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目的调查高龄双胎妊娠女性妊娠压力、负性情绪、社会支持水平,分析社会支持的调节效应,为临床护理开展产前教育提供理论依据。方法采用方便抽样法选取2015年3月-2016年11月在长春市某三级甲等医院产科门诊和住院部就诊的200例高龄双胎妊娠女性为研究对象。采用妊娠压力量表(PSRS36)、领悟社会支持量表(PSSS)、医院焦虑抑郁量表(HAD)和一般资料调查表进行问卷调查。结果高龄双胎妊娠女性妊娠压力总分为(50.54±16.92)分,领悟社会支持总分为(69.68±9.05)分。焦虑、抑郁的发生率分别为30.95%和38.69%。高龄双胎妊娠女性妊娠压力处于中等水平,结婚年限、分娩次数、文化程度为影响因素。结论护理人员应大力加强产前教育,针对高龄双胎妊娠女性具体情况进行护理和指导,从而降低高龄双胎妊娠女性的妊娠压力,更好地帮助其顺利度过妊娠期及分娩期。
Objective To investigate the pregnancy stress, negative emotions and social support of the elderly twin pregnancies and to analyze the regulatory effects of social support so as to provide a theoretical basis for prenatal education in clinical nursing. Methods A total of 200 elderly twin pregnant women treated in obstetrics and gynecology clinic and inpatient department of a tertiary level Hospitals in Changchun from March 2015 to November 2016 were selected as the study objects by convenient sampling method. The PSRS36, PSSS, HAD and General Data Questionnaire were used for questionnaire survey. Results The total score of pregnancy pressure in elderly twin pregnancies was (50.54 ± 16.92) points and the score of perceived social support was (69.68 ± 9.05) points. The incidence of anxiety and depression were 30.95% and 38.69% respectively. Pregnant women with twin gestation at an advanced age have moderate stress, years of marriage, number of births and educational level. Conclusion Nurses should strengthen prenatal education and care and guidance for the specific conditions of women with twin pregnancies, thus reducing the pregnancy stress of women with twin pregnancies and helping them successfully pass pregnancy and childbirth.