摘要
目的分析产妇选择剖宫产的社会心理因素。方法采用自制问卷调查产妇的一般社会状况,用焦虑状态/特性询问表和抑郁自评量表对产妇进行心理评估。结果①研究组产妇年龄及文化程度构成与对照组有显著性差异(P<0.01)。研究组初产妇及家庭经济地位低者比例显著高于对照组(88.62%vs63.24%;13.32%vs3.42%,P<0.01)。研究组对分娩缺乏信心、恐惧、焦虑、抑郁的产妇比例显著高于对照组(P<0.01)。研究组对分娩认识错误者的比例高于对照组,但差异无显著性(P>0.05);②Log istic回归分析显示文化程度较高、有焦虑情绪及对分娩缺乏信心等因素是初产妇选择剖宫产的危险因素,而经济状况差为保护性因素。结论产妇文化程度、经济状况、产次、焦虑及信心等为影响分娩方式选择的主要社会因素。精神紧张、对分娩缺乏信心、经济状况良好的初产妇是主动选择剖宫产的高危人群。
Objective To investigate psychosocial factors of unnecessary cesarean section.Methods A self-designed questionnaire was used to investigate general social state of the parturients and State-Trait Anxiety Inventory(STAI) and Self-Rating Depression Scale(SDS) were used to evaluate psychological state of the parturients.Results ① In constituent ratios in age and education degree of the primiparae,there were significant differences between the two groups(both P<0.01).In the study group,the proportions of primiparae and lower income parturients were significantly higher than those in the control group(88.62% vs 63.24%;13.32% vs 3.42%,both P<0.01).In the study group,the proportion of parturients who lacked confidence for vaginal delivery,felt fear and anxiety,depression was significantly higher than that in the control group(P<0.01).And in the study group the proportion of parturients whose recognition for delivery was mistaken was higher than that in the control group,but the difference was not significant.② Logistic regression analysis shown that higher education degree,anxiety and lacking confidence for vaginal delivery were risk factors of cesarean section for primiparae,while lower income was a protective factor of it.Conclusion Education degree,economic state,parity,anxiety and confidence of the parturients are five main psychosocial factors to affect choice of delivery patterns of the parturients.Those primiparae who feel anxiety and lack confidence for vaginal delivery,and have a better economic states and education degrees are the high-risk population to choose cesarean section for their delivery.
出处
《中国妇幼健康研究》
2007年第6期472-474,共3页
Chinese Journal of Woman and Child Health Research
基金
湖北省教育厅社会科学研究资助项目(2005y250)
关键词
剖宫产
心理因素
焦虑
抑郁
cesarean section
psychological factor
anxiety
depression
