孕产妇焦虑抑郁情绪的相关因素及干预效果研究

发布时间：2018-03-05 15:09

本文选题：孕产妇　切入点：焦虑　出处：《吉林大学》2009年硕士论文　论文类型：学位论文

【摘要】： 研究目的通过对孕产妇进行跟踪调查和心理干预,了解孕产妇焦虑抑郁情绪的相关因素,降低孕产妇焦虑抑郁量表分值,减少孕产妇的焦虑抑郁的发生率,提高孕产妇的生活质量,促进婴幼儿茁壮成长。研究对象2007年12月1日至2008年1月31日在我院诊断为早孕的孕妇50例(符合纳入标准)作为干预组;2007年12月1日至2008年3月31日在我院进行产前检查、分娩、随访的孕产妇(干预组以外、符合纳入标准)作为对照组。研究工具1.焦虑自评量表(SAS)2.抑郁自评量表(SDS)3.爱丁堡产后抑郁量表(EPDS)4.自行设计调查表(一般资料和相关因素)。研究方法对照组孕产妇进行焦虑抑郁情绪的相关因素及发生情况调查;干预组孕妇进行妊娠早期、中期、晚期和产后1周、产后42天焦虑抑郁情绪的相关因素和发生情况调查,并根据调查结果进行心理干预。比较2组各个阶段量表分值,计算其是否有统计学意义。结果根据SAS、SDS、EPDS和自行设计调查表调查结果显示,干预组入组时(孕早期)和同期对照组的一般资料、SAS评分、SDS评分、EPDS评分没有统计学差异,经过心理干预,干预组在孕晚期、产后1周和产后42天调查中,与同期对照组比较,SAS评分、SDS评分差异均有显著性(P0.05),说明全程跟踪心理干预能够减轻孕产妇焦虑抑郁情绪。结论孕产妇作为一个特殊的群体,对焦虑抑郁情绪有易感倾向,全程跟踪心理干预对减轻孕产妇焦虑抑郁情绪、提高孕产妇生活质量有显著效果,建议产科临床工作者在维护孕产妇身体健康的同时,更要关注其心理健康,以减轻不良情绪所致的危害,促进家庭和社会的和谐。
[Abstract]:Objective to investigate the related factors of anxiety and depression in pregnant women, to reduce the score of anxiety and depression scale and to reduce the incidence of anxiety and depression in pregnant and parturient women through follow-up investigation and psychological intervention. Improving the quality of life of pregnant women, From December 1st 2007 to January 31st 2008, 50 pregnant women who were diagnosed as early pregnancy in our hospital (in accordance with the inclusion criteria) were selected as intervention group, and antenatal examination was conducted in our hospital from December 1st 2007 to December 1st 2007. Delivery, follow-up of pregnant and lying-in women (other than intervention group, Self-rating anxiety scale (SAS). 3. Edinburgh postpartum depression scale EPDS4.Self-designed questionnaire (general information and related factors). The related factors of anxiety and depression were investigated. The related factors and occurrence of anxiety and depression were investigated during the first trimester, the second trimester, the late and the first week postpartum in the intervention group, and the psychological intervention was carried out according to the results of the investigation. The scores of each stage of the two groups were compared. Results according to the results of SASS-SDSU EPDS and self-designed questionnaire, there was no significant difference in SDS scores and EPDS scores between the intervention group and the control group at the time of entering the group (early pregnancy) and the control group. After psychological intervention, the intervention group was investigated in the third trimester of pregnancy, 1 week postpartum and 42 days postpartum. Compared with the control group, there were significant differences in SAS score and SDS score between the control group and the control group (P 0.05), which indicated that the psychological intervention during the whole course of follow-up could reduce the anxiety and depression mood of pregnant and lying-in women. Conclusion as a special group, pregnant and lying-in women are susceptible to anxiety and depression. The follow up psychological intervention has significant effect on reducing anxiety and depression and improving the quality of life of pregnant and lying-in women. It is suggested that clinical obstetrics workers should pay more attention to their mental health while maintaining their physical health. In order to reduce the harm caused by bad emotions, promote family and social harmony.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R395.5

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