地震灾区孕妇心理状况调查

Follow-up study on psychological status of pregnant women in disaster area after earthquake

  • 摘要: 目的:评估地震灾区孕妇心理变化,指导孕妇保持良好心态以保证胎儿的正常发育。方法:用汉密尔顿焦虑量表随机调查灾区88例孕妇心理状况;孕妇描述地震前后心理状况并分别评分;对孕妇进行心理疏导。半月后随访,同样焦虑量表对孕妇评分。结果:88例孕妇地震前评分均在正常范围,地震后焦虑评分显著高于地震前评分(P<0.01)。精神性和躯体性因子分值较地震前明显增加(P<0.01)。半月后总评分较地震后初评显著降低;精神性和躯体性因子分值显著降低(P<0.05)。结论:地震后孕妇出现不同程度的焦虑倾向,通过心理疏导及指导孕妇自我心理调节,可不同程度缓解其焦虑程度。但若达到常态心理,还需长期心理指导。

     

    Abstract: Objective: To evaluate the psychological status of pregnant women in disaster area after earthquake and help them keep good psychological status.Methods: First,88 pregnant women in disaster area after earthquake were randomly evaluated by Hamilton anxiety scale;then,the changes of psychological status score before and after earthquake of these women were recorded through their narration;last,we communicated with them about the earthquake face to face and helped them conquer the horror and handed out some publications about prevention of mental illness after earthquake,as the same time told them the potentially harmful effects on babies and themselves of long-term anxiety.After half a month,we followed up them with the same anxiety scale.Results: All the 88 pregnant women had good mental status in pre-earthquake.After earthquake,almost all of the pregnant women feel nervous,querulous,hyposomnia,indigestive,fatigued,muscular soreness.The general score,psycho-factor and somato-factor score of anxiety are increased significantly(compared with pre-earthquake,P<0.01).After half a month,the general score,psycho-factor and somato-factor score of anxiety decreased obviously(compared with post-earthquake,P<0.05),but all the scores are still higher than those of pre-earthquake(compared with pre-earthquake,P<0.05).Conclusion: The pregnant women exist anxiety tendency after earthquake,and anxiety could be relieved through mental intervention although it may take long-term procedure to recuperate.

     

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