| 摘要: |
| ［摘要］目的 调查孕晚期妊娠妇女抑郁状况并探讨其影响因素．为产前心理咨询和心理辅导提供依据．方法 选取昆明医科大学第二附属医院产科病房2015年3月至5月间住院待产的孕35周以上的孕妇180名．采用抑郁自评表（Symptoms of depression self rating scale， SDS）和孕妇基本情况调查问卷进行问卷调查．Logistic回归分析探讨孕晚期抑郁状况的危险因素．结果 180例孕晚期妇女抑郁阳性检出率为42.2%．其中汉族阳性检出率（47.45%）明显高于少数民族（25.58%）、本科及以上学历（52.94%）高于本科及以下学历者（35.71%）．Logistic回归分析结果显示孕妇的民族（OR=2.92．95%CI 1.29-6.63）、学历（OR=3.29． 95%CI 1.22-7.18）、孕妇对目前婚姻状况的满意程度（OR=3.53． 95%CI: 1.09-6.24）、每天睡眠时间（OR=0.37． 95%CI 0.15-0.94）与抑郁状态的发生有关．结论 昆明市孕晚期妇女的抑郁心理健康状况较差．尤其是本科及以上学历及睡眠质量差的孕妇更容易出现抑郁情况．应对孕妇开展广泛的健康教育，以降低其在怀孕期出现抑郁情绪可能性． |
| 关键词: ［关键词］妊娠 晚期妊娠妇女 抑郁 影响因素 |
| DOI： |
| 分类号: |
| 基金项目:［基金项目］国家自然科学基金资助项目（81160364） |
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| The Depression Status and Influencing Factors for the Late Pregnancy Women |
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MA Xiao-yan1,2
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1.（1）Dept. of Gynaecology and Obstetrics，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101;2） School of Public Health，Kunming Medical University，Kunming Yunnan 650500，China）
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| Abstract: |
| ［Abstract］Objective To investigate the depression status and influencing factors for the late pregnancy women， and provide a theoretical basis for psychological consultations and interventions. Methods A symptoms of depression self rating scale（SDS）and a questionnaire for the basic information were adopted in the cross-sectional survey for 180 late pregnancy women at 35 weeks or more in the obstetrics of the second affiliated hospital of Kunming Medical University from March to May in 2015. Logistic regression analysis was used to explore the related risk factors of depression. Results The depression positive rate of late pregnancy women was 42.2%，among which the depression positive rate of the Han nationality（47.45%）was obviously higher than national minority's （25.58%），and Bachelor degree or above （52.94%） was higher than Bachelor degree and below（35.71%）. Logistic regression analysis showed that the risk factors for depression symptoms were nationality（OR=2.92，95%CI: 1.29-6.63），education（OR=3.29， 95%CI: 1.22-7.18），satisfaction degree of current marital status （OR=3.53， 95%CI: 1.09-6.24），and sleep time of every day（OR=0.37，95%CI:0.15-0.94）. Conclusion The present mental health status of the late pregnancy women in Kunming was poor，especially the pregnant women with Bachelor degree or above and poor quality of sleep，who were prone to depression. Extensive health education should be launched to pregnant women in order to reduce the possibility of depression during pregnancy. |
| Key words: ［Key words］Pregnant Late pregnancy women Depression Influencing factor |