Dấu hiệu trầm cảm và một số yếu tố liên quan ở phụ nữ mang thai tại bệnh viện Phụ sản Hà Nội

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Tác giả: Thị Hương Chu, Thùy Linh Dương, Thị Thúy Lan Lê, Phương Thúy Nguyễn, Thị Diệu Nguyễn, Thị Hương Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2022

Mô tả vật lý: tr.45917

Bộ sưu tập: Metadata

ID: 337098

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Xác định tỷ lệ thai phụ có dấu hiệu trầm cảm và một số yếu tố liên quan tại Hà Nội trong thời kỳ dịch COVID-19. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang được tiến hành tại Bệnh viện Phụ Sản Hà Nội từ 11/2021 tới 3/2022. Tổng số 444 phụ nữ mang thai tham gia nghiên cứu bằng phương pháp chọn mẫu thuận tiện. Kết quả: 68,2% thai phụ có triệu chứng trầm cảm trong thời kỳ COVID-19. Tiền sử thai lưu, hiện mắc bệnh phụ khoa, và lo âu trong thai kỳ là các yếu tố nguy cơ. Ngược lại, tuổi thai cao, học vấn cao, và nhận được nhiều hỗ trợ xã hội làm giảm nguy cơ trầm cảm cho thai phụ. Kết luận: Cần có thêm các nghiên cứu khác triển khai trên diện rộng hơn để có cái nhìn bao quát về tỷ lệ dấu hiệu trầm cảm ở phụ nữ mang thai trong cộng đồng. Đồng thời, việc chuẩn hóa thang đo xác định chẩn đoán tỷ lệ trầm cảm với độ nhạy, độ đặc hiệu phù hợp cho phụ nữ mang thai Việt Nam là hết sức cần thiết.Objectives: Evaluated depressive symptoms in pregnant women and identified risk factors during the COVID-19 pandemic. Methods: A cross-sectional study was conducted in Hanoi Obstetrics and Gynecology hospital collecting data from November 2021 to March 2022, using a structured questionnaire among 444 pregnant women. Edinburgh Depression Scale was used to assess antenatal depression. Anxiety and social support were investigated by the PROMIS Anxiety Adult, and Multidimensional Scale of Perceived Social Support, respectively. A multivariate logistic regression model was used to determine related factors for antenatal depression. Main findings: 68.2% of participants reported antenatal depressive symptoms. Risk factors were previous stillbirth, current gynecological diseases, and antenatal anxiety. While higher levels of social support, later trimester, higher educational levels were associated with lower psychological symptoms. Conclusions: We emphasized the importance of implementing formal screening programs to detect antennal depression early and encourage the support from family and friends for expected mother during pregnancy.

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