CAJ | 학술논문

目的：调查孕妇临产前焦虑状况并分析其影响因素，为进一步护理干预提供临床依据。方法：选取418例孕妇，在其入院临产前，使用状态特质焦虑问卷、社会支持评定量表、简易应对方式问卷和孕妇一般情况问卷进行调查。结果：孕妇临产前状态焦虑评分为(45.25±9.27)分，有184例评分高于国内常模上限，阳性率为44.02%。多元回归分析显示，消极应对、初次分娩、特质焦虑、关注胎儿性别、内向性格、异常妊娠史是危险因素，参加孕妇学校、积极应对、认同母亲角色、良好的婆媳关系和社会支持是保护因素(R2=0.982，F=1891.744，P<0.001)。结论：孕妇临产前焦虑发生率较高，主要受心理社会因素的影响，临床护士要进行针对性的护理干预，以缓解孕妇焦虑。
목적：조사잉부임산전초필상황병분석기영향인소，위진일보호리간예제공림상의거。방법：선취418례잉부，재기입원임산전，사용상태특질초필문권、사회지지평정량표、간역응대방식문권화잉부일반정황문권진행조사。결과：잉부임산전상태초필평분위(45.25±9.27)분，유184례평분고우국내상모상한，양성솔위44.02%。다원회귀분석현시，소겁응대、초차분면、특질초필、관주태인성별、내향성격、이상임신사시위험인소，삼가잉부학교、적겁응대、인동모친각색、량호적파식관계화사회지지시보호인소(R2=0.982，F=1891.744，P<0.001)。결론：잉부임산전초필발생솔교고，주요수심리사회인소적영향，림상호사요진행침대성적호리간예，이완해잉부초필。
Objective:To explore the anxiety situation and influencing factors of pregnant women before parturiency. To provide clinical gist for the further nursing intervention. Methods:All 418 pregnant women were investigated with the questionnaire about general condition and State-trait Anxiety Inventory (STAI), Social Support Rating Scale (SSRS) and Simpliifed Coping Style Questionnaire (SCSQ) before parturiency after admission. Results:The score of State Anxiety Inventory (S-AI) was (45.25±9.27). Among the 418 cases, there were 184 cases whose score was above upper limit of the norm. The positive rate of S-AI was 44.02%. Multiple regression analysis show that negative coping, the ifrst delivery, anxiety quality, focus on fetal gender, introverted personality and the history of abnormal pregnancy were the risk factors, join in pregnant women school, positive coping, agreeing with mother's role, good relationship between mother-in-law and daughter-in-law and social support were the protective factors (R2=0.982, F=1891.744, P<0.001). Conclusion:The pregnant women have generally anxiety before parturiency. They are mainly inlfuenced by the psychosocial factors. The targeted nursing intervention should be done to reduce anxiety of the pregnant women.