孕妇孕早期抑郁焦虑及心理健康素养现况浅析.doc

孕妇孕早期抑郁焦虑及心理健康素养现况浅析

【摘要】目的;通过对初诊孕妇进行抑郁、焦虑及心理健康素养等调查分析，为社区卫生服务中心开展孕妇心理健康教育，提高孕产妇心理健康素养水平，促进孕产妇心理健康提供理论依据。方法：采用自编一般资料问卷、中文版多元心理健康素养量表、GAD-7量表和PHQ-9量表对来社区门诊建《上海市孕产妇健康手册》并同意参加项目孕早期孕妇进行问卷调查，对预产期在2020年9月6日至2021年11月10日范围内共1055孕妇的调查结果进行统计学分析。结果：孕妇中心理健康素养平均总分（13.68±4.512），孕妇抑郁检出率为35.64%，焦虑检出率为19.43%；除知识维度外，有无焦虑、抑郁的孕妇心理健康素养各维度和总分差异有统计学意义（P﹤0.001)；孕妇的文化程度、家庭月总收入是孕妇心理健康素养的影响因素（P0.05)。结论：孕妇抑郁、焦虑检出率较高、心理健康素养水平偏低，应从社会、医院等层面采取措施提升孕妇心理健康素养，促进其心理健康。

【Abstract】Objective:Throughtheinvestigationandanalysisofdepression,anxietyandmentalhealthliteracyofnewlydiagnosedpregnantwomen,thispaperprovidesatheoreticalbasisforcommunityhealthservicecenterstocarryoutmaternalmentalhealtheducation,improvematernalmentalhealthliteracy,andpromotematernalmentalhealth.

Method:Theself-madegeneralinformationquestionnaire,theChineseversionofthemultiplementalhealthliteracyscale,theGAD-7scaleandthePHQ-9scaleareusedtoconductaquestionnairesurveyonthepregnantwomenwhocometothecommunityclinictobuildtheShanghaimaternalhealthmanualandagreetoparticipateintheproject,andthesurveyresultsof1055pregnantwomenwhoareexpectedtogivebirthfromSeptember6,2020toNovember10,2021arestatisticallyanalyzed.

Result:Theaveragetotalscoreofmentalhealthliteracyamongpregnantwomenis(13.68±4.512),thedetectionrateofdepressionandanxietyis35.64%and19.43%respectively.Inadditiontotheknowledgedimension,therearesignificantdifferencesineachdimensionandtotalscoreofmentalhealthliteracyamongpregnantwomenwithorwithoutanxietyanddepression(P0.001).Theeducationallevelofpregnantwomenandtotalmonthlyfamilyincomearetheinfluencingfactorsofpregnantwomensmentalhealthliteracy(p0.05).

Conclusion:Pregnantwomenhaveahighdetectionrateofdepressionandanxietyandalowlevelofmentalhealthliteracy.Measuresshouldbetakenfromthesocialandhospitallevelstoimpr