Franco Rafaela Cristina, Ferreira Caroline Ronchini, Vieira Camilla Ribeiro, Silva Roberta Ribeiro
Faculdade de Ciências Farmacêuticas, Universidade Federal de Alfenas (UNIFAL-MG), Rua Gabriel Monteiro da Silva, 700, Alfenas, MG, 37130-000, Brazil,
J Community Health. 2015 Oct;40(5):899-904. doi: 10.1007/s10900-015-0010-8.
Identifying factors that can be related to the occurrence of gestational arterial hypertension. The sample was composed by 105 pregnant women in their third trimester of gestation, during the period between September 2013 and August 2014. General assessment questionnaires together with a questionnaire to evaluate anxiety (STAI-A-STATE) were applied; arterial blood pressure values were collected. To classify anxiety, a mean of the final result of all the questionnaires gotten was calculated. Pregnant women who showed scores higher than the mean were considered anxious. All data were analyzed by a logistic regression. The significance level adopted was 0.05. A data analysis allowed us to verify that 92.38% of the pregnant women had an anxious personality STAI-A-STATE and 12.38% of them had a momentary hypertension. The momentary hypertension showed a correlation between the hypertension and the state anxiety score (p = 0.049). The hypertension showed an association with the presence of depression (OR 8.69), obesity (OR 6.45), anxiety (OR 7.77), nausea (OR 12.79) and non-white race (OR 8.18). According to the study realized, the factors non-white race, depression, nausea, obesity and anxiety can be considered risk factors for the occurrence of gestational arterial hypertension. Based on these findings, a high quality prenatal assistance is considered of prime importance.
确定可能与妊娠性动脉高血压发生相关的因素。样本由105名处于妊娠晚期的孕妇组成，时间为2013年9月至2014年8月。应用了一般评估问卷以及一份评估焦虑的问卷（状态特质焦虑问卷 - 状态量表）；收集了动脉血压值。为了对焦虑进行分类，计算了所有问卷最终结果的平均值。得分高于平均值的孕妇被视为焦虑。所有数据通过逻辑回归进行分析。采用的显著性水平为0.05。数据分析使我们能够验证，92.38%的孕妇具有状态特质焦虑问卷 - 状态量表所显示的焦虑性格，其中12.38%的孕妇患有短暂性高血压。短暂性高血压显示出高血压与状态焦虑评分之间存在相关性（p = 0.049）。高血压与抑郁的存在（比值比8.69）、肥胖（比值比6.45）、焦虑（比值比7.77）、恶心（比值比12.79）以及非白种人（比值比8.18）相关。根据该研究结果，非白种人、抑郁、恶心、肥胖和焦虑等因素可被视为妊娠性动脉高血压发生的危险因素。基于这些发现，高质量的产前护理被认为至关重要。
