初产妇及经产妇抑郁调查及相关因素分析
摘要
目的探究初产妇及经产妇抑郁发病情况及其影响因素。方法以2018年在该院住院分娩的568例孕妇作为调查对象,其中初产妇300例(初产妇组),经产妇268例(经产妇组),经爱丁堡产后抑郁量表调查为产后抑郁的患者90例,初产妇组中有48例,经产妇组中有42例。通过对不同产次孕妇的抑郁情况分布进行调查,对抑郁产妇的危险因素进行分析。结果初产妇和经产妇的产后抑郁发生率比较,差异无统计学意义(P>0. 05);经过多因素Logistic回归分析显示,初产妇的年龄OR (95%CI):20. 921 (5. 442-78. 229)、产妇文化程度OR (95%CI):11. 242 (5. 561～22. 261)、产前教育OR (95%CI):9. 121 (4. 009～16. 335)、家庭关系OR (95%CI):7. 345 (3. 821～13. 375)、配偶年龄差OR (95%CI):7. 229 (4. 352～14. 334)和生产方式OR (95%CI):13. 221 (5. 112～22. 345)是导致产后抑郁的危险因素(均P<0. 05);经产妇在初产妇的基础上除了生产方式以外又增加了配偶文化程度OR (95%CI)=7. 223 (4. 313～9. 312)、配偶职业OR (95%CI)=6. 389 (3. 554～6. 882)、孩子抚养信心OR (95%CI)=1. 694 (0. 321～2. 481)和胎儿性别期望OR (95%CI)=6. 789 (3. 228～10. 998)等产后抑郁危险因素(均P<0. 05)。结论针对产后抑郁高危孕妇应该加强健康宣传教育和心理辅导,充分发挥社会支持系统,根据患者的自身情况采取个体化的干预方式,提高产妇心理健康同时降低产后抑郁症的发生。
引文
[1]钟远芬,钟彩玉.认知行为护理干预联合系统性家庭护理干预对于轻中度产后抑郁的效果分析[J].中国实用医药,2019,14(1):181-182.
[2]Wilson N,Lee JJ,Bei B.Postpartum fatigue and depression:a systematic review and meta-analysis[J].J Affect Disord,2019,24(6):138-145.
[3]沈蓓蓓,林启萍,毛丽萍,等.联合运用爱丁堡产后抑郁量表和产后抑郁筛查量表筛查研究高危妊娠孕妇孕晚期抑郁状况[J].中国实用护理杂志,2018,34(26):2031-2034.
[4]孟丹妮.产后抑郁患者心理状态及护理措施分析[J].中国实用医药,2019,14(2):161-162.
[5]张成璐,李玉红,步仰高,等.二胎产妇分娩体验与抑郁情绪的相关性研究[J].中国妇幼保健,2019,34(2):410-413.
[6]张慧娴,阮诗轶,连彩峰,等.“二胎”产妇产后抑郁的发生情况与危险因素调查[J].中医药管理杂志,2018,26(2):16-18.
[7]Moore Simas TA,Huang MY,Patton C,et al The humanistic burden of postpartum depression:a systematic literature review[J].Curr Med Res Opin,2019,35(3):383-393.
[8]张小艺,杨伟雄,段开明.产后抑郁的临床危险因素分析[J].中国实用医药,2018,13(13):76-78.
[9]Vaezi A,Soojoodi F,Banihashemi AT,et al.The association between social support and postpartum depression in women:a cross sectional study[J].Women Birth,2018,12(32):224-233.
[10]Nakamura A,van der Waerden AT,Melchior M,et al.Physical activity during pregnancy and postpartum depression:systematic review and meta-analysis[J].J Affect Disord,2018,1(8):29-41.
[11]沐婷玉,李玉红,高雅琴,等.不同孕次产妇产后抑郁发生率及影响因素调查[J].中国妇幼保健,2018,33(10):2319-2322.
[12]Yu Z,Lauver DR,Wang L,et al.Developing and pretesting a survey about immigrant women's experiences with postpartum depression screening[J].J Obstet Gynecol Neonatal Nurs,2019,48(2):216-226.
[13]张卓,闫金梅,臧明翠,等.产后抑郁社会心理因素分析及团体干预效果的病例对照研究[J].中国妇幼保健,2018,33(14):3185-3187.
[14]Kallem S,Matone M,Boyd RC,et al.Mothers'mental health care use after screening for postpartum depression at well-child visits[J].Acad Pediatr,2018,12(19):367-389.
[15]吴慧萍.心理护理干预对孕产妇的妊娠结局及产后抑郁状况的影响[J].中国当代医药,2019,26(2):221-223.
[16]Tambag H,Turan Z,Tolun S,et al.Perceived social support and depression levels of women in the postpartum period in Hatay,Turkey[J].Niger J Clin Pract,2018,21(11):283-289.
[2]Wilson N,Lee JJ,Bei B.Postpartum fatigue and depression:a systematic review and meta-analysis[J].J Affect Disord,2019,24(6):138-145.
[3]沈蓓蓓,林启萍,毛丽萍,等.联合运用爱丁堡产后抑郁量表和产后抑郁筛查量表筛查研究高危妊娠孕妇孕晚期抑郁状况[J].中国实用护理杂志,2018,34(26):2031-2034.
[4]孟丹妮.产后抑郁患者心理状态及护理措施分析[J].中国实用医药,2019,14(2):161-162.
[5]张成璐,李玉红,步仰高,等.二胎产妇分娩体验与抑郁情绪的相关性研究[J].中国妇幼保健,2019,34(2):410-413.
[6]张慧娴,阮诗轶,连彩峰,等.“二胎”产妇产后抑郁的发生情况与危险因素调查[J].中医药管理杂志,2018,26(2):16-18.
[7]Moore Simas TA,Huang MY,Patton C,et al The humanistic burden of postpartum depression:a systematic literature review[J].Curr Med Res Opin,2019,35(3):383-393.
[8]张小艺,杨伟雄,段开明.产后抑郁的临床危险因素分析[J].中国实用医药,2018,13(13):76-78.
[9]Vaezi A,Soojoodi F,Banihashemi AT,et al.The association between social support and postpartum depression in women:a cross sectional study[J].Women Birth,2018,12(32):224-233.
[10]Nakamura A,van der Waerden AT,Melchior M,et al.Physical activity during pregnancy and postpartum depression:systematic review and meta-analysis[J].J Affect Disord,2018,1(8):29-41.
[11]沐婷玉,李玉红,高雅琴,等.不同孕次产妇产后抑郁发生率及影响因素调查[J].中国妇幼保健,2018,33(10):2319-2322.
[12]Yu Z,Lauver DR,Wang L,et al.Developing and pretesting a survey about immigrant women's experiences with postpartum depression screening[J].J Obstet Gynecol Neonatal Nurs,2019,48(2):216-226.
[13]张卓,闫金梅,臧明翠,等.产后抑郁社会心理因素分析及团体干预效果的病例对照研究[J].中国妇幼保健,2018,33(14):3185-3187.
[14]Kallem S,Matone M,Boyd RC,et al.Mothers'mental health care use after screening for postpartum depression at well-child visits[J].Acad Pediatr,2018,12(19):367-389.
[15]吴慧萍.心理护理干预对孕产妇的妊娠结局及产后抑郁状况的影响[J].中国当代医药,2019,26(2):221-223.
[16]Tambag H,Turan Z,Tolun S,et al.Perceived social support and depression levels of women in the postpartum period in Hatay,Turkey[J].Niger J Clin Pract,2018,21(11):283-289.