Pregnant Women's Antenatal Depression and Influencing Factors.
Pregnant Women's Antenatal Depression and Influencing Factors.
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DOI：
10.4069/kjwhn.2019.25.1.112
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发表时间：
2019-03-01
影响因子：
0.6
通讯作者：
Oh, Jiwon
中科院分区：
文献类型：
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作者：
Koh, Minseon;Ahn, Sukhee;Oh, Jiwon
目得：本研究的目的是探讨孕妇产前抑郁症的患病率及其影响因素。方法：采用横断面调查设计，从当地妇产科门诊共招募396名孕妇。测量包括产前抑郁症，感知压力，抑郁症的预测因素在怀孕期间，人口和产科feature.Results：平均产前抑郁症评分为8.20（标准差=4.95）的30，落入其正常范围。然而，当使用9/10的临界点时，产前抑郁症的患病率为35.9%。妊娠早期妇女产前抑郁症的患病率为31.4%。在第二个三个月，它略微增加到34.9%，但在第三个三个月显著增加到40.5%。在多元逻辑回归分析中，（优势比[OR]，4.16），没有工作（OR，2.90），较低的自尊（OR，1.62），以及更高的感知压力（OR = 1.32）是影响产前抑郁的重要因素。负面情绪，如焦虑，低自尊，高感知压力在怀孕期间是影响产前抑郁症的关键因素。因此，有必要针对孕妇的工作感受进行产前护理干预，以提高其产前心理健康水平。
PURPOSE: The objective of this study was to investigate the prevalence of antenatal depression in pregnant women and its influencing factors.METHODS: With a cross-sectional survey design, a total of 396 pregnant women were recruited from a local obstetrics and gynecology clinic. Measurements included antenatal depression, perceived stress, predictors of depression during pregnancy, and demographic and obstetric characteristics.RESULTS: Mean antenatal depression score was 8.20 (standard deviation=4.95) out of 30, falling into its normal range. However, the prevalence of antenatal depression was 35.9% when cut-point of 9/10 was used. The prevalence of antenatal depression among women in the first trimester was 31.4%. It was slightly increased to 34.9% in the second trimester but significantly increased to 40.5% in the third trimester. In multiple logistic regression analysis, experiencing prenatal anxiety (odds ratio [OR], 4.16), having no job (OR, 2.90), lower self-esteem (OR, 1.62), and higher perceived stress (OR, 1.32) were significant factors influencing antenatal depression.CONCLUSION: Negative feeling such as feeling anxious, lower self-esteem, and higher perceived stress during pregnancy are key factors affecting antenatal depression. Thus, antenatal nursing intervention focusing on pregnant women's feeling upon their job status is necessary to improve their antenatal psychological well-being.