[1]郭绒绒,王扬,高岩*,等.突发公共卫生事件下孕妇产前心理健康状况调查[J].中国计划生育和妇产科,2020,(8):67-70.
　GUO Rongrong,WANG Yang,GAO Yan*,et al.Investigation on prenatal mental health status of pregnant women under public health emergencies[J].Chinese Journal of Family Planning & Gynecotokology,2020,(8):67-70.
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突发公共卫生事件下孕妇产前心理健康状况调查
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2020年8期
页码:
67-70
栏目:
论著与临床
出版日期:
2020-08-25

文章信息/Info

Title:
Investigation on prenatal mental health status of pregnant women under public health emergencies
作者:
郭绒绒; 王扬; 高岩*; 姚岳红; 曾泽英; 李京梅; 张刚; 罗茜
四川省妇幼保健院 四川省妇女儿童医院产科
Author(s):
GUO Rongrong; WANG Yang; GAO Yan*; YAO Yuehong; ZENG Zeying; LI Jingmei; ZHANG Gang; LUO Xi
Department of Obstetrics，Sichuan Provincial Maternity and Child Health Care Hospital，Chengdu Sichuan 610041，P.R.China
关键词:
突发公共卫生事件; 新型冠状病毒肺炎; 产前抑郁; 产前焦虑; 应激事件
Keywords:
public health emergency; COVID19; prenatal depression; prenatal anxiety; stress events
分类号:
R 7153
摘要:
目的通过调查突发公共卫生事件应急状态下孕妇孕期心理健康状况，了解孕妇产前抑郁及焦虑状态的现状，以便及时干预。方法选取2020年2月20～25日在四川省妇幼保健院产科门诊产前检查的955例孕妇作为观察组，采用爱丁堡产后抑郁量表、焦虑自评量表对孕妇心理状态进行评估。抑郁率以该院2018年期间产检孕妇作为对照组进行差异性评估，焦虑情况进行统计学描述及分析。结果观察组产前抑郁率（191 %）高于对照组（131 %）；孕期分层分析发现观察组早孕期孕妇及晚孕期孕妇产前抑郁率（216 %，194 %）均高于对照组（124 %，149 %），差异均有统计学意义（P＜005），中孕期抑郁率相比较，差异无统计学意义（P＞005）。观察组焦虑率为1225 %，早孕期焦虑率（1737 %）高于中孕期（1325 %）和晚孕期（943 %）（P＜005）。结论孕妇作为一个特殊群体，经历应激事件后容易出现心理障碍，突发公共卫生事件应急状态下孕妇产前抑郁率高于平常，应尽早对该群体进行筛查，尽快减少不良影响。
Abstract:
ObjectiveTo understand the status of prenatal depression and anxiety of pregnant women by investigating the mental health status of pregnant women under public health emergencies, in order to intervene in time.MethodsThe 955 pregnant women who had prenatal check-up in Sichuan Provincial Maternity and Child Health Care Hospital from February 20 2020 to February 25 2020 were selected as the observation group, the mental status of pregnant women was evaluated by EPDS and SAS. The pregnant women who had prenatal check-up in this hospital from January 2018 to December 2018 were set as the control group for depression rate. The anxiety was statistically described and analyzed.ResultsThe rate of prenatal depression in the observation group（191 %） was higher than that in the control group (131 %) , stratification analysis found the rate of prenatal depression in the first trimester and the third trimester (216 %,194 %) were higher than those in control group (124 %,149 %) ，the differences were statistically significant (P<005) , there was no significant difference in the depression rate during the second trimester（P＞005）. The rate of anxiety in the observation group was 1225 %, the rate of anxiety in the first trimester (1737 %) was higher than that in the second trimester (1325 %) and the third trimester (943 %)(P<005).ConclusionPregnant women, as a special group, are prone to psychological disorders after experiencing stress events. The prenatal depression rate of pregnant women under public health emergencies is higher than usual. This group should be screened as soon as possible to reduce adverse effects.

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备注/Memo

备注/Memo:
西南区域自然人群队列研究（项目编号：2017YFCO907300）
更新日期/Last Update: 2020-08-25