婴儿因素与产后抑郁症相关性探讨  

Investigation on the relativity between infant factors and postpartum depression

作　　者：周晨慧[1] 廖少玲[1,2] 刘琼玲[1] 黄娟娟[1] 李红赞[1] 庞小艳[2] 

机构地区：[1]广东医学院护理学院,广东东莞523808 [2]广东医学院附属医院,广东湛江524001

出　　处：《中国医药导报》2012年第2期128-129,共2页China Medical Herald

基　　金：广东省科技计划资助课题(项目编号:2007B031502002);湛江市科技计划资助课题(项目编号:2009C3106015);广东省护理学会资助课题(项目编号:B2009014)

摘　　要：目的探讨婴儿因素与产后抑郁症的相关性。方法采用自编一般资料调查表和爱丁堡产后抑郁量表,对182名产妇进行问卷调查,所有资料采用SPSS 13.0统计软件处理,进行χ2检验和非条件Logistic多因素回归分析。结果婴儿夜间睡眠好、夜间睡眠一般和夜间睡眠差的产妇产后抑郁症发病率分别为16.3%、15.6%和46.2%,婴儿夜间睡眠差的产妇产后抑郁症发病率最高,差异有统计学意义(P<0.01);婴儿哭闹频繁、哭闹一般与婴儿哭闹不频繁的产妇产后抑郁症发病率分别为40.6%、15.1%和17.2%,婴儿频繁哭闹的产妇产后抑郁症发病率高,差异有统计学意义(P<0.01);母乳喂养、混合喂养和人工喂养婴儿的产妇产后抑郁症发病率分别为20.0%、21.3%和18.8%,差异无统计学意义(P>0.05)。非条件Logistic多因素回归分析表明,婴儿夜间睡眠差和婴儿经常哭闹均为产后抑郁症的风险因子(OR=2.012、1.827)。结论对婴儿夜间睡眠差和婴儿经常哭闹的产妇应加以关注,以预防和降低产后抑郁症的发生。Objective To investigate the relativity between infant factors and postpartum depression.Methods A total of 182 puerperas were investigated by Edinburgh postnatal depression scale（EPDS） and self-designed questionnaire.All data were analyzed by χ2 test and unconditional Logistic multiple regression analysis with SPSS 13.0 statistical software.Results The incidence rate of postpartum depression in puerperas with good sleep infant,ordinary sleep infant and bad sleep infant were 16.3%,15.6% and 46.2% respectively,and the incidence rate of postpartum depression in puerperas with bad sleep infant increased significantly（P〈0.01）.The incidence rate of postpartum depression in puerperas with frequent crying infant,ordinary crying infant and seldom crying infant were 40.6%,15.1% and 17.2% respectively,and the incidence rate of postpartum depression in puerperas with frequent crying infant increased significantly（P〈0.01）.The incidence rate of postpartum depression in puerperas with breast-feeding infant,mix feeding infant and artificial feeding infant were 20.0%,21.3% and 18.8% respectively,and there was no statistically significant difference among the three groups.The Logistic multiple regression analysis showed that the infants with bad sleep at night and frequent crying were risk factors of postpartum depression for puerperas.Conclusion The puerperas who have infants of bad sleep at night and frequent crying should be noticed,in order to prevent and reduce the incidence of postpartum depression.

关 键 词：产后抑郁症 爱丁堡产后抑郁量表 产妇 

分 类 号：R749.4[医药卫生—神经病学与精神病学]