妊娠期孕妇保健知识需求及心理健康状况调查与分析

发布时间：2018-08-25 17:16

【摘要】：目的了解妊娠期孕妇保健知识需求及心理健康状况,为提供妊娠期保健知识宣传及心理保健提供依据。方法选取妇产科门诊行产前检查的512例孕妇作为研究对象,自行设计妊娠期保健知识需求调查表,采用问卷调查法调查不同妊娠期孕妇保健知识需求情况;采用症状自评量表SCL-90测试孕产妇的心理状态,并与常模比较,并比较不同妊娠期孕妇心理状态。结果妊娠期孕妇在强迫症状及偏执方面与正常人无差异,躯体化、抑郁、焦虑、敌对、恐怖、人际关系、精神等方面评分均较正常人高,妊娠早期孕妇躯体化评分高于孕中期及孕晚期孕妇,妊娠早期孕妇心理健康水平低于孕中期及晚期孕妇;孕中期孕妇躯体化、抑郁、敌对、恐怖、人际关系评分均高于孕早期及孕晚期孕妇,心理健康水平偏低;孕中期及孕晚期孕妇抑郁评分较孕早期高。孕妇普遍期望得到妊娠期保健指导,在不同阶段有不同需求,孕早期孕妇关注孕期日常科学保健及胎教相关知识及妊娠期如何检测胎儿,孕中期孕妇关心如何检测胎儿,孕后期孕妇关注分娩方式、分娩前准备事项,母乳喂养及产褥期保健。结论不同妊娠期孕妇存在不同的心理问题,不同妊娠期孕妇对保健知识有所侧重。
[Abstract]:Objective to understand the requirement of health care knowledge and mental health status of pregnant women, and to provide the basis for the promotion of health care knowledge and mental health care during pregnancy. Methods 512 pregnant women who underwent antenatal examination in outpatient department of obstetrics and gynaecology were selected as the research objects. The questionnaire was designed by ourselves to investigate the need for health care knowledge of pregnant women in different gestational periods. The mental state of pregnant and parturient was measured by symptom Checklist (SCL-90), and compared with the norm, and the psychological state of pregnant women with different gestation period was compared. Results there was no difference in obsessive-compulsive symptoms and paranoid ideation between pregnant women and normal subjects. The scores of somatization, depression, anxiety, hostility, phobia, interpersonal relationship and mental status were higher than those of normal women. The score of somatization in early pregnancy was higher than that in second and third trimester, the mental health level of pregnant women in early pregnancy was lower than that of pregnant women in second and third trimester of pregnancy, somatization, depression, hostility and phobia of pregnant women in second trimester of pregnancy. The scores of interpersonal relationship were higher than those of early and late pregnant women, the mental health level was lower, and the score of depression was higher in the second and third trimester than in the first trimester. Pregnant women are generally expected to receive health care guidance during pregnancy and have different needs at different stages. Early pregnant women pay attention to the daily scientific health care during pregnancy and related knowledge of fetal education and how to detect the fetus during pregnancy, and pregnant women in the second trimester care about how to detect the fetus. Late pregnant women pay attention to delivery mode, preparation before delivery, breast-feeding and puerperium health care. Conclusion different pregnant women have different psychological problems.
【作者单位】：贵州航天医院妇科;
【分类号】：R473.71

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