不良妊娠史、MUIS-A评分≥108分、胚胎移植患者的CPSS评分均高于其他类型患者,差异有统计学意义(P<0.05);多元线性回归分析结果显示,计划妊娠、重组家庭、MUIS-A评分≥108分均为SPE患者产前感知压力的危险因素(P<0.05)。结论:SPE患者产前感知压力较明显,计划妊娠、重组家庭、MUIS-A评分≥108分均为SPE患者产前感知压力的危险因素。

Objective:To analyze prenatal perceived stress status and its influencing factors in patients with severe preeclampsia(SPE).Methods:113 SPE patients admitted to this hospital from March to December 2022 were selected as the research objects.The clinical data of these patients were collected.Prenatal perceived stress was assessed using the modified Chinese version of the perceived stress scale(CPSS).The Chinese version of Mishel uncertainty in illness scale(MUIS-A)was used to evaluate the illness uncertainty.Multiple linear regression was used to analyze the influencing factors of prenatal perceived stress in the SPE patients.Results:The average CPSS score of the 113 SPE patients was(41.18±5.36).There were no significant differences in the CPSS scores among the patients with different ages,gestational weeks,previous parity,educational background,occupation,long-term residence,family per capita income,medical payment methods,expected fetal gender,and living with parents(P>0.05).The CPSS scores of the patients with planned pregnancy,reconstituted family,previous adverse pregnancy history,MUIS-A score≥108,and embryo transfer were higher than those of other types of patients,and the differences were statistically significant(P<0.05).Multivariate linear regression analysis showed that planned pregnancy,reconstituted family and MUIS-A score≥108 were risk factors for prenatal perceived stress in the SPE patients(P<0.05).Conclusions:Prenatal perceived stress is more obvious in the SPE patients.Planned pregnancy,reconstituted family and MUIS-A score≥108 are the risk factors for prenatal perceived stress in these SPE patients.