妊娠晚期孕妇症状群特征及影响因素研究

doi:10.3969/j.issn.1006-5253.2022.02.002

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摘要目的调查分析妊娠晚期孕妇症状群发生现状，以期为妊娠晚期孕妇的症状管理提供参考。方法以2021年4月至5月某医院产科就诊孕妇为研究对象，采用《记忆症状评估量表》进行问卷调查，单因素分析采用 t-检验、ANOVA，多因素分析采用多元线性回归分析。结果共回收有效问卷279份，各症状群中，得分最高的维度为睡眠相关症状群（0.90±0.30）分。多因素分析结果显示，身体形象障碍症状群的影响因素包括居住地（t=-3.868，P＜0.001）和产前教育（t=-2.976，P=0.003）；睡眠相关症状群的影响因素包括产前教育（t=6.021，P＜0.001）和年龄（t=5.313，P＜0.001）；肠道相关症状群的影响因素包括孕周（t=39.983，P＜0.001）；活动无耐力症状群的影响因素包括产前教育（t=6.139，P＜0.001）和年龄（t=5.181，P＜0.001）。结论妊娠晚期孕妇经历较严重的睡眠相关症状群。妊娠晚期孕妇症状群受多种因素影响：居住在农村的孕妇身体形象障碍症状群更明显，高龄孕妇睡眠相关症状群更明显，临近分娩的孕妇肠道相关症状群更加明显，高龄孕妇活动耐力下降。

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	蒋婷婷
	陈艳艳
	潘琼琼
	王小梅

关键词 ：妊娠晚期, 症状群, 影响因素

Abstract：Objective To investigate and analyze the current situation of symptoms of pregnant women in the third trimester, in order to provide reference for symptom management of pregnant women in the third trimester.Methods From April to May 2021, pregnant women in the obstetric outpatient department of our hospital were selected as the research subjects, and the Memory Symptoms Assessment Scale was used for the questionnaire. T-test and ANOVA were used for univariate analysis, and multiple linear regression analysis was used for multivariate analysis.Results Totally 279 valid questionnaires were collected. Among all symptom clusters, the highest score was 0.90±0.30 points for the sleep-related symptom cluster. The results of multivariate analysis showed that the influencing factors of body image disorder symptom cluster included residence(t=-3.868, P＜0.001) and prenatal education (t=-2.976, P=0.003), the influencing factors of sleep-related symptom cluster included prenatal education (t=6.021, P＜0.001) and age (t=5.313, P＜0.001), the influencing factors of intestinal symptom cluster included gestational age (t=39.983, P＜0.001), and the influencing factors of symptom cluster with poor activity endurance included prenatal education (t=6.139, P＜0.001) and age(t=5.181, P＜0.001).Conclusion Pregnant women in the third trimester of pregnancy experience more severe sleep-related symptoms. The symptoms of pregnant women in the third trimester of pregnancy are influenced by many factors: the body image disorder symptoms of pregnant women living in rural areas are more obvious, the sleep-related symptoms of older pregnant women are more obvious, the intestinal related symptoms of pregnant women near delivery are more obvious, and the activity endurance of older pregnant women decreases.

Key words： third trimester symptom cluster influencing factor

收稿日期: 2022-01-18

通讯作者: 王小梅，Email:w18805820516@163.com

引用本文:

蒋婷婷，陈艳艳，潘琼琼，王小梅. 妊娠晚期孕妇症状群特征及影响因素研究[J]. 中国医院统计, 2022, 29(2): 87-92.
Jiang Tingting, Chen Yanyan, Pan Qiongqiong, Wang Xiaomei. Characteristics and influencing factors of symptom cluster of pregnant women in the third trimester. journal1, 2022, 29(2): 87-92.

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