摘要
目的调查孕中晚期妇女妊娠相关焦虑现状,并对其影响因素进行探索。方法通过横断面调查研究,对在医院产科门诊常规产前检查的孕中晚期妇女进行问卷调查,了解孕妇的妊娠相关焦虑状况,并通过单因素和多因素分析探讨其影响因素。结果 1003例孕中晚期妇女纳入调查,218例(21.7%)妊娠相关焦虑阳性;年龄低、妊娠准备不充足、自我效能低、孕期生活事件、消极应对倾向等为初产妇妊娠相关焦虑的危险因素;年龄低、自我形象满意度低、易感性人格和孕期生活事件等为经产妇妊娠相关焦虑的危险因素。结论孕中晚期妇女妊娠相关焦虑发生较为普遍,影响初产妇和经产妇妊娠相关焦虑的危险因素有所差异,医务人员可根据存在的危险因素制订个性化的孕期心理保健措施。
Objective To investigate psychometric performance of the pregnancy-related anxiety questionnaire （PAQ） among women during mid-late pregnancy,and to explore the status of pregnancy-related anxiety and its in- fluencing factors. Methods Totally 1,003 cases of women during mid-late pregnancy receiving routine antenatal examination in obstetric clinic were investigated via questionnaires. Single-factor and multi-factor analysis were con- ducted to explore influencing factors. Results The results of pregnancy-related anxiety were positive among 218 cases （21.7%）. The risk factors for primiparas were young age,insufficient preparation for pregnancy,low self-efficacy,life events during pregnancy and negative coping style. The risk factors for muhiparas were young age,low self-image satisfaction,vulnerable personality style and life events during pregnancy. Conclusion Pregnancy-related anxiety was common among women during mid-late pregnancy. There were differences for risk factors of pregnancy-related anxiety between primiparas and multiparas. Healthcare providers should develop individualized measures to promote mental health of women during pregnancy based on risk factors.
出处
《中华护理杂志》
CSCD
北大核心
2016年第7期798-803,共6页
Chinese Journal of Nursing
基金
浙江省科技厅资助项目(2014C33172)
关键词
妊娠
焦虑
影响因素分析
Pregnancy
Anxiety
Root cause analysis
作者简介
李君琴：女，本科，主管护师，护士长，E—mail：lijq@zju．edu．cn
通信作者：余晓燕．E-mml：yuxy@zju．edu．cn
