高危产前护理孕妇的孕期抑郁风险。
Risk of depression in pregnancy among pregnant women undergoing high-risk prenatal care.
机构信息
Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
出版信息
Rev Esc Enferm USP. 2022 Jul 18;56:e20210470. doi: 10.1590/1980-220X-REEUSP-2021-0470en. eCollection 2022.
OBJECTIVE
to identify the risk of depression in pregnancy among pregnant women undergoing follow-up in high-risk prenatal care, to assess the factors associated with higher risk of depression in pregnancy and to compare the risk of depression in each gestational trimester.
METHOD
this is a descriptive, correlational, cross-sectional study, conducted with 151 pregnant women in prenatal care in a high-risk pregnancy outpatient clinic at a university hospital in the state of São Paulo, Brazil. Data were collected through an online form. Chi-square and Fisher's exact tests were performed. After the bivariate analysis, the variables were included in the logistic regression model. In the final model, the Odds Ratio was calculated.
RESULTS
118 (78.1%) pregnant women had a higher risk of depression during pregnancy, which was higher in the first trimester, but without statistical significance. The number of pregnancies (OR = 0.32) and marital status (OR = 0.07) remained significantly associated with higher risk of depression during pregnancy as protective factors.
CONCLUSION
the results elucidate the importance of screening for depression risk and the significant need to improve access to effective interventions for preventing prenatal depression and promoting mental health.
目的
在接受高危产前护理的孕妇中识别孕期抑郁的风险，评估与孕期抑郁风险增加相关的因素，并比较每个妊娠三期中的抑郁风险。
方法
这是一项在巴西圣保罗州一所大学医院的高危妊娠门诊接受产前护理的 151 名孕妇进行的描述性、相关性、横断面研究。通过在线表格收集数据。进行了卡方和 Fisher 精确检验。在进行了双变量分析后，将变量纳入逻辑回归模型。在最终模型中，计算了优势比。
结果
118 名（78.1%）孕妇在孕期有更高的抑郁风险，其中在孕早期更高，但无统计学意义。怀孕次数（OR=0.32）和婚姻状况（OR=0.07）仍然与孕期抑郁风险增加相关，是保护因素。
结论
研究结果阐明了筛查抑郁风险的重要性，以及显著需要改善获得有效干预措施的机会，以预防产前抑郁和促进心理健康。
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