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目的了解北京西城区助产机构孕妇孕期心理状况及对产后应激状况的影响。方法应用症状自评量表(SCL-90)和应激评估量表平时版(PCL-C),对西城区助产机构产科973名孕妇进行抽样测试研究。结果①除躯体化因子,其他各因子不同孕期孕妇SCL-90评分均低于全国常模(P<0.05);②不同户籍孕妇SCL-90评分低于全国常模(P<0.05),北京农村户籍孕妇的抑郁、焦虑、敌对、恐怖与常模相比差异不具有统计学意义(P>0.05);③产后42天产妇创伤后应激障碍筛查阳性率为1.13%;④通过相关分析,孕晚期心理和产后应激水平呈正相关(P<0.05)。结论西城区孕妇孕期总体心理状况较好,产后应激水平也较低;孕晚期心理状况不良的孕妇容易在产后发生应激障碍。
Objective To understand the psychological status of pregnant women in midwifery in Xicheng District of Beijing and their effects on postpartum stress status. Methods A total of 973 pregnant women in the midwifery department of Xicheng District were enrolled in this study. The self-rating Symptom Scale (SCL-90) and Stress Assessment Scale (PCL-C) were used for sampling. Results ① SCL-90 scores of pregnant women with different factors except gestational factors were lower than those of national norms (P <0.05); ② SCL-90 scores of pregnant women with different domicile were lower than those of national norms (P <0.05) (P> 0.05). ③The positive rate of post-traumatic stress disorder screening for postpartum mothers was 1.13% in the 42 days postpartum. (4) By the correlation analysis, there was no significant difference in depression, anxiety, hostility, Third trimester pregnancy and postpartum stress levels were positively correlated (P <0.05). Conclusion The pregnant women in Xicheng District had better general psychological status during pregnancy and lower post-natal stress level. Pregnant women with poor psychological status in the third trimester were prone to stress disorder after delivery.