武汉地区21家妇幼保健机构对产后抑郁识别的现况调查  

Investigation of Postpartum Depression Among Medical Staff From 21 Maternal and Child Care Centers in Wuhan:A Cross-Sectional Survey

作　　者：钟宝亮[1] 崔娟[2] 陈红辉[1] 张建芳[1] 徐汉明[1] 范银萍[1] 王品琥[1] 周蕾[1] 

机构地区：[1]华中科技大学同济医学院附属精神卫生中心,湖北武汉430022 [2]中国疾病预防控制中心慢性非传染性疾病预防控制中心

出　　处：《中华妇幼临床医学杂志（电子版）》2011年第1期12-15,共4页Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)

基　　金：国家自然科学基金资助项目(30770754)~~

摘　　要：目的了解武汉地区妇幼保健机构的医师和护士对产妇产后抑郁(postpartum depression,PPD)的识别情况。方法 2009年3月至5月,采用分层整群随机抽样方法,对武汉市21家妇幼保健机构(综合性医院妇产科16家,妇幼保健院5家)产科的208位医护人员(样本1,n=208,其中医师为106位,护士为102位)和精神医学专科机构(武汉市精神卫生中心)的116位精神卫生专业人员(样本2,n=116,其中医师为57位,护士为59位),分别让其完成《产妇产后抑郁症测试问卷》中有关产后抑郁症患者(患者1)的识别项目,阴性症状为主的精神分裂症患者(患者2)的识别项目。采用χ2检验对样本1和样本2的问卷结果进行比较分析(本研究遵循的程序符合武汉市精神卫生中心伦理委员会制定的伦理学标准,得到该委员会批准,并与研究对象签署知情同意书)。结果样本1对患者1、患者2的分析正确率低于样本2的分析正确率(对患者1的分析结果正确率:医师为17.9%vs.75.4%,护士为0.0vs.67.8%;对患者2:医师为10.4%vs.73.7%,护士为6.86%vs.69.5%),样本1和样本2的分析结果正确率比较,差异有显著意义(P<0.001,P<0.001)。结论妇幼保健机构医师和护士对产妇产后抑郁识别处理能力不足,有必要加强医护人员的精神医学知识培训。Objective To investigate the recognition of postpartum depression（PPD）among clinicians and nurses serving in the maternal and child care centers in Wuhan.Methods From March to May 2009,using stratified cluster randomization method,106 clinicians and 102 nurses（sample 1,n=208）from 21 maternal and child care centers,and 57 clinicians and 59 nurses of mental health center（sample 2,n=116）were randomly selected and administered with Postpartum Depression Test Questionnaire（case 1：postpartum depression,case 2：Schizophrenia with predominantly negative symptoms）.Comparative analysis on the answers of the test questionnaire of postpartum depression were made between sample 1 and sample 2 by χ2 test.The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Wuhan Mental Health Center.Informed consent was obtained from all participants.Results The correct rates of the answers of postpartum depression test questionnaire from sample 1 were statistically lower than those of sample 2 between case 1 and case 2（P0.001,P0.001）（Case 1：The correct rates were 17.9% vs.75.4% and 0.0 vs.67.8% for clinicians and nurses respectively;Case 2：The correct rates were 10.4% vs.73.7% and 6.86%vs.69.5% for clinicians and nurses respectively）.Conclusion The clinicians and nurses in maternal and child care centers were not fully capable of recognizing and treatment postpartum depression.It＇s necessary to strengthen the education of clinicians and nurses in psychiatry filed.

关 键 词：产后抑郁 识别 医护人员 现况调查 

分 类 号：R749.4[医药卫生—神经病学与精神病学]