【摘要】 目的了解深圳市龙华区高龄二胎孕妇焦虑和抑郁负面情绪现状,并探讨其发病相关独立危险因素,为预防和改善高龄二胎孕妇的负面情绪提供科学依据。方法选择2019年6月至2020年8月在深圳市龙华区人民医院妇科门诊就诊年龄≥35岁的高龄二胎孕妇154例,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对其进行SAS和SDS评分,分析焦虑和抑郁发病率,并对其发病相关危险因素进行统计分析。结果高龄二胎孕妇焦虑和抑郁发病率分别为24.03%和13.64%,以轻度为主,不同程度间差异有统计学意义(P <0.05);家庭月收低、有性别期待、无家庭支持、流产次数≥3次、夫妻关系不好、妊娠次数≥3次及初中及以下文化程度高龄二胎孕妇的焦虑和抑郁发病率明显升高,差异有统计学意义(P <0.05),通过二元Logistic回归方程分析,家庭月收低、有性别期待、无家庭支持、流产次数≥3次、夫妻关系不好及妊娠次数≥3次是高龄二胎孕妇焦虑和抑郁发病的独立危险因素,而文化程度的提高是其保护因素(P <0.05)。结论深圳市龙华区高龄二胎孕妇有较高的焦虑和抑郁发病率,应该引起全社会重视。同时临床应加强对高龄二胎孕妇进行常规心理健康问题筛查,发现问题及早给予心理干预,对预防产后抑郁具有重要意义。更多还原

【Abstract】 Objective To understand the current status of negative emotions of anxiety and depression among elderly second-pregnancy women in Longhua District, Shenzhen, and to explore the independent morbidity-related risk factors, so as to provide a scientific basis for preventing and improving negative emotions among elderly secondpregnancy women. Methods One hundred and fifty-four cases of elderly second-pregnancy women aged ≥ 35 years attending the Gynecology Outpatient Clinic of Longhua People’s Hospital of Shenzhen City from June 2019 to August 2020 were selected. Self-Rating Anxiety Scale(SAS) and Self-Rating Depression Scale(SDS) were used to evaluate their SAS and SDS scores. The prevalence rates of anxiety and depression and the morbidity-related risk factors were statistically analyzed. Results The prevalence rates of anxiety and depression among the elderly secondpregnancy women were 24.03% and 13.64% respectively. Most patients suffered from mild symptoms, with statistically significant differences among different degrees(P < 0.05). For elderly second-pregnancy women with low monthly family income, gender expectations, no family support, ≥ 3 miscarriages, poor couple relationship, ≥ 3 pregnancies and with junior high school or less education level, the prevalence rates of anxiety and depression were significantly increased, with statistically significant differences(P < 0.05). By binary Logistic regression equation analysis, low monthly family income, gender expectations, no family support, ≥ 3 miscarriages, poor couple relationship and ≥ 3 pregnancies were independent risk factors for the prevalence of anxiety and depression in elderly second-pregnancy women, while increased literacy was a protective factor against anxiety and depression(P < 0.05). Conclusion The high prevalence rates of anxiety and depression among elderly second-pregnancy women in Longhua District, Shenzhen, should attract the attention of the whole society. At the same time, the clinic should strengthen the screening of conventional mental health problems in elderly second-pregnancy women and give early psychological interventions when the problems are found, which is important for the prevention of postpartum depression.更多还原