目的：探讨孕妇产前抑郁、焦虑的相关危险因素，为产前抑郁、焦虑的早期筛查及临床干预提供理论支持。方法：选取昆明市妇幼保健院产前检查的孕妇2112人，采用爱丁堡产后抑郁量表（EP-DS）、焦虑自评量表（SAS）于孕28周对其进行问卷调查。采用非条件 logistic 回归分析探讨产前抑郁、焦虑症状的相关危险因素。结果：孕28周抑郁症状检出率为25.4％，焦虑症状检出率为6.6％。Logistic回归分析显示，抑郁症状的危险因素为低年龄（OR ＝0.80，95％CI：0.68～0.94）、孕期非坚持工作（OR＝1.18，95％CI：1.02～1.36）、对居住环境不满意（OR ＝1.50，95％CI：1.23～1.83）、期望生男孩（OR＝0.86，95％CI：0.77～0.96）、非独子（OR ＝1.37，95％CI：1.06～1.76）、非计划内怀孕（OR ＝1.38，95％CI：1.10～1.72）；焦虑症状的危险因素为不满意居住环境（OR ＝1.64，95％CI：1.19～2.26）、与丈夫关系不融洽（OR ＝2.01，95％CI：1.20～3.37）、非计划内怀孕（OR ＝1.50，95％CI：1.05～2.14）。结论：本研究提示，年龄越小、孕期未坚持工作、对居住环境不满意、期望生男孩、孕妇非独子、非计划内怀孕的孕妇，越易患产前抑郁症；对居住环境不满意、与丈夫关系不融洽、非计划内怀孕的孕妇，越易患产前焦虑症。%Objective:To explore the related risk factors of antepartum depression and anxiety,and to provide the theoretical support for early screening,clinical intervention and prevention of antepartum depression and anxiety.Methods:At the time of 28 weeks of prenatal examination,the Edinburgh Postnatal Depression Scale (EP-DS),Self-Rating Anxiety Scale (SAS)were used to survey 2112 pregnant women who were selected from Maternal and Child Health Hospital of Kunming City.Non conditional logistic regression analysis was used to explore the re-lated risk factors of prenatal depression and anxiety.Results:At the 28 weeks of pregnancy,the detection rate of de-pression symptoms and anxiety symptoms were 25.4% and 6.6%.Logistic regression analysis showed that the risk factors for perinatal depression symptoms were younger age (OR =0.80,95%CI:0.68 -0.94),not stick to work during pregnancy (OR =1.18,95%CI:1.02 -1.36),not satisfied with the living environment (OR =1.50,95%CI:1.23 -1.83),expectations for boys (OR =0.86,95%CI:0.77 -0.96),not only daughter (OR =1.37,95%CI:1.06 -1.76),unplanned pregnancy (OR =1.38,95%CI:1.10 -1.72).The risk factors for perinatal anxiety symp-toms were being not satisfied with the living environment (OR =1.64,95%CI:1.19 -2.26),not harmonious with her husband (OR =2.01,95%CI:1.20 -3.37),unplanned pregnancy (OR =1.50,95%CI:1.05 -2.14).Conclu-sion:It suggests that the pregnant women with younger age,less working during pregnancy,being not satisfied with the living environment,having more expectations for boys,being not only daughter,with unplanned pregnancy are more likely to suffer from antepartum depression;those being not satisfied with living environment,having harmoni-ous relation with her husband,and with unplanned pregnancy are more likely to suffer from antepartum anxiety.
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