高龄孕产妇二孩生育焦虑抑郁情绪的影响因素及护理对策
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摘要
目的探讨高龄孕产妇二孩生育焦虑抑郁情绪的影响因素及护理对策。方法纳入100例伴有焦虑抑郁情绪的高龄二孩孕产妇,随机分为参照组、研究组各50例,分别给予常规护理与综合护理干预,比较两组焦虑/抑郁情绪(HAD)评分并进行相关因素分析。结果两组孕后6个月时HAD评分比较,差异无统计学意义(P>0.05);分娩后1周及出院后1个月研究组HAD评分均明显低于参照组,差异有统计学意义(P<0.05);研究组产后抑郁症发病率6.0%明显低于参照组16.0%(P<0.05)。高龄孕产妇二孩生育焦虑抑郁情绪主要受自身因素、环境因素、家庭因素、经济因素、疼痛因素及社会支持等方面影响。结论影响二孩再生育高龄孕产妇焦虑抑郁情绪的原因较多,综合护理干预,可有效降低产后抑郁症发生率。
Objective To investigate the influencing factors and nursing strategies of anxiety and depression in elderly pregnant women with second child. Methods 100 elderly pregnant women with second child and anxiety and depression were randomly selected.And they were randomly divided into the reference group and the study group, with 50 cases in each group.Two groups were individually given routine care and comprehensive nursing intervention.The anxiety/depression(HAD) scores and analyze relevant factors. Results There was no significant difference between the two groups in the HAD score at 6 months after the pregnancy(P > 0.05);1 weeks after delivery and 1 months after discharge,the HAD scores of the study group were significantly lower than those of the reference group(P < 0.05);The study group the incidence of postpartum depression was 6.0% lower than that of the reference group 16.0%(P < 0.05);The anxiety and depression of elderly pregnant women with second child were mainly affected by their own factors, environmental factors,family factors,economic factors,pain factors and social support. Conclusion There are many reasons for anxiety and depression in the two child reproductive aged women.Comprehensive nursing intervention can effectively reduce the incidence of postpartum depression.
Objective To investigate the influencing factors and nursing strategies of anxiety and depression in elderly pregnant women with second child. Methods 100 elderly pregnant women with second child and anxiety and depression were randomly selected.And they were randomly divided into the reference group and the study group, with 50 cases in each group.Two groups were individually given routine care and comprehensive nursing intervention.The anxiety/depression(HAD) scores and analyze relevant factors. Results There was no significant difference between the two groups in the HAD score at 6 months after the pregnancy(P > 0.05);1 weeks after delivery and 1 months after discharge,the HAD scores of the study group were significantly lower than those of the reference group(P < 0.05);The study group the incidence of postpartum depression was 6.0% lower than that of the reference group 16.0%(P < 0.05);The anxiety and depression of elderly pregnant women with second child were mainly affected by their own factors, environmental factors,family factors,economic factors,pain factors and social support. Conclusion There are many reasons for anxiety and depression in the two child reproductive aged women.Comprehensive nursing intervention can effectively reduce the incidence of postpartum depression.
引文
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[10]张福珍,郑品端,刘延锦,等.特殊护理关注在高龄孕产妇中的应用效果观察[J].全科护理,2017,15(10):1222-1224.
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[12]丘美芳,欧阳雪莲.协同护理干预对高龄初产妇心理状态的影响[J].现代临床护理,2016,15(7):11-14.
[13]贾姣元,商玲霞,倪静娜.护理健康教育对围生期孕产妇抑郁、焦虑情绪的干预效果评价[J].中国健康教育,2015,3(8):799-801.
[14]梁佩杰.孕产妇焦虑抑郁情绪的相关因素及护理干预效果研究[J].中国现代医生,2016,54(20):144-147.
[15]高丽娜.二胎妊娠期妇女心理健康状况与相关社会因素关系的研究[D].石家庄:河北医科大学,2016,5(2):14-17.
[2]胡海萍,吴志国,吴荣琴,等.孕晚期综合性医院焦虑抑郁量表评分对产后抑郁症的预测研究[J].中华精神科杂志,2014,47(6):331-335.
[3]Ahn E,Lee J,Yong SP,et al.Association between delivery at an advanced maternal age and osteoporosis in elderly Korean women[J].Journal of Bone&Mineral Metabolism,2015,33(6):666-673.
[4]焦琳,胡先明,孔丽丽,等.孕产妇焦虑和抑郁的相关社会因素分析[J].中国社会医学杂志,2014,31(1):49-51.
[5]Barclay K,Myrskyl M.Advanced maternal age and offspring outcomes:causal effects and countervailing period trends[J].Population&Development Review,2015.
[6]李敏华.孕产妇产生焦虑抑郁情绪的原因及护理干预[J].医药卫生(全文版),2015(11):67.
[7]Jackson S,Hong C,Wang ET,et al.Pregnancy outcomes in very advanced maternal age pregnancies:the impact of assisted reproductive technology[J].Fertility&Sterility,2015,103(1):76-80.
[8]叶碧清.产后焦虑抑郁情绪原因分析及护理对策[J].齐鲁护理杂志,2014,13(2):63-66.
[9]李娜.聚焦解决模式对高龄初产孕产妇焦虑抑郁的影响[D].长春:吉林大学,2016,23(3):60-61.
[10]张福珍,郑品端,刘延锦,等.特殊护理关注在高龄孕产妇中的应用效果观察[J].全科护理,2017,15(10):1222-1224.
[11]陈一鸿,富菊艳,范惠英.外来人口高龄初产妇孕期焦虑、抑郁情况调查[J].中国公共卫生管理,2015(2):271-272.
[12]丘美芳,欧阳雪莲.协同护理干预对高龄初产妇心理状态的影响[J].现代临床护理,2016,15(7):11-14.
[13]贾姣元,商玲霞,倪静娜.护理健康教育对围生期孕产妇抑郁、焦虑情绪的干预效果评价[J].中国健康教育,2015,3(8):799-801.
[14]梁佩杰.孕产妇焦虑抑郁情绪的相关因素及护理干预效果研究[J].中国现代医生,2016,54(20):144-147.
[15]高丽娜.二胎妊娠期妇女心理健康状况与相关社会因素关系的研究[D].石家庄:河北医科大学,2016,5(2):14-17.