869名城市女性孕期妊娠压力影响因素研究
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摘要
目的了解中国西部城市女性妊娠压力发生现状及影响因素。方法采用方便抽样在西安3所三级甲等医院做孕期保健的869名城市户口孕妇为研究对象,采用一般资料调查表和妊娠压力量表对孕妇进行问卷调查和分析。结果城市孕妇妊娠压力总体呈轻度压力75.3%,主要压力来源于"为确保母子健康和安全而引发的压力感"。广义线性回归模型显示生育保险、计划妊娠、晚期妊娠、胎次、流产史是城市孕妇妊娠压力的影响因素。结论城市孕妇妊娠压力程度以轻度为主,生育保险、妊娠计划、晚期妊娠、胎次及流产史对城市女性妊娠压力轻重程度密切相关。
Objective To learn the prevalence of pregnancy stress of urban women in Western China and analyze its influence factors.Methods Totally 869 pregnant women receiving pregnant care in 3 tertiary grade A hospitals of Xi 'an Province were investigated by using the general information questionnaire and the Pregnancy Stress Scale(PSS).Results Of the total,75.3% of urban pregnant women showed mild stress and the stress mainly from how to ensure maternal and child health and safety.Generalized linear regression model showed that birth insurance,planned pregnancy,late pregnancy,parity,abortion history were the influence factors of pregnancy stress of urban pregnant women.Conclusion Pregnancy stress of urban pregnant women is mainly mild.Birth insurance,pregnancy planning,late pregnancy,parity and abortion history are closely related to the severity of pregnant stress of urban women.
Objective To learn the prevalence of pregnancy stress of urban women in Western China and analyze its influence factors.Methods Totally 869 pregnant women receiving pregnant care in 3 tertiary grade A hospitals of Xi 'an Province were investigated by using the general information questionnaire and the Pregnancy Stress Scale(PSS).Results Of the total,75.3% of urban pregnant women showed mild stress and the stress mainly from how to ensure maternal and child health and safety.Generalized linear regression model showed that birth insurance,planned pregnancy,late pregnancy,parity,abortion history were the influence factors of pregnancy stress of urban pregnant women.Conclusion Pregnancy stress of urban pregnant women is mainly mild.Birth insurance,pregnancy planning,late pregnancy,parity and abortion history are closely related to the severity of pregnant stress of urban women.
引文
[1]李菲,黄美凌,曾迎春,等.高危产妇产后抑郁发生现状及影响因素分析[J].护理学报,2017,24(23):1-4.DOI:10.16460/j.issn1008-9969.2017.23.001.
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[12]陈惠敏,陈彰惠.比较青少年孕妇与育龄孕妇在妊娠第三期的心理压力及社会支持[J].高雄医学科学杂志,1996,12(3):183-192.
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[16]白洁,林昕,李金芝.孕妇不同阶段妊娠期压力水平的动态监测[J].泰山医学院学报,2017,38(4):373-375.DOI10.3969/j.issn.1004-7115.2017.04.004.
[17]Marushka L S,Penelope S.Correlates of Stress among Pregnant Hispanic Women[J].Matern Child Health J,2013,17(6):1138-1150.DOI:10.1007/s10995-012-1106-8.
[18]孙露.孕期情绪症状与不良妊娠结局的队列研究[D].合肥:安徽医科大学,2012.
[19]D-Janicki D-Cohen et al.Who's Stressed?Distributions of Psychological Stress in the United States in Probability Samples from 1983,2006,and 2009[J].J Appl Soc Psychol,2012,42(6):1320-1334.
[20]周贤日.论生育保险促进男女就业平等的功能与路径[J]中国政法大学学报,2018,23(5):136-143.
[21]Barton K,Redshaw M,Quigley M A,et al.Unplanned Pregnancy and Subsequent Psychological Distress in Partnered Women:A Cross Sectional Study of the Role of Relationship Quality and Wider Social Support[J].BMC Pregnancy Childbirth,2017,17(44):6-9.DOI:10.1186/s12884-017-1233-x.
[22]赵静,张晶.浅述人工流产手术对女性再次妊娠和分娩的影响[J].实用妇科内分泌电子杂志,2018,5(21):116.
[23]林佩萱,屈艳霞,华世文,等.复发性流产患者心理状况分析[J].中国妇幼保健,2018,33(12):2764-2767.DOI:10.7620/zgfybj.j.issn.1001-4411.2018.12.44.
[2]Janet A D,Pietro.Maternal Stress in Pregnancy:Considerations for Fetal Development[J].J Adolesc Health,2012,51(2):S3-S8.DOI:10.1016/j.jadohealth.2012.04.008.
[3]Osborne S,Biaggi A,Chua T E,et al.Antenatal Depression Programs Cortisol Stress Reactivity in Offspring through Increased Maternal Inflammation and Cortisol in Pregnancy:The Psychiatry Research and Motherhood-Depression(PRAM-D)Study[J].Psychoneuroendocrinology,2018,98:211-221.DOI:10.1016/j.psyneuen.2018.06.017:10.1016/.
[4]Grote N K,Bridge J A,Gavin A R,et al.A Meta-analysis of Depression during Pregnancy and the Risk of Preterm Birth,Low Birth Weight,and Intrauterine Growth Restriction[J].Arch Gen Psychiatry,2010,67(10):1012-1024.DOI:10.1001/archgenpsychiatry.2010.111.
[5]Weinstock M.Prenatal Stressors in Rodents:Effects on Behavior[J].Neurobiol Stress,2017(6):3-13.DOI:10.1016/j.ynstr.2016.08.004.
[6]Bilbo S D Frank A.Beach Award:Programming of Neuroendocrine Function by Early-life Experience:A Critical Role for the Immune System[J].Horm Behav,2013,63(5):684-691.DOI:10.1016/j.yhbeh.2013.02.017.
[7]Bilbo S D,Schwarz J M.Early-life Programming of Laterlife Brain and Behavior:A Critical Role for the Immune System[J].Front Behav Neurosci,2009,3(4):8-9.DOI:10.3389/neuro.08.014.2009.
[8]罗岗,董林红.产妇配偶产后抑郁研究进展[J].护理学报,2015,22(8):26-29.DOI:10.16460/j.issn1008-9969.2015.08.026.
[9]罗家洪.医学统计学[M].北京:科学出版社,2008:209.
[10]Chen C H.Revision and Validation of a Scale to Assess Pregnancy Stress[J].J Nurs Res,2015,23(1):25-32.DOI:10.1097/jnr.0000000000000047.
[11]李丹,吴苹,刘俊升.孕妇妊娠压力量表的信效度初步检验[J].心理研究,2013,6(2):64-69.
[12]陈惠敏,陈彰惠.比较青少年孕妇与育龄孕妇在妊娠第三期的心理压力及社会支持[J].高雄医学科学杂志,1996,12(3):183-192.
[13]Kingston D,McDonald S,Tough S,et al.Public Views of Acceptability of Perinatal Mental Health Screening and Treatment Preference:a Population Based Survey[J].BMCPregnancy Childbirth,2014,14:67.DOI:10.1186/1471-2393-14-67.
[14]Woods S M,Melville J L,Guo Y,et al.Psychosocial stress during pregnancy[J].Am J Obstet Gynecol.2010,202(1):61.e1-61.e7.DOI:10.1016/j.ajog.2009.07.041.
[15]Bahk J,Yun S C,Kim Y,et al.Impact of Unintended Pregnancy on Maternal Mental Health:A Causal Analysis Using Follow up Data of the Panel Study Korean Children(PSKC)[J].BMC Pregnancy Childbirth 2015,15(85):7-10.DOI:10.1186/s12884-015-0505-4.
[16]白洁,林昕,李金芝.孕妇不同阶段妊娠期压力水平的动态监测[J].泰山医学院学报,2017,38(4):373-375.DOI10.3969/j.issn.1004-7115.2017.04.004.
[17]Marushka L S,Penelope S.Correlates of Stress among Pregnant Hispanic Women[J].Matern Child Health J,2013,17(6):1138-1150.DOI:10.1007/s10995-012-1106-8.
[18]孙露.孕期情绪症状与不良妊娠结局的队列研究[D].合肥:安徽医科大学,2012.
[19]D-Janicki D-Cohen et al.Who's Stressed?Distributions of Psychological Stress in the United States in Probability Samples from 1983,2006,and 2009[J].J Appl Soc Psychol,2012,42(6):1320-1334.
[20]周贤日.论生育保险促进男女就业平等的功能与路径[J]中国政法大学学报,2018,23(5):136-143.
[21]Barton K,Redshaw M,Quigley M A,et al.Unplanned Pregnancy and Subsequent Psychological Distress in Partnered Women:A Cross Sectional Study of the Role of Relationship Quality and Wider Social Support[J].BMC Pregnancy Childbirth,2017,17(44):6-9.DOI:10.1186/s12884-017-1233-x.
[22]赵静,张晶.浅述人工流产手术对女性再次妊娠和分娩的影响[J].实用妇科内分泌电子杂志,2018,5(21):116.
[23]林佩萱,屈艳霞,华世文,等.复发性流产患者心理状况分析[J].中国妇幼保健,2018,33(12):2764-2767.DOI:10.7620/zgfybj.j.issn.1001-4411.2018.12.44.