|
|
|
| Analysis of the influencing factors of mental health of advanced pregnant women with the second child and the investigation of the health care needs of these women |
| The Second Affiliated Hospital of PLA Air Force Medical University, Xi 'an, Shaanxi Province, 710038 |
|
|
|
|
Abstract To analyze the status and influencing factors of the mental health of advanced pregnant women with the second child and to investigate the health care needs of these women. Methods: The advanced pregnant women with the second child were selected as the survey objects. The self-rating anxiety scale(SAS) and self-rating depression scale(SDS) were used to assess the mental health status of the women, and the influencing factors of their mental health were analyzed. The self-design perinatal care needs questionnaire was used to assess their knowledge of perinatal care and their needs for mental health during perinatal care. Results: Psychological assessment showed there were 71 women with anxiety/depression symptoms, with an incidence of 37.8%, and which included 45(23.9%) women with symptoms of anxiety and 26(13.8%) women with symptoms of depression. Multivariate analysis showed that the education level at college/bachelor's degree or master's degree or above, and the monthly family income >10000 Yuan were the protective factors of anxiety/depression of the advanced women with the second child during pregnancy. The disharmony between the husband and the wife, the disharmony between the mother-in-law and the daughter-in-law, the unplanned pregnancy, and the gender expectation of the second child were the risk factors of anxiety/depression during pregnancy(all P＜0.05). In the first trimester of pregnancy, the pregnant women had the highest demand for the pregnancy health care and general knowledge of fetal education(94.6%). In the second trimester of pregnancy, the pregnant women who wanted health knowledge mostly were fetal monitoring(82.4%). In the third trimester of pregnancy, the highest demand was delivery method selection(79.3%). The women would choose self-adjustment firstly when they encountered psychological confusion(44.2%). 79.8% of the women were willing to accept the mental health screening during perinatal period, and 65.4% women were willing to accept mental health care services during perinatal period. The top 3 of mental health care of the women during perinatal period were "common mental problems and health care guidance during pregnancy"(65.4%), "postpartum depression prevention and treatment guidance"(45.2%), and "pre-pregnancy mental health care guidance"(29.8%). The first way to obtain the knowledge of mental health care during perinatal period was through publicity materials(37.2%), and the institutions where the women wanted to accept mental health care services were mainly the community hospitals(45.2%) and the maternal and child health care hospitals(41.5%). The first reason of the women wanted to visit mental health clinics was the attitude of the doctor(63.8%), followed by the waiting time(53.7%). Conclusion: Anxiety and depression of the advanced pregnant women with the second child are common. The education levels, the family economic condition, the family relationship, and so on, are the influencing factors of anxiety/depression of the women. The demands of health care knowledge of the pregnant women are different during different pregnant stages, and most pregnant women have mental health care needs. Perinatal health care providers should focus on health education for different women and should provide mental health care services for the pregnant women actively.
|
|
|
|
|
|
|
|
|
