Cai Yimin, Shen Zhoumin, Zhou Bifang, Zheng Xiali, Li Yulian, Liu Yuming, Yang Jiayu, Xie Nian, Chen Hongjiao
Department of Nursing, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, 410005, People's Republic of China.
Department of Interventional Vascular Surgery, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, Hunan, 410005, People's Republic of China.
Patient Prefer Adherence. 2022 Aug 26;16:2355-2363. doi: 10.2147/PPA.S374628. eCollection 2022.
To investigate the psychological status of women during their second pregnancy.
A total of 162 women who were pregnant for the second time were selected as the research subjects. The general demographic data and pregnancy-related conditions of the subjects were investigated by a questionnaire developed for this study. The anxiety and depression of the subjects were evaluated with a self-rating anxiety scale (SAS) and a self-rating depression scale (SDS).
The subjects scored themselves on the SAS and on the SDS. There was a statistically significant difference when comparing the scores and total scores with the domestic norm. Statistical data analysis was conducted using SPSS 19.0 software. The results of a multi-factor logistics regression analysis showed that four factors, namely a low age, low education level, low monthly household income and foetal sex expectations, were the main influencing factors for the occurrence of anxiety among women during their second pregnancies ( < 0.05). Three factors, namely a low education level, low monthly household income and a poor relationship between the husband and wife, were the main influencing factors for the occurrence of depression among the subjects ( < 0.05).
During their second pregnancies, women have different degrees of anxiety and depression. Measures should be taken to intervene and guide women who develop these adverse emotions.
探讨经产妇孕期的心理状况。
选取162例经产妇作为研究对象，采用自行设计的调查问卷对研究对象的一般人口学资料及孕期相关情况进行调查。采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对研究对象的焦虑、抑郁情况进行评定。
研究对象进行SAS、SDS自评，将得分及总分与国内常模比较，差异有统计学意义。采用SPSS 19.0软件进行统计数据分析。多因素Logistic回归分析结果显示，年龄小、文化程度低、家庭月收入低、对胎儿性别有期望4个因素是经产妇孕期发生焦虑的主要影响因素（<0.05）。文化程度低、家庭月收入低、夫妻关系差3个因素是研究对象发生抑郁的主要影响因素（<0.05）。
经产妇孕期存在不同程度的焦虑、抑郁情绪，应对出现这些不良情绪的产妇进行干预和指导。
