摘要
目的研究妊娠合并感染性疾病孕妇的心理状态及心理干预效果。方法200例产科门诊定期产检的孕妇,其中慢性乙型肝炎病毒感染孕妇103例,梅毒感染孕妇70例,正常孕妇27例。对慢性乙型肝炎病毒感染孕妇和梅毒感染孕妇予以心理干预,正常孕妇予以常规产检。收集比较慢性乙型肝炎病毒、梅毒感染孕妇及正常孕妇的临床特征(年龄、文化程度、孕周、产妇类型);比较慢性乙型肝炎病毒、梅毒感染孕妇及正常孕妇心理状态;比较慢性乙型肝炎病毒感染孕妇及梅毒感染孕妇干预后不同孕期的心理状态;分析妊娠合并感染性疾病孕妇焦虑、抑郁心理状态的影响因素。结果慢性乙型肝炎病毒、梅毒感染孕妇及正常孕妇年龄、文化程度、孕周、产妇类型比较,均无差异(P>0.05)。慢性乙型肝炎病毒感染孕妇、梅毒感染孕妇与正常孕妇的焦虑自评量表(SAS)、抑郁自评量表(SDS)标准分比较有差异(P<0.05);经LSD两两比较,梅毒感染孕妇SAS、SDS标准分分别为(48.56±9.42)、(49.35±9.79)分,均高于慢性乙型肝炎病毒感染孕妇的(44.74±9.98)、(45.19±9.86)分和正常孕妇的(31.48±3.86)、(31.74±3.02)分,有差异(P<0.05);慢性乙型肝炎病毒感染孕妇SAS、SDS标准分高于正常组,有差异(P<0.05)。干预后,慢性乙型肝炎病毒感染孕妇早期、中期、晚期SAS、SDS标准分有差异(P<0.05);经LSD两两比较,早期和中期孕妇SAS、SDS标准分均高于晚期,有差异(P<0.05);早期孕妇SAS、SDS标准分与中期无差异(P>0.05)。干预后,梅毒感染孕妇早期、中期、晚期SAS、SDS标准分有差异(P<0.05);经LSD两两比较,早期和中期SAS、SDS标准分均高于晚期,有差异(P<0.05);早期和中期孕妇SAS、SDS标准分无差异(P>0.05)。Logistic回归分析结果显示,年龄、文化程度、孕周、产妇类型、诊断均为妊娠合并感染性疾病孕妇焦虑、抑郁的独立影响因素(P<0.05)。结论年龄、文化程度、孕周、产妇类型、诊断均为妊娠合并感染性疾病孕妇焦虑、抑郁的独立影响因素,对孕妇实施心理干预有助于改善其不良心理状态,降低焦虑及抑郁评分。
Objective To study the psychological state of pregnant women with infectious diseases and the effect of psychological intervention.Methods Among 200 pregnant women who underwent regular prenatal examination at the obstetric clinic,103 cases were infected with chronic hepatitis B virus,70 cases were infected with syphilis,and 27 cases were normal.Pregnant women with chronic hepatitis B virus infection and syphilis infection should be given psychological intervention,and normal pregnant women should be given routine prenatal examination.The clinical characteristics(age,educational level,gestational age,type of parturient)of pregnant women infected with chronic hepatitis B virus and syphilis and normal pregnant women were collected and compared.The psychological state of pregnant women infected with chronic hepatitis B virus and syphilis and normal pregnant women was compared;the psychological state of pregnant women infected with chronic hepatitis B virus and syphilis after intervention in different pregnancy periods was compared;the factors influencing anxiety and depression in pregnant women with infectious diseases were analyzed.Results There was no difference in age,education level,gestational age and type of parturient between pregnant women infected with chronic hepatitis B virus and syphilis and normal pregnant women(P>0.05).There was a significant difference in standard scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between pregnant women infected with chronic hepatitis B virus and syphilis and normal pregnant women(P<0.05).After LSD pairwise comparison,the standard scores of SAS and SDS in pregnant women with infected with syphilis were(48.56±9.42)and(49.35±9.79)points,which were higher than(44.74±9.98)and(45.19±9.86)points of pregnant women infected with chronic hepatitis B virus,and(31.48±3.86)and(31.74±3.02)points of normal pregnant women.There was a difference(P<0.05).The standard scores of SAS and SDS in pregnant women infected with chronic hepatitis B virus were higher than those in normal pregnant women,and there was a difference(P<0.05).After intervention,the standard scores of SAS and SDS of pregnant women infected with chronic hepatitis B virus in the early,middle and late pregnancy were different(P<0.05).After LSD pairwise comparison,the standard scores of SAS and SDS of pregnant women in early and middle pregnancy were higher than those in late pregnancy,and there was a difference(P<0.05).There was no difference in SAS and SDS scores between pregnant women in early and middle pregnancy(P>0.05).After intervention,the standard scores of SAS and SDS of pregnant women infected with syphilis in early,middle and late pregnancy were different(P<0.05).After LSD pairwise comparison,the standard scores of SAS and SDS among pregnant women in early and middle pregnancy were higher than those in late pregnancy,and there was a difference(P<0.05).There was no difference in SAS and SDS scores between pregnant women in early and middle pregnancy(P>0.05).Logistic regression analysis showed that age,education level,gestational age,type of parturient and diagnosis were all independent influencing factors of anxiety and depression in pregnant women with infectious diseases(P<0.05).Conclusion Age,education level,gestational age,type of parturient and diagnosis ARE all independent influencing factors of anxiety and depression in pregnant women with infectious diseases.Implementing psychological intervention during pregnancy can help improve the adverse psychological state of infected pregnant women,reduce anxiety and depression scores.
作者
王霞
谢方
王根菊
WANG Xia;XIE Fang;WANG Gen-ju(Nutrition Department,Nanjing Second Hospital,Nanjing 210003,China)
出处
《中国现代药物应用》
2024年第9期28-32,共5页
Chinese Journal of Modern Drug Application
基金
南京市卫健委资金资助项目(项目编号:YKK09045)。
关键词
妊娠
感染性疾病
孕妇
乙型肝炎病毒
梅毒
心理干预
Pregnancy
Infectious diseases
Pregnant women
Hepatitis B virus
Syphilis
Psychological intervention
作者简介
通讯作者:王根菊。
