产前抑郁水平与社会支持的相关分析及社区干预对策  

Correlation analysis and community intervention strategies for prenatal depression level and social support level

作　　者：黄海燕[1] 梁伟珍[1] 王燕[1] 

机构地区：[1]台州市中心医院,浙江台州318000

出　　处：《护理与康复》2010年第3期189-191,共3页Journal of Nursing and Rehabilitation

摘　　要：目的探讨孕妇产前抑郁水平与社会支持的相关性,提出社区护理干预对策。方法采用抑郁自评量表和社会支持评定量表对623例孕妇进行测评,并对结果进行二元和多元逐步回归分析。结果孕妇抑郁发生率为30.98%,其中轻度23.11%、中度6.90%、重度0.96%;二元逐步回归分析表明,产前抑郁水平与社会支持总和、客观支持、主观支持、支持利用呈显著负相关,r值分别为-0.181、-0.265、-0.129、-0.199,P<0.05;多元逐步回归分析表明,客观支持是影响产前抑郁水平的主要保护因素。结论部分孕妇存在产前抑郁,其发生可能与社会、家庭支持程度较低有关;重视社会、家庭支持,加强产前社区护理干预,以防治产前抑郁。Objective To explore the correlation between prenatal depression level and social support and find out com- munity nursing intervention strategies. Method Assess 623 pregnant women by Self Rating Depression .Scale （SDS） and so- cial support rating scale and take binary and multiple stepwise regression analysis on the result. Result Depression rate is 30.98%, among which mild is 23. 11 %, medium is 6.90% and severe is 0. 96%. Binary stepwise regression analysis indi- cates prenatal depression has negative relation to total social support, objective support, subjective support and supportive use. The r value is - 0. 181, --0. 265., --0. 129 and 0. 199,P〈0. 05. Multiple stepwise regression analysis indicates objective support is the main protective factor affecting prenatal depression level. Conclusion Part of pregnant women have prenatal depression. The rate is probably related to low social supportive degree. Paying attention to social support, impro- ving prenatal community nursing intervention can prevent prenatal depression.

关 键 词：产前抑郁 社会支持 相关分析 社区干预 

分 类 号：R173.7[医药卫生—妇幼卫生保健]