影响稽留流产患者焦虑抑郁情绪的相关因素
|
摘要
目的:探讨稽留流产患者焦虑抑郁情绪情况及其影响的相关因素。方法:选择于2016年1月-2017年12月于我院因稽留流产患者就诊的共213例,其中存在抑郁和焦虑情绪的共61例(焦虑抑郁组),152例未伴随焦虑抑郁情绪(对照组),比较两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,对比两组患者的年龄、体重指数、学历、结婚时间、初婚比例、家庭收入、受孕方式、流产情况以分析其相关的影响因素。结果:确诊合并焦虑或者抑郁症状的患者比例占28.6%,焦虑抑郁组患者的妊娠时间和大专学历比例显著低于对照组(t=-3.498,χ~2=4.678;P<0.05),焦虑抑郁组的结婚时间显著长于对照组(t=3.042,P=0.003),焦虑抑郁组的家庭月收入>8000元者比例显著低于对照组(χ~2=5.067,P=0.024),其体外受孕及合并流产经历的比例显著高于对照组(P<0.05),焦虑组的大专以下学历患者其SAS显著高于对照组(P<0.05),焦虑抑郁组患者中妊娠时间<11周、结婚时间<5年、家庭月收入≤8000元、体外受孕进和合并流产经历的患者其SAS和SDS评分均显著增高(P<0.05)。结论:稽留流产后发生焦虑抑郁的比例较高,其妊娠时间短、低学历水平、结婚时间长、家庭收入低和合并体外受孕及流产经历是稽留流产后发生焦虑抑郁患者的风险因素。
Objective:To investigate anxiety and depression in patients with missed abortion and analyze its related factors.Methods:A total of 213 patients with missed abortion in our hospital from January 2016 to December 2017 were selected,of which 61 were depression and anxiety(anxiety and depression group),while 152 cases were not accompanied by anxiety and depression(control group).The anxiety self-rating scale(SAS)and self-rating depression scale(SDS)were compared between the two groups.Age,body mass index,educational level,marriage time,the proportion of first marriage,family income,mode of pregnancy,abortion were used to analyze its related factors.Results:The proportion of patients diagnosed with anxiety or depressive symptoms was 28.6%.The proportion of pregnancy and college education in anxiety and depression group was significantly lower than that in the control group(t=-3.498,χ~2=4.678;P<0.05),The anxiety and depression group's marriage time was significantly longer than the control group(t=3.042,P<0.01),anxiety and depression group's family monthly income>8000was significantly lower than that of the control group(χ~2=5.067,P<0.05).The proportions of in-vitro conception and combined abortion experienced were significantly higher than that of the control group(P<0.05).SAS in anxiety group was significantly higher than that in control group(P<0.05),and in anxiety and depression group,the pregnancy time was less than 11 weeks and the marriage time was less than 5Year,family monthly income≤8000,SAS and SDS scores were significantly higher in patients who underwent in vitro fertilization and abortion(P<0.05).Conclusion:The proportion of missed anxiety and depression after missed abortion is high,with short gestation time,low education level,long marriage time,low family income,combined with in vitro fertilization and abortion experience are the risk factors of anxiety and depression after missed abortion.
Objective:To investigate anxiety and depression in patients with missed abortion and analyze its related factors.Methods:A total of 213 patients with missed abortion in our hospital from January 2016 to December 2017 were selected,of which 61 were depression and anxiety(anxiety and depression group),while 152 cases were not accompanied by anxiety and depression(control group).The anxiety self-rating scale(SAS)and self-rating depression scale(SDS)were compared between the two groups.Age,body mass index,educational level,marriage time,the proportion of first marriage,family income,mode of pregnancy,abortion were used to analyze its related factors.Results:The proportion of patients diagnosed with anxiety or depressive symptoms was 28.6%.The proportion of pregnancy and college education in anxiety and depression group was significantly lower than that in the control group(t=-3.498,χ~2=4.678;P<0.05),The anxiety and depression group's marriage time was significantly longer than the control group(t=3.042,P<0.01),anxiety and depression group's family monthly income>8000was significantly lower than that of the control group(χ~2=5.067,P<0.05).The proportions of in-vitro conception and combined abortion experienced were significantly higher than that of the control group(P<0.05).SAS in anxiety group was significantly higher than that in control group(P<0.05),and in anxiety and depression group,the pregnancy time was less than 11 weeks and the marriage time was less than 5Year,family monthly income≤8000,SAS and SDS scores were significantly higher in patients who underwent in vitro fertilization and abortion(P<0.05).Conclusion:The proportion of missed anxiety and depression after missed abortion is high,with short gestation time,low education level,long marriage time,low family income,combined with in vitro fertilization and abortion experience are the risk factors of anxiety and depression after missed abortion.
引文
[1]徐洁,张丹萍,邵红珠,等.心理支持联合互动式健康教育用于稽留流产患者[J].护理学杂志,2016,31(16):84-85
[2]孙云玲,肖慧瑶,孙卫红.心理疏导在稽留流产护理中的应用[J].长江大学学报(自科版),2013,10(36):78-79
[3]金琴,占义霞,张涛,等.心理支持干预对稽留流产患者焦虑和抑郁的改善作用[J].中国健康心理学杂志,2017,25(7):1083-1086
[4]顾华芬,衣欢,赵海红,等.1945例稽留流产的流行病学及高危因342素分析[J].生殖与避孕,2016,36(3):195-201
[5]篞书颖,谭庆,路云霞.孕妇发生早期稽留流产的相关因素及预防措施研究[J].中国现代医学杂志,2016,26(22):128-132
[6]文云霞,祁连芳,姜改莉.稽留流产的原因分析以及早期诊断[J].中国性科学,2015,24(12):66-69
[7]段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679
[8]何宝玲.单独二胎政策开放高龄产妇面临的临床问题[J].深圳中西医结合杂志,2017,27(5):154-155
[9]孙宇,赵红.自然流产患者心理问题及其干预的研究现状[J].中华护理杂志,2013,48(7):648-651
[10]徐洁,张丹萍,邵红珠,等.心理支持联合互动式健康教育用于稽留流产患者[J].护理学杂志,2016,31(16):84-85
[11]Chojenta C,Harris S,Reilly N,et al.History of pregnancy loss increases the risk of mental health problems in subsequent pregnancies but not in the postpartum[J].PLoS One,2014,9(4):e95038
[12]Cheung C S,Chan C H,Ng E H.Stress and anxiety-depression levels following first-trimester miscarriage:A comparison between women who conceived naturally and women who conceived with assisted reproduction[J].BJOG,2013,120(9):1090-1097
[13]Mekayla Storer,Alba Mas,Alexandre robert-Moreno,et al.Senescence is a developmental mechanism that contributes to embryonic growth and patterning[J].Cell,2013,155(5):1119-1130
[14]宋珍美,张健.共情技术在稽留流产患者心理护理中的应用[J].浙江医学教育,2015,26(6):33-35
[15]倪亚男,吴静,顾惠芳,等.人工流产全程引入人文关怀模式对受术者负性情绪及并发症的影响[J].国际精神病学杂志,2015,42(2):75-78
[16]Kolte A M,Olsen L R,Mikkelsen E M,et al.Depression and emotional stress is highly prevalent among women with recurrent pregnancy loss[J].Human Reprod,2015,30(4):777-782
[2]孙云玲,肖慧瑶,孙卫红.心理疏导在稽留流产护理中的应用[J].长江大学学报(自科版),2013,10(36):78-79
[3]金琴,占义霞,张涛,等.心理支持干预对稽留流产患者焦虑和抑郁的改善作用[J].中国健康心理学杂志,2017,25(7):1083-1086
[4]顾华芬,衣欢,赵海红,等.1945例稽留流产的流行病学及高危因342素分析[J].生殖与避孕,2016,36(3):195-201
[5]篞书颖,谭庆,路云霞.孕妇发生早期稽留流产的相关因素及预防措施研究[J].中国现代医学杂志,2016,26(22):128-132
[6]文云霞,祁连芳,姜改莉.稽留流产的原因分析以及早期诊断[J].中国性科学,2015,24(12):66-69
[7]段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679
[8]何宝玲.单独二胎政策开放高龄产妇面临的临床问题[J].深圳中西医结合杂志,2017,27(5):154-155
[9]孙宇,赵红.自然流产患者心理问题及其干预的研究现状[J].中华护理杂志,2013,48(7):648-651
[10]徐洁,张丹萍,邵红珠,等.心理支持联合互动式健康教育用于稽留流产患者[J].护理学杂志,2016,31(16):84-85
[11]Chojenta C,Harris S,Reilly N,et al.History of pregnancy loss increases the risk of mental health problems in subsequent pregnancies but not in the postpartum[J].PLoS One,2014,9(4):e95038
[12]Cheung C S,Chan C H,Ng E H.Stress and anxiety-depression levels following first-trimester miscarriage:A comparison between women who conceived naturally and women who conceived with assisted reproduction[J].BJOG,2013,120(9):1090-1097
[13]Mekayla Storer,Alba Mas,Alexandre robert-Moreno,et al.Senescence is a developmental mechanism that contributes to embryonic growth and patterning[J].Cell,2013,155(5):1119-1130
[14]宋珍美,张健.共情技术在稽留流产患者心理护理中的应用[J].浙江医学教育,2015,26(6):33-35
[15]倪亚男,吴静,顾惠芳,等.人工流产全程引入人文关怀模式对受术者负性情绪及并发症的影响[J].国际精神病学杂志,2015,42(2):75-78
[16]Kolte A M,Olsen L R,Mikkelsen E M,et al.Depression and emotional stress is highly prevalent among women with recurrent pregnancy loss[J].Human Reprod,2015,30(4):777-782