全程导乐陪伴分娩对产后抑郁症发病的影响  

Influence of "Doula Labor for Company in the Whole Course" on the onset of puerperal depression

作　　者：周敬珍[1] 尹春艳[1] 贾晓江[1] 李秋玲[1] 

机构地区：[1]广东省第二人民医院产科,广东广州510317

出　　处：《中国妇幼保健》2006年第9期1188-1190,共3页Maternal and Child Health Care of China

基　　金：广东省医学科研基金;项目编号:A2004518

摘　　要：目的:调查产后抑郁症的相关因素,探讨全程导乐陪伴分娩对产后抑郁症发病的影响。方法:选择在我院行产前检查并自愿要求全程导乐陪伴分娩的产妇856例为观察组,选择同期同数量定期产检,但未行全程导乐陪伴分娩的产妇为对照组。对两组孕妇进行孕期医院焦虑-抑郁情绪自评量表(HAD)测试(≥11分为焦虑-抑郁情绪)和产后艾迪产后抑郁量表(EPDS)测试(≥13分为产后抑郁症),部分病例采用艾森克个性量表(EPQ)做个性因素分析(N量表为情绪性,P量表为变态心理倾向或神经质)。观察两组产妇产后抑郁症发生率的变化。结果:①HAD≥11分者观察组为96例(11·2%),其中产后抑郁症发病17例,发生率为17·7%;对照组为95例(11·1%),其中产后抑郁症发病47例,发生率为49·5%。两组比较差异显著(χ2=21·68,P<0·01)。②EPDS≥13分者观察组为15例,其产后抑郁症发生率为1·75%;对照组73例,其产后抑郁症发生率为8·53%。两组比较差异显著(χ2=45·57,P<0·01)。③产后抑郁症患者EPQ中的N量表评分和P量表评分明显高于无产后抑郁症的正常孕妇,两者比较,差异有极显著性(t=8·67、9·66,P<0·01)。结论:全程导乐陪伴分娩能有效阻断产前焦虑-抑郁情绪、不良个性因素、产后心理及生理变化等高危发病因素;提高孕产妇的心理健康,显著降低产后抑郁症的发生率。Objective： To investigate the correlative factors of puerperal depression and to explore the influence of ＂Doula labor for company in the whole course＂ on the onset of puerperal depression. Methods： 856 cases of gravida received prenatal examination and asking for Doula lahor for company in the whole course voluntarily were selected as Doula group, and 856 cases, at the same time received prenatal examination periodically but not selected ＂Doula lahor for company in the whole course＂ were seleted as the control group. Gravida of two groups according to HAD （ ≥ 11 scores meaned anxiety - depressive emotion） on the gestational period and postpartum according to EPDS （ ≥13 scores meaned puerperal depression） were tested. Personality factors of part of the cases were determined on the basis of EPQ （ N amount form was emotion ; P amount form was abnormal psychological tendaney or nervosity） . Change of the incidence of puerperal depression between two groups was observed. Results： ①Among 96 cases of Doula group （ 11.2% ） having HAD not less than 11 scores, 17 cases had puerperal depression, the incidence was 17.7% ; among 95 cases of the control group （ 11. 1% ） having HAD not less than 11 scores, 47 cases had puerperal depression （49.5%） . There was extremely significant difference between two groups （X^2 = 21.68, P 〈 0. 01 ） . ②15 cases of the Doula group had EPDS not less than 13 scores, the incidence of puerperal depression was 1.75% （ 15/856）, 73 cases of the control group having EPDS not less than 13 scores, the incidence of puerperal depression was 8. 53% （73/856） . There was extremely significant difference between two groups （X^2 =45.57, P 〈0.01 ） . ③The marks of N amount form and P amount form of puerperal depression in EPQ test were remarkable higher than those of normal gravida without puerperal depression （ t = 8.67, 9. 66, P 〈 0. 01 ） . Conclusion： ＂Doula labor for company in the whole course＂ can effectively block the high r

关 键 词：全程导乐陪伴分娩 抑郁症 产后 

分 类 号：R714.3[医药卫生—妇产科学]