孕期焦虑状态的影响因素分析

Analysis of influencing factors of anxiety state during pregnancy

目的分析孕期焦虑状态的影响因素。方法选择2021年3月至2023年7月于潍坊市妇幼保健院建册并定期孕检的178例孕妇为研究对象,采用焦虑状态-特质问卷(STAI)、社会支持评定量表(SSRS)、妊娠压力量表调查孕期焦虑状态,并采用单因素、多因素logistic回归分析孕期焦虑状态的影响因素。结果178例孕妇中,41例存在孕期焦虑,占23.03%。单因素分析显示,孕期焦虑状态与学历、与丈夫的关系、与婆婆的关系、产前健康状况、对分娩的心理准备、孕妇学校听课次数及社会支持有关(P<0.05);多因素logistic回归分析显示,学历、与丈夫和婆婆的关系、产前健康状况、对分娩的心理准备、孕妇学校听课次数及社会支持是孕期焦虑状态的影响因素(P<0.05)。结论孕妇存在孕期焦虑状态的占比较高,且影响因素较多,应根据上述可控因素制订干预措施,以改善孕妇妊娠结局。

Objective To analyze the influencing factors of anxiety state during pregnancy.Methods A total of 178 pregnant women who established registration and regular pregnancy examination in Weifang Maternal and Child Health Hospital from March 2021 to July 2023 were selected as the research objects.The state-trait anxiety inventory(STAI),social support rating scale(SSRS),and pregnancy stress scale were used to investigate the anxiety state during pregnancy.The influencing factors of anxiety state during pregnancy were analyzed by univariate and multivariate logistic regression.Results Among the 178 pregnant women,41(23.03%)had anxiety state during pregnancy.Univariate analysis showed that anxiety during pregnancy was related to education background,relationship with husband,relationship with mother-in-law,prenatal health status,psychological preparation for delivery,the number of lectures in pregnant women’s school,and social support(P<0.05).Multivariate logistic regression analysis showed that education background,relationship with husband and mother-in-law,prenatal health status,psychological preparation for delivery,the number of lectures in pregnant women’s school,and social support were the influencing factors of anxiety state during pregnancy(P<0.05).Conclusion The proportion of pregnant women with anxiety state during pregnancy is relatively high,and there are many influencing factors.Intervention measures should be formulated according to the above controllable factors to improve the pregnancy outcome of pregnant women.