Koh Minseon, Ahn Sukhee, Kim Jisoon, Park Seyeon, Oh Jiwon
PhD Student, College of Nursing, Chungnam National University, Daejeon, Korea.
Korean J Women Health Nurs. 2019 Mar;25(1):112-123. doi: 10.4069/kjwhn.2019.25.1.112. Epub 2019 Mar 13.
The objective of this study was to investigate the prevalence of antenatal depression in pregnant women and its influencing factors.
With a cross-sectional survey design, a total of 396 pregnant women were recruited from a local obstetrics and gynecology clinic. Measurements included antenatal depression, perceived stress, predictors of depression during pregnancy, and demographic and obstetric characteristics.
Mean antenatal depression score was 8.20 (standard deviation=4.95) out of 30, falling into its normal range. However, the prevalence of antenatal depression was 35.9% when cut-point of 9/10 was used. The prevalence of antenatal depression among women in the first trimester was 31.4%. It was slightly increased to 34.9% in the second trimester but significantly increased to 40.5% in the third trimester. In multiple logistic regression analysis, experiencing prenatal anxiety (odds ratio [OR], 4.16), having no job (OR, 2.90), lower self-esteem (OR, 1.62), and higher perceived stress (OR, 1.32) were significant factors influencing antenatal depression.
Negative feeling such as feeling anxious, lower self-esteem, and higher perceived stress during pregnancy are key factors affecting antenatal depression. Thus, antenatal nursing intervention focusing on pregnant women's feeling upon their job status is necessary to improve their antenatal psychological well-being.
本研究的目的是调查孕妇产前抑郁的患病率及其影响因素。
采用横断面调查设计，从当地妇产科诊所招募了396名孕妇。测量内容包括产前抑郁、感知压力、孕期抑郁的预测因素以及人口统计学和产科特征。
产前抑郁平均得分在30分制中为8.20（标准差=4.95），处于正常范围内。然而，当采用9/10的切点时，产前抑郁的患病率为35.9%。孕早期妇女产前抑郁的患病率为31.4%。在孕中期略有上升至34.9%，但在孕晚期显著上升至40.5%。在多元逻辑回归分析中，经历产前焦虑（比值比[OR]，4.16）、无工作（OR，2.90）、自尊水平较低（OR，1.62）和感知压力较高（OR，1.32）是影响产前抑郁的重要因素。
孕期焦虑、自尊水平较低和感知压力较高等负面情绪是影响产前抑郁的关键因素。因此，有必要针对孕妇对工作状态的感受进行产前护理干预，以改善她们的产前心理健康。
