妊娠晚期孕妇抑郁状况及影响因素研究
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摘要
目的了解妊娠晚期孕妇的抑郁现状及其影响因素。方法选择宁夏6所医院1 202名妊娠晚期孕妇进行问卷调查,采用抑郁自评量表(self-rating depression scale,SDS)评定孕妇抑郁状况,采用非条件Logistic分析抑郁的影响因素。结果 1 202名孕妇抑郁检出率为51. 41%,SDS得分为(52. 01±10. 18)分,高于常摸(41. 88±10. 57)分,差异有统计学意义(t=5. 806,P <0. 001)。多因素Logistic回归分析结果显示,流产、婚姻不幸、父母早年离异、有孕期并发症、文化程度较低、夫妻关系差、社会支持度低是妊娠晚期抑郁的危险因素。结论妊娠晚期孕妇抑郁较普遍,且抑郁与多种因素有关。
Objective To investigate the current status of depression among late pregnancy women and analyse its influencing factors. Methods Zung self-rating depression scale( SDS) was used to evaluate the depressive status in 1 202 late pregnant women from 6 hospitals in Ningxia. Multivariate Logistic regression model was used to explore the risk factors of depression. Results The prevalence rate of depression in 1 202 late pregnancy women was 51. 41%. The scale of SDS was( 52. 01 ± 10. 18) points and higher than the normal score( 41. 88 ± 10. 57),the difference was significant( t = 5. 806,P < 0. 001). Multivariate logistic regression analysis showed that abortion,unfortunate marriage,early divorce of parents,low level of education,poor relationship between husband and wife,pregnancy complications and low social support were the risk factors of depressive symptoms in late pregnant women. Conclusion The prevalence rate of depression in late pregnant women was higher. Depression was associated with many factors.
Objective To investigate the current status of depression among late pregnancy women and analyse its influencing factors. Methods Zung self-rating depression scale( SDS) was used to evaluate the depressive status in 1 202 late pregnant women from 6 hospitals in Ningxia. Multivariate Logistic regression model was used to explore the risk factors of depression. Results The prevalence rate of depression in 1 202 late pregnancy women was 51. 41%. The scale of SDS was( 52. 01 ± 10. 18) points and higher than the normal score( 41. 88 ± 10. 57),the difference was significant( t = 5. 806,P < 0. 001). Multivariate logistic regression analysis showed that abortion,unfortunate marriage,early divorce of parents,low level of education,poor relationship between husband and wife,pregnancy complications and low social support were the risk factors of depressive symptoms in late pregnant women. Conclusion The prevalence rate of depression in late pregnant women was higher. Depression was associated with many factors.
引文
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[4]李珊珊,贝为武,张晓庆,等.孕妇焦虑抑郁状况及其影响因素调查研究[J].中国现代医学杂志,2016,26(24):124-128.
[5]李青,田建丽,徐晓慧,等.产前风险问卷预测产后抑郁的适用性研究[J].现代预防医学,2017,44(8):1406-1409.
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[11]刘方华,曹小彪,赵友聪.中、晚孕妇女产前抑郁影响因素的比较[J].解放军预防医学杂志,2014,32(3):245-246.
[12]蒋望雁,何瑛.孕妇社会支持与产前抑郁情绪关系的探讨[J].实用预防医学,2008,15(3):812-813.
[13]翁雪玲,翟佳,江志潇,等.妊娠晚期高危孕妇抑郁状况及其影响因素分析[J].中国妇幼保健,2018,33(6):1392-1394.
[14]左梦玲,董柏青,雷利志,等.广西孕产妇死亡率变化趋势分析及预测研究[J].中华疾病控制杂志,2017,21(9):953-955.
[15] Okun ML,Kiewra K,Luther JF,et al. Sleep disturbances in depressed and non depressed pregnant women[J]. Depress Anxiety,2011,28(8):676-685.
[16]武姣,罗艳虹,郭兴萍,等.母亲孕早期患病对出生缺陷的随机效应Logistic模型分析[J].中华疾病控制杂志,2016,20(2):146-148.
[2] Chen CH,Lin HC. Prenatal care and adverse pregnancy outcomes among women with depression:a nationwide populationbased study[J]. Can J Psychiatry,2011,56(5):273-280.
[3]杨婷,合浩,冒才英,等.孕妇产前抑郁焦虑的危险因素[J].中国心理卫生杂志,2015,29(4):246-250.
[4]李珊珊,贝为武,张晓庆,等.孕妇焦虑抑郁状况及其影响因素调查研究[J].中国现代医学杂志,2016,26(24):124-128.
[5]李青,田建丽,徐晓慧,等.产前风险问卷预测产后抑郁的适用性研究[J].现代预防医学,2017,44(8):1406-1409.
[6] Zung WWK. Zung self-rating depression scale and depression status inventory[M]. Berlin:Springer-Verlag,1986:221-231.
[7]陈维,卢聪,杨晓晓,等.领悟社会支持量表的多元概化分析[J].心理学探新,2016,36(1):75-78.
[8]刘鹭燕,朱秀,郑修霞,等.不同孕期孕妇抑郁状态的调查分析[J].解放军护理杂志,2005,22(4):42-43.
[9]徐明敏,刘爱忠.孕晚期妇女焦虑、抑郁发生状况及影响因素研究[J].湖南师范大学学报(医学版),2015,12(1):72-77.
[10]刘贤臣,戴郑生,唐茂芹,等.抑郁自评量表(SDS)医学生测查结果的因子分析[J].中国临床心理学杂志,1994,(3):151-154.
[11]刘方华,曹小彪,赵友聪.中、晚孕妇女产前抑郁影响因素的比较[J].解放军预防医学杂志,2014,32(3):245-246.
[12]蒋望雁,何瑛.孕妇社会支持与产前抑郁情绪关系的探讨[J].实用预防医学,2008,15(3):812-813.
[13]翁雪玲,翟佳,江志潇,等.妊娠晚期高危孕妇抑郁状况及其影响因素分析[J].中国妇幼保健,2018,33(6):1392-1394.
[14]左梦玲,董柏青,雷利志,等.广西孕产妇死亡率变化趋势分析及预测研究[J].中华疾病控制杂志,2017,21(9):953-955.
[15] Okun ML,Kiewra K,Luther JF,et al. Sleep disturbances in depressed and non depressed pregnant women[J]. Depress Anxiety,2011,28(8):676-685.
[16]武姣,罗艳虹,郭兴萍,等.母亲孕早期患病对出生缺陷的随机效应Logistic模型分析[J].中华疾病控制杂志,2016,20(2):146-148.