初产妇分娩后负性情绪发生现状及相关影响因素分析

Analysis of the current situation and related influencing factors of negative emotions in primipara after delivery

目的:分析初产妇分娩后负性情绪发生情况及其相关影响因素。方法:回顾性分析2020年1月至2022年12月于本院分娩的103例初产妇的临床资料,统计其分娩后负性情绪发生情况;另收集初产妇的年龄分娩方式、文化程度、家庭月收入、既往流产史、妊娠期并发症、丈夫陪伴、分娩过程等资料,以多因素Logistic回归分析模型分析其负性情绪发生的相关影响因素。结果:103例初产妇中,分娩后负性情绪发生的有28例,发生率为27.18%(28/103)。单因素分析显示:年龄、分娩方式、文化程度、既往流产史与初产妇分娩后负性情绪的发生无关,差异无统计学意义(P>0.05);而家庭月收入、妊娠期并发症、丈夫陪伴、分娩过程与初产妇分娩后负性情绪的发生有关,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示:家庭月收入<8000元(β=1.974,OR=7.200,95%CI=2.762~18.766)、有妊娠期并发症(β=2.671,OR=14.455,95%CI=4.489~46.545)、无丈夫陪伴(β=0.921,OR=2.513,95%CI=1.035~6.099)、分娩过程不顺利(β=1.155,OR=3.173,95%CI=1.288~7.820)为初产妇分娩后负性情绪发生的主要影响因素(P<0.05)。结论:初产妇分娩后负性情绪发生率较高,而其负性情绪发生的因素较为多样,如家庭月收入<8000元、有妊娠期并发症、无丈夫陪伴、分娩过程不顺利等,临床需对上述高危人群给予高度关注。

Objective:To analyze the occurrence of negative emotions in primipara after delivery and its related influencing factors.Methods:The clinical data of 103 primipara who delivered in our hospital from January 2020 to December 2022 were retrospectively analyzed,and the occurrence of negative emotions after delivery was statistically analyzed;In addition,data on the age,delivery style,education level,monthly family income,previous abortion history,pregnancy complications,husband's company,and delivery process of primipara were collected.The related factors affecting the occurrence of negative emotions were analyzed using a multivariate logistic regression analysis model.Results:Among 103 primiparas,there were 28 cases with negative emotions after delivery,the incidence rate was 27.18%(28/103).Univariate analysis showed that age,delivery mode,education level and previous abortion history had nothing to do with the occurrence of negative emotions of primiparas after delivery,and the difference was not statistically significant(P>0.05).However,the monthly family income,pregnancy complications,husband's company and delivery process were related to the occurrence of negative emotions of primiparas after delivery,and the difference was statistically significant(P<0.05).Multivariate Logistic regression analysis showed that the monthly family income was less than 8000 yuan(β=1.974,OR=7.200,95%CI=2.762~18.766)and there were complications during pregnancy(β=2.671,OR=14.455,95%CI=4.489~46).95%CI=1.035~6.099)and the unsmooth delivery process(β=1.155,OR=3.173,95%CI=1.288~7.820)were the main influencing factors of negative emotions after delivery(P<0.05).Conclusion:The incidence of negative emotions in primipara after delivery is high,and the factors that affect the occurrence of negative emotions are diverse,such as family monthly income<8000 yuan,pregnancy complications,absence of husband,and poor delivery process.Clinical attention should be paid to the above high-risk groups.