高龄孕产妇焦虑抑郁水平调查及影响因素分析与建议

Survey on Anxiety and Depression of Elderly Pregnant Women: Influencing Factors Anal-ysis and Suggestions

摘要: 目的：探讨高龄孕产妇产生焦虑抑郁情绪的影响因素，针对相关影响因素提出建议，帮助高龄孕产妇顺利度过孕期和产后心理适应期，同时，为开展干预高龄预孕产妇焦虑、抑郁情绪的心理咨询提供一定参考。方法：以2017年1月至6月在北京市房山区妇幼保健院进行心理评估的高龄孕产妇489例为对象，采用问卷调查，分析其焦虑、抑郁水平及影响其焦虑、抑郁的相关因素。结果：在489例高龄孕产妇中86例(17.5%)呈现产后抑郁阳性；104例(21.2%)呈现抑郁阳性；32例(6%)呈现焦虑阳性。结论：研究发现高龄孕产妇存在焦虑抑郁情绪；高龄孕产妇的焦虑抑郁水平在学历、年龄维度与全国常模呈现显著性差异(P < 0.05)；高龄孕产妇有无高危因素在焦虑抑郁水平上无显著性差异(P > 0.05)。

Abstract: Objective: To explore the influencing factors of anxiety depression among pregnant women; Making recommendations for the relevant influencing factors; Helping the elderly pregnant women to successfully pass through pregnancy and postpartum psychological adjustment period. Meanwhile, To provide a reference for the psychological counseling of elderly pre-maternal anxiety and de-pression. Methods: From January 2017 to June in Beijing Maternal and Child Health Hospital in Fangshan District psychological assessment of 489 elderly pregnant women as the object, by ques-tionnaire survey to analyze their anxiety, depression levels and related factors that affect their anxiety and depression. Result: Among 489 elderly women, 86 (17.5%) showed positive postpar-tum depression; 104 cases (21.2%) were positive for depression; 32 cases (6%) showed positive anxiety. Conclusion: The study found that there was anxiety and depression in older women; The level of anxiety and depression in advanced maternal age was significantly different in education degree, age dimension and national norm (P < 0.05); There was no significant difference in the level of anxiety and depression among elderly and pregnant women(P > 0.05).