摘要
目的:了解胚胎停育女性焦虑、抑郁状态心理发生情况,并分析其发生的相关因素。方法:随机选取2017年1月-2017年6月于宣武医院计划生育科行负压吸引术女性为研究对象,确诊为胚胎停育女性为观察组,非胚胎停育为对照组。并用焦虑自评量表和抑郁自评量表分别对两组女性的术前及术后的心理状态进行评估。结果:术前及术后胚胎停育组焦虑状态及焦虑合并抑郁状态发生情况与对照组比较均有统计学差异(P<0.05);术前及术后两组比较抑郁发生情况均无统计学差异(P>0.05);术前与术后3个月比较胚胎停育女性焦虑及抑郁状态无统计学差异。logistic回归分析显示,文化程度(OR=0.034,95%CI:0.003~0.357,P=0.005),是否为计划妊娠(OR=27.921,95%CI:2.997~260.146,P=0.003)为影响因素。结论:胚胎停育女性焦虑发生情况高于自愿流产女性;文化程度和是否为计划性妊娠是胎停育女性发生焦虑状态的影响因素。
Objective：To investigate the incidence of psychological changes（anxiety and depression）of women suffered missed abortion,and to analyze its impact factors.Methods：A hospital-based clinical follow-up study was conducted in women who experienced early pregnancy abortion in Xuanwu hospital from January 2017 to June 2017.Women with missed abortion were in observation group,and women with normal unwanted pregnancy were in control group.The demographic data and menstruation recovery situation of all included women were collected.The psychological status before or after abortion of women which assessed by two psychological assessment scales（SAS and SDS）was compared between the two groups.Results：Before or after abortion,there were statistical significant difference in incidence of anxiety states or anxiety plus depression states between the two groups（P〈0.05）,but there was no statistical significant difference in incidence of depression state（P〉0.05）.Before or 3 month after abortion,there were no statistical significant difference in incidence of anxiety and depression states in observation group.Logistic regression analysis showed that the impact factors for the anxiety state were the educational level（OR=0.034,95%CI=0.003-0.357,P=0.005）and whether planned pregnancy（OR =27.92,95%CI=3.00-260.15,P=0.003）.Conclusion：The incidence of anxiety status of women with missed abortion is higher than that of women with unwanted pregnancy.And the educational level and whether planned pregnancy are impact factors for the anxiety state of women.
作者
闫翠艳
李坚
YAN Cuiyan;LI Jian(Jinan Maternal and Child Health Care Hospital,Shandong,250001;Beijing Obstetrics and Gynecology Hos pital,Capital Medical University)
出处
《中国计划生育学杂志》
2018年第8期665-668,682,共5页
Chinese Journal of Family Planning
关键词
胚胎停育
焦虑状态
抑郁状态
计划妊娠
文化程度
Missed abortion
Anxiety status
Depression status
Planned pregnancy
Educational level
