Abstract: Objective　To explore the application effect of Family Assessment Device-General Functioning Scale (FAD-GF) in pre-examination triage of pregnant women's psychological state during coronavirus disease 2019 (COVID-19) epidemic. Methods　Six hundred and eighty-three singleton primiparae who underwent prenatal examination in Nanfang Hospital, Southern Medical University from October 2021 to February 2022 were prospectively selected, and they were 20-38 years old and 11-27 weeks pregnant. They were divided into an observation group (343 cases) and a control group (340 cases) by the random number table method. The control group took routine pre-examination triage, and the observation group used FAD-GF for pre-examination triage of the psychological state of the pregnant women. When they were 28-35 weeks pregnant, the effects were evaluated. Frequency, standard deviation, and Spearman correlation analysis were used for the descriptive statistics. Results　There were no statistical differences in the general data between the two groups. When they were 11-27 weeks pregnant, there were no statistical differences in the case numbers who did not need and needed intervention (both P>0.05); 331 cases took routine prenatal examination and 12 required psychological counseling referral in the observation group, and 107 and 33 in the control group, with statistical differences (both P<0.05). When they were 28-35 weeks pregnant, there were no statistical differences in the numbers taking routine prenatal examination and needing psychological counseling referral between these two groups (both P>0.05); 297 cases did not need intervention and 31 needed in the observation group, and 174 and 125 in the control group, with statistical differences (χ²=90.034 and 84.746, both P<0.05). There was a moderate negative correlation between routine pre-examination triage and psychological counseling referral, and the correlation coefficient was -0.435; there was a strong and negative correlation between pre-examination triage of pregnant women's psychological state by FAD-GF and psychological counseling referral, and the correlation coefficient was -0.719. The number of cases with improved psychological state and the total satisfaction in the observation group were higher than those in the control group [173 cases vs. 47 cases and (95.4±11.0) vs. (88.4±5.3)], with statistical difference between these two groups (χ²=104.829, t=10.580, both P<0.05). Conclusion　During the epidemic period, the application of FAD-GF in pre-examination triage of pregnant women's psychological state can improve the effect of triage, so it is worth being clinically generalized.

Key words: Pregnant women, Coronavirus disease 2019 (COVID-19), Family Assessment Device-General Functioning Scale, Psychologic state, Pre-examination triage

摘要： 目的　探讨疫情期间家庭功能评定量表-总的功能（FAD-GF）在孕妇心理状态预检分诊中的应用效果。方法　前瞻性选取2021年10月至2022年2月在南方医院产检的单胎初产孕妇683例，年龄为20～38岁，孕周11～27周，随机数字表法分为观察组343例、对照组340例。对照组常规分诊，观察组以FAD-GF对孕妇心理状态进行分诊，孕28～35周检测分诊效果。采用频数、标准差和Spearman相关分析进行描述性统计。结果　两组孕妇一般资料比较差异无统计学意义。孕11～27周：无须干预、需干预例数两组比较差异均无统计学意义（均P>0.05）；观察组常规产检例数（331例）高于对照组（107例），对照组心理咨询转介孕妇（33例）高于观察组（12例），两组比较差异均有统计学意义（均P<0.05）。孕28～35周：常规产检、心理咨询转介孕妇例数两组比较，差异均无统计学意义（均P>0.05）；观察组无须干预孕妇（297例）高于对照组（174例），对照组需干预（125例）高于观察组（31例），两组比较差异均有统计学意义（χ²=90.034、84.746，均P<0.05）。常规预检分诊与心理咨询转介存在中度负相关，相关系数为-0.435；FAD-GF预检分诊与心理咨询转介存在强相关、负相关，相关系数为-0.719。观察组改善孕妇心理状态例数（173例）、孕妇总满意度[（95.4±11.0）分]均高于对照组[47例、（88.4±5.3）分]，两组比较差异均有统计学意义（χ²=104.829，t=10.580，均P<0.05）。结论　疫情期间以FAD-GF对孕妇心理状态预检分诊，可提高分诊效果，值得在临床推广应用。

关键词: 孕妇, 新型冠状病毒肺炎疫情, 家庭功能评定量表-总的功能, 心理状态, 预检分诊