Study On Maternal Cognitive Decline And Its Influencing Factors

Objectives To understand the present situation of the decline of cognitive function,analyze the influence of maternal pregnancy examination,physiological and pathological changed during pregnancy,psychological changed during pregnancy psychological changed during pregnancy and other factors on the declined of cognitive function,and to provide theoretical basis for adjusting the content of health cared during pregnancy and formulating targeted intervention measures for various problems of pregnant women.Methods From October 2018～ September 2019,the pregnant women in Tangshan 3rd Hospital and Tangshan Hongci Hospital selected as the research subjects.A face-to-face questionnaire was conducted within 2～4 days after natural delivery,and the cognitive function of pregnant women was evaluated by the Montreal Cognitive Assessment Scale.The pregnancy stress scale,the Social Support Assessment Scale and the Pittsburgh Sleep Quality Assessment Scale were used to investigate the psychological and support of pregnant women during pregnancy.Excel was used to input the data and SPSS 17.0Software was used to analyze the data.Mean and standard deviation(?)was used to describe the measurement data.Frequency and percentage(%)were used to describe the counting data.The Single-factor analysis was performed with independent sample t-test or variance and analysis,Multivariate data analysis using multiple linear regression analysis.Results 1 The results showed that 62.1% of the pregnant women had mild cognitive decline,and the evaluation scores were(24.99±1.52),each dimension was divided into memory(delayed recall)dimension(0.29±0.14),language(0.56±0.31),visual space/execution(0.85±0.19),naming(0.97±0.08)and Abstract Dimensions(0.99±0.04),Attention(1.06±0.10),Orientation(6.00±0.00),where the memory(delayed recall)dimension score was the lowest.2 The results showed that: general conditions(age,weight gain during pregnancy,education level,whether often night shift during pregnancy,job stress),physiological and pathological changes during pregnancy(pregnancy experience,pregnancy hypertension,pregnancy diabetes,pregnancy constipation),diet during pregnancy(appetite during pregnancy,whether three meals during pregnancy,whether pay attention to vegetable and fruit intake during pregnancy),health care during pregnancy(insist on knowledge learning during pregnancy,insist on supplement of trace elements during pregnancy),psychological condition during pregnancy(pregnancy pressure,easy to blame for pregnancy,difficult to deal with during pregnancy,easy to have no reason during pregnancy)worry,pregnancy easy to panic,pregnancy easy to sad,pregnancy easy to cry,pregnancy easy fidgety),late pregnancy sleep status(subjective sleep quality in the third trimester,the total duration of sleep in the third trimester,the need time in the third trimester,sleep disorder in the third trimester,daytime dysfunction in the third trimester),pregnancy social support status and other factors related to maternal cognitive decline,the difference was statistically significant(P<0.05).3 Multivariate analysis of maternal cognitive decline: the results showed: general situation(age,education,whether regular night shift during pregnancy);diet during pregnancy(appetite during pregnancy,whether pay attention to vegetable and fruit intake during pregnancy);physiological and pathological changes during pregnancy(pregnancy experience,constipation during pregnancy);health care during pregnancy(adhere to knowledge learning during pregnancy,insist on pregnancy to supplement trace elements);psychological condition during pregnancy(difficult to deal with things duringpregnancy,easy to cry during pregnancy,irritable pregnancy,degree of stress during pregnancy);sleep in the third trimester(subjective sleep quality during the third trimester,total duration of sleep during pregnancy)and social support during pregnancy effect on maternal cognitive function(P<0.05).Conclusions 1 There were more women with mild cognitive decline in this survey(62.1%),and memory(delayed recall)was the most serious.2 The factors influencing the decline of maternal cognitive function are: age,education,night shift during pregnancy,appetite during pregnancy,intake of vegetables and fruits during pregnancy,pregnancy experience during pregnancy,constipation during pregnancy,adherence to knowledge learning during pregnancy,adherence to supplementation of trace elements during pregnancy in health care during pregnancy,difficulty in handling matters during pregnancy during pregnancy,easy to cry during pregnancy,irritability during pregnancy,stress during pregnancy,subjective sleep during late pregnancy Sleep quality,total sleep time,pregnancy social support status,etc.The pregnancy factors of maternal mild cognitive decline are more extensive.Figure0;Table11;Reference 254...