目的 分析孕妇产前抑郁情绪合并焦虑的类别差异，为临床针对性地开展孕妇情绪健康管理与护理干预提供重要参考。 方法 2021年3-6月，便利抽样法选取中山市2所三级甲等医院门诊产检的882名孕妇为研究对象，采用患者健康问卷、广泛性焦虑障碍量表、易感人格类型量表、简易应对方式问卷及社会支持评定量表对其进行调查。 结果 孕妇产前的抑郁检出率为32.4%（286/882），焦虑检出率为37.3%（329/882），抑郁情绪合并焦虑检出率为24.6%（217/882）；其潜在类别划分为低抑郁低焦虑情绪组（35.0%）、低抑郁高焦虑情绪组（21.4%）、高抑郁高焦虑情绪组（23.6%）、高抑郁低焦虑情绪组（20.0%）。人格特征、应对方式、社会支持、居住地、家庭人均月收入、职业是不同潜在类别孕妇的影响因素（均P＜0.05）。 结论 孕妇产前抑郁情绪合并焦虑检出率较高，可分为4个不同的潜在类别。医护人员应根据孕妇的不同情绪类别特点及其影响因素采取针对性的护理措施，以改善其情绪症状，提高护理干预效果。

Objective To analyze difference in categories of women’s prenatal depression combined with anxiety,so as to provide important reference for emotional health management and nursing intervention in clinical treatment.Methods From March to June 2021,pregnant women in outpatient clinics of 2 tertiary A hospitals in Zhongshan were conveniently selected.Patient health questionnaire,generalized anxiety disorder scale (GAD-7),susceptible personality type scale (VPSQ),simple coping style questionnaire (SCSQ) and social support rating scale (SSRS) were used to investigate.Results The detection rates of depression and anxiety in 882 pregnant women were 32.4% and 37.3% respectively.The detection rate of prenatal depression and anxiety was 24.6%,and its potential categories could be divided into four groups:low depression and low anxiety group (35.0%),low depression and high anxiety group (21.4%),high depression and high anxiety group (23.6%),and high depression and low anxiety group (20.0%).Personality characteristics,coping style,social support,place of residence,per capita monthly family income and occupation were the influencing factors of different potential categories of pregnant women (all P＜0.05).Conclusions The occurrence of prenatal depression combined with anxiety is high in pregnant women,which can be divided into 4 different potential categories.Medical staff should take specified measures according to different emotional categories and influencing factors in order to relieve patients’ emotional symptoms and improve the effect of nursing intervention.

R473.71

国家自然科学基金面上项目（72274090；71874075）；南方医科大学科研启蒙计划项目（B522320036）；校级大学生创新创业训练计划项目（202312121253）