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目的:获得北京市西城区助产机构孕妇心理异常的流行学特点。方法:采用心理异常筛查工具心理症状自评量表对西城区助产机构973名孕妇开展调查并对数据进行统计分析。结果:①西城区孕妇心理异常率为6.47%,西城区户籍异常率最低,北京农村孕妇心理异常率最高(χ2=14.14,P=0.003),孕晚期未足月心理异常率高于其他时期(χ2=2.55,P=0.23)。②孕妇最常出现的心理异常是饮食睡眠、躯体化和强迫症状。③孕妇患躯体疾病、爱人年龄及户籍为影响孕妇心理健康的危险因素。结论:结合孕周、户籍等因素有侧重的开展孕妇心理异常的筛查工作,进而建立转会诊网络,在群体水平上开展孕妇心理健康教育。
OBJECTIVE: To obtain the epidemiological characteristics of pregnant women with psychological disorders in midwifery in Xicheng District of Beijing. Methods: Nine hundred and seventy pregnant women in midwifery institute of Xicheng District were surveyed by psychometric symptom checklist of psychological abnormality screening tools and the data were statistically analyzed. Results: ① The rate of psychological abnormality was 6.47% in pregnant women in Xicheng District, the lowest in Xicheng District, and the highest in pregnant women in rural Beijing (χ2 = 14.14, P = 0.003). The rate of abnormal pregnant women in late pregnancy was higher than that in other periods χ2 = 2.55, P = 0.23). ② The most common psychological abnormalities in pregnant women are dietary sleep, somatization and obsessive-compulsive symptoms. ③ pregnant women suffering from physical disease, lover age and residence as a risk factor for mental health of pregnant women. Conclusion: In combination with gestational age, household registration and other factors, we focus on the screening of pregnant women psychological disorders, and then establish a network of transfer clinics to carry out mental health education at the group level.