主管:国家卫生健康委员会
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孕妇临产前焦虑状况及相关因素分析

陈伶俐 徐良雄 廖丹 甘明霞 费喜芝 李永红   

  1. 咸宁市中心医院体检中心
  • 出版日期:2015-10-25 发布日期:2015-10-25
  • 基金资助:
    湖北科技学院科研青年项目(KY12073)

Investigation and analysis on anxiety situation and influencing factors of pregnant women before parturiency

  • Online:2015-10-25 Published:2015-10-25

摘要: 目的:调查孕妇临产前焦虑状况并分析其影响因素,为进一步护理干预提供临床依据。方法:选取418 例孕妇,在其入院临产前,使用状态特质焦虑问卷、社会支持评定量表、简易应对方式问卷和孕妇一般情况问卷进行调查。结果:孕妇临产前状态焦虑评分为(45.25±9.27) 分,有184 例评分高于国内常模上限,阳性率为44.02%。多元回归分析显示,消极应对、初次分娩、特质焦虑、关注胎儿性别、内向性格、异常妊娠史是危险因素,参加孕妇学校、积极应对、认同母亲角色、良好的婆媳关系和社会支持是保护因素(R 2=0.982,F =1891.744,P <0.001)。结论:孕妇临产前焦虑发生率较高,主要受心理社会因素的影响,临床护士要进行针对性的护理干预,以缓解孕妇焦虑。

Abstract: Objective: To explore the anxiety situation and influencing factors of pregnant women before parturiency.To provide clinical gist for the further nursing intervention. Methods: All 418 pregnant women were investigated with the questionnaire about general condition and State-trait Anxiety Inventory (STAI), Social Support Rating Scale (SSRS) and Simplified Coping Style Questionnaire (SCSQ) before parturiency after admission. Results: The score of State Anxiety Inventory(S-AI) was (45.25±9.27). Among the 418 cases, there were 184 cases whose score was above upper limit of the norm. The positive rate of S-AI was 44.02%. Multiple regression analysis show that negative coping, the first delivery, anxiety quality, focus on fetal gender, introverted personality and the history of abnormal pregnancy were the risk factors, join in pregnant women school,positive coping, agreeing with mother's role, good relationship between mother-in-law and daughter-in-law and social support were the protective factors (R2=0.982, F=1891.744, P<0.001). Conclusion: The pregnant women have generally anxiety before parturiency. They are mainly influenced by the psychosocial factors. The targeted nursing intervention should be done to reduce anxiety of the pregnant women.