摘要
目的了解早孕终止妊娠妇女焦虑、抑郁情绪现患率以及相关危险因素，为进一步前瞻性研究和干预提供依据。方法于2007年5月18日～7月20日期间连续入选同济大学三所附属医院妇产科符合纳入标准的348名孕早期妇女，采用流行病学调查表及综合医院焦虑抑郁情绪量表（HAD量表）实施问卷调查。结果该人群焦虑抑郁症状现患率为21．8％；经趋势卡方检验发现，低年龄组，焦虑抑郁率显著升高（P〈0．05）；无痛人流组焦虑抑郁率较药物流产组和普通人流组低（P〈0．05）；同时有妇科疾病史的相对危险度为1．928（95％CI：1．024—3．630）。结论早孕终止妊娠期妇女焦虑抑郁症状现患率较高，应加强该人群性健康及孕健康教育；尤其是针对年龄偏小的早孕人群和有妇科疾病史的人群需给以必要的卫生干预措施。
Objective To investigate the prevalence rate of anxiety and depressive in the termination of pregnant women during the first trimester gestation, and to provide referable information for prospective epidemiological study and treatment in this field. Methods A total of 348 eligible pregnant women from 3 hospitals affiliated to Tongji University were selected consecutively from May 18 in 2007 to July 20 in 2007. Self-designed questionnaire and the hospital anxiety ＆depression scale （HAD） were used. Results The total prevalence rate of anxiety or depression was up to 21.80%. The relationship between the prevalence rate of the anxiety ＆depression and the age distribution in the first trimester pregnant women was approved to be negative correlation （ P 〈 0.05 ） by the trend of proportion of the Chi-square test. The prevalence rate was lower in painless miscarriage group than in medical abortion group and normal miscarriage group （ P 〈 0.05 ）. Meanwhile, the relative risk of anxiety ＆ depression with gynecological history was 1.931 （95 % CI： 1. 027 3.631 ）. Conclusion The prevalence rate of anxiety ＆ depression of termination of pregnant women in first trimester gestation is not optimistic. Psychological healthy and pregnant health education should be strengthened, essential intervened measures should be given especially to the lower-aged pregnant women and especially to whose with gynecological history.
出处
《同济大学学报（医学版）》
CAS
2009年第1期144-148,共5页
Journal of Tongji University(Medical Science)
基金
上海市卫生局局级科研基金资助项目(2008-9)
关键词
早孕终止妊娠
焦虑
抑郁
现患率
综合医院焦虑抑郁情绪量表
termination of pregnant in first trimester gestation
anxiety
depression
prevalence rate
the hospital anxiety and depression scale
