社会支持及家庭功能对妊娠晚期孕妇心理状态的影响

    Influence of social support and family function on the mental state of pregnant women in late pregnancy

    • 摘要:
      目的探讨社会支持及家庭功能对妊娠晚期孕妇心理状态的影响。
      方法采用社会支持评定量表、家庭关怀度指数问卷、焦虑自评量表(SAS)和抑郁自评量表(SDS)对580例妊娠晚期孕妇的社会支持、家庭功能和心理状态进行评价。
      结果妊娠晚期孕妇的SAS得分为(45.36±9.89)分,SDS得分为(52.19±12.01)分,均明显高于国内常模(P < 0.01)。不同孕次、家庭人均月收入和不良孕产史妊娠晚期孕妇的SAS得分差异均有统计学意义(P < 0.01),是否在职和有无不良孕产史妊娠晚期孕妇的SDS得分差异均有统计学意义(P < 0.01)。妊娠晚期孕妇的社会支持总分平均值为(41.25±7.23)分,家庭功能总得分为(7.56±1.54)分。多元线性回归分析结果显示,主观支持度和家庭功能总分与妊娠晚期孕妇SAS得分均呈负相关关系(P < 0.01和P < 0.05);家庭功能总分、不良孕产史及主观支持度与妊娠晚期孕妇SDS得分均呈负相关关系(P < 0.05~P < 0.01)。
      结论社会支持及家庭功能对妊娠晚期孕妇的心理状态有较大影响,提升社会支持水平,保持良好家庭功能状态,有利于缓解妊娠晚期孕妇不良情绪,提高心理健康水平。

       

      Abstract:
      ObjectiveTo explore the influence of social support and family function on the mental state of pregnant women in late pregnancy.
      MethodsThe social support, family function and mental state of 580 pregnant women in late pregnancy were evaluated using the social support rating scale, family care index, self-rating anxiety scale (SAS), and self-rating depression scale (SDS).
      ResultsThe SAS and SDS score of pregnant women in late pregnancy were (45.36±9.89) and (52.19±12.01), respectively, which was significantly higher than those of the domestic norm (P < 0.01).The differences of SAS in pregnant women in late pregnancy with different pregnancy times, family per capita monthly income and poor pregnancy history were statistically significant (P < 0.01), and the differences of SDS in pregnant women in late pregnancy with whether employed and adverse pregnancy history were statistically significant (P < 0.01).The average score of social support and total family function score of pregnant women in late pregnancy were (41.25±7.23) and (7.56±1.54), respectively.The results of multiple linear regression results showed that subjective support and total family function scores were negatively correlated with the SAS scores in pregnant women in late pregnancy (P < 0.01 and P < 0.05).The total family function score, poor maternal history and subjective support were negatively correlated with the SDS scores in pregnant women in late pregnancy (P < 0.05 to P < 0.01).
      ConclusionsThe social support and family function have a great impact on the mental state of pregnant women in late pregnancy.Improving the level of social support, and maintaining the good family function are conducive to the relief of adverse mood and improve mental health in pregnant women.

       

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