CAJ | 학술논문

目的：探索临产前孕妇的焦虑和抑郁状况及其影响因素。方法选取待产孕妇461例，采用问卷调查方式收集孕妇年龄、婚姻状况等信息，并运用抑郁自评量表（SDS）、焦虑自评量表（SAS）、人格测验量表（EPQ）及社会支持评定量表（SSRS）测定相关心理指标。结果临产前孕妇焦虑的发生率为31．9％，SAS标准分平均为（38．5±6．17）分；抑郁的发生率为28．2％，SDS标准分平均为（36．1±5．83）分，均处于较高水平。多元logistic回归分析结果显示，常住地、是否独生子女、早孕反应程度、产次、亲戚朋友不良孕产史、社会支持总分及N标准分是临产前孕妇产生焦虑的影响因素；家庭人均收入、夫妻关系、家庭是否重男轻女、产次、亲戚朋友不良孕产史、社会支持总分及P标准分是临产前孕妇发生抑郁的影响因素。结论临产前孕妇焦虑和抑郁的发生率较高，应对其实施心理干预。
목적：탐색임산전잉부적초필화억욱상황급기영향인소。방법선취대산잉부461례，채용문권조사방식수집잉부년령、혼인상황등신식，병운용억욱자평량표（SDS）、초필자평량표（SAS）、인격측험량표（EPQ）급사회지지평정량표（SSRS）측정상관심리지표。결과임산전잉부초필적발생솔위31．9％，SAS표준분평균위（38．5±6．17）분；억욱적발생솔위28．2％，SDS표준분평균위（36．1±5．83）분，균처우교고수평。다원logistic회귀분석결과현시，상주지、시부독생자녀、조잉반응정도、산차、친척붕우불량잉산사、사회지지총분급N표준분시임산전잉부산생초필적영향인소；가정인균수입、부처관계、가정시부중남경녀、산차、친척붕우불량잉산사、사회지지총분급P표준분시임산전잉부발생억욱적영향인소。결론임산전잉부초필화억욱적발생솔교고，응대기실시심리간예。
Objective To explore the anxiety and depression status and their influencing factors among parturient pregnant women . Methods A total of 461 pregnant women in our hospital from January 2011 to January 2013 were used questionnaire to collect information like age and marital status,and we also used self-rating depression scale (SDS),self-rating anxiety scale (SAS),Eysenck personality ques-tionnaire (EPQ),social support rating scale (SSRS) to determinate related mental index .Results Incidence of anxiety was 31.9%,and the average SAS total score was 38.5 ±6.17 points;incidence of depression was 28.2%,and the average SDS total score was 36.1 ±5.83 points. Multivariate logistic regression analysis showed:place of residence ,whether the only child or not ,early pregnancy reaction degree ,the number of pregnancy ,history of adverse pregnancy among relatives and friends ,social support score and N standard score were the influencing factors of anxiety.Family income,conjugal relation,whether preferring sons rather than daughters ,the number of pregnancy ,history of adverse preg-nancy among relatives and friends ,social support score and P standard score were the influencing factors of depression .Conclusion The inci-dences of anxiety and depression among parturient pregnant women are high ,thus mental intervention should be implemented .