CAJ | 학술논문

目的：探讨初产妇围生期心理状态及其影响因素。方法对本院的148例初产妇采用 HAD 量表进行评估，并对其中不同年龄段、文化层次及妊娠期疾病、自然流产史者的评估结果进行比较。结果148例初产妇 HAD 量表中焦虑和抑郁评分与阳性率均较高，且其中低文化层次及伴发妊娠期疾病、有自然流产史者评分与阳性率均高于高文化层次及无妊娠期疾病、自然流产史者（P 均＜0.05）；不同年龄段者比较无显著差异（P 均＞0.05）。结论初产妇围生期的不良心理表现较为明显，且低文化层次、伴发妊娠期疾病及有自然流产史均为不利因素。
목적：탐토초산부위생기심리상태급기영향인소。방법대본원적148례초산부채용 HAD 량표진행평고，병대기중불동년령단、문화층차급임신기질병、자연유산사자적평고결과진행비교。결과148례초산부 HAD 량표중초필화억욱평분여양성솔균교고，차기중저문화층차급반발임신기질병、유자연유산사자평분여양성솔균고우고문화층차급무임신기질병、자연유산사자（P 균＜0.05）；불동년령단자비교무현저차이（P 균＞0.05）。결론초산부위생기적불양심리표현교위명현，차저문화층차、반발임신기질병급유자연유산사균위불리인소。
Objective To explore the perinatal mental state of primiparas and its influenc-ing factors.Methods HAD scale was applied for 148 primiparas,and the results of evaluation a-mong primiparas with different ages,education levels,gestational diseases and history of natural abortion were compared.Results Scores of anxiety and depression as well as positive rate of HAD score were high in 148 primiparas,and the scores of anxiety and depression and positive rate of HAD score in primiparas with lower education levels,gestational diseases and history of natural abortion were significantly higher than those in primiparas with higher education levels and without gestational diseases and history of natural abortion (P <0.05).There were no significant differ-ences among primiparas with different ages (P >0.05).Conclusion Expressions of bad perinatal mental states in primiparas are significant,and the lower education levels,gestational diseases and history of natural abortion are the bad influencing factors.