目的 了解芜湖市妇幼保健计划生育服务中心分娩产妇产后抑郁症状发生情况,探讨不同时间段产后抑郁症状的影响因素。方法 采用一对一问卷调查方法,对在本中心分娩产妇,在产后3~7 d和产后42~56 d进行两次调查分析,采用多因素logistic回归分析方法分析产后抑郁影响因素。结果 产后3~7 d EPDS≥13分50人,阳性率7.52%,产后42~56 d EPDS≥13分81人,阳性率12.18%,抑郁筛查阳性率比较差异有统计学意义(P＜0.01);产妇睡眠差(OR=4.226,95%CI=1.211~14.752)、婴儿性别期望不一致(OR=2.751,95%CI=1.332~5.681)产妇产后3~7 d产后抑郁风险增加;产妇睡眠差(OR=11.909,95%CI=4.192~33.834)、与公婆关系不好(OR=3.403,95%CI=2.023~5.726)、产妇产后42~56 d产后抑郁风险增加,不担心体型恢复是产后42~56 d抑郁的保护因素(OR=0.415,95%CI=0.221~0.778)。结论 产后3~7 d和产后42~56 d及时开展产后抑郁筛查,对抑郁风险高对人群,有针对性地加强心理指导,降低产后抑郁发生。
Abstract
Objective To understand the incidence of postpartum depression in the delivery women of Wuhu maternal and child health and family planning service center,and to explore the influencing factors of postpartum depression in different periods of time. Methods Using the method of one-to-one questionnaire,we investigated and analyzed the parturients in our center at 3-7d and 42-56d postnatally.Multiple logistic regression analysis was used to analyze the influencing factors of postpartum depression. Results There were 50 patients with EPDS≥13 on the 3rd to 7th day of postpartum,with a positive rate of 7.52%.81 patients with EPDS≥13 on the 42nd to 56th day of postpartum,with a positive rate of 12.18%.There was a significant difference in the positive rate of depression screening (P＜0.01).The risk of postpartum depression of parturient women with poor sleep (OR=4.226,95% CI=1.211-14.752) and consistent gender expectation (OR=2.751,95% CI=1.332-5.681) increased on the 3rd to 7th day of postpartum.The risk of postpartum depression of parturient women with poor sleep (OR=11.909,95% CI=4.192-33.834) and poor relationship with their parents in law (OR=3.403,95% CI=2.023-5.726) increased on the 42th to 56th day of postpartum.Not worrying about body shape recovery is the protective factor of depression in on the 42th to 56th day of postnatal (OR= 0.415,95% CI=0.221-0.778). Conclusion Postpartum depression screening should be carried out in time on the 3rd to 7th day of postpartum,which can enhance the psychological guidance for the population with high risk of depression and reduce the incidence of postpartum depression.
关键词
产后抑郁 /
现状 /
影响因素
Key words
Postpartum depression /
Current situation /
Influence factor
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Miller LJ.Postpartum depression[J].JAMA,2002,287(6): 762-765.
[2] McPeak KE,Sandrock D,Spector ND,et al.Important determinants of newborn health:postpartum depression,teen parenting,and breast-feeding[J].Curr Opin Pediatr,2015,27(1):138-144.
[3] Wright CM,Parkinson KN,Drewett RF.The influence of maternal socioeconomic emotional factors on infant weight gain and weight faltering (failure to thrive): data from a prospective birth cohort[J].Arch Dis Child,2006,91(4):312-317.
[4] Adouard F,Glangeaud-Freudenthal NMC,Golse B.Validation of the Edinburgh postnatal depression scale (EPDS) in a sample of women with high-risk pregnancies in France[J].Arch Women Ment Health,2005,8(2):89-95.
[5] 杨丽萍,徐倩,齐玲.产后抑郁的危险因素及预防[J].中国临床护理,2016,8(6)501-504.
[6] 王欲晓.产后抑郁相关因素及分析对策,[J].中国急救医学2016,36(11):288-290.
[7] 刘慎梅,胡艳芳.产后抑郁现状及其影响因素调查分析[J].中国临床护理,2015,7(4):281-283.
[8] 谷申森,钱娅,陈欢,等.二胎孕产妇抑郁现状及相关因素分析[J].中国妇幼健康研究,2017,28(10):1177-1180.
[9] Lee D,Yip A,Chan S.香港华人产妇产后抑郁危险因素的前瞻性研究[J].中国心理卫生杂志,2005,19(9): 626-631.
[10] 黄丽,李卢新,许水莲,等.围产期心理咨询和形体训练对产后心身恢复的作用[J].中华护理杂志,2003,38(9):697-699.
基金
芜湖市科技惠民计划、项目编号2016hm21
PDF(828 KB)
