318例产妇产褥期抑郁症患病率相关因素及防治策略探讨  

An Investigation of Incidence Related Factors and Prevention of Postpartum Depress

作　　者：何海珍[1] 沈晓露[1] 吴余敏[1] 李亿豪[1] 林存成[1] 黄国胜[1] 张红萍[1] 

机构地区：[1]温州市第三人民医院,浙江温州325000

出　　处：《中国初级卫生保健》2012年第3期92-94,共3页Chinese Primary Health Care

摘　　要：目的了解产妇产褥期抑郁症的患病率,探讨相关因素及防治策略,以降低产妇产褥期抑郁症的发病率和危害性。方法采用爱丁堡产后抑郁量表(EPDS)和自拟的一般资料调查表对318例产妇进行调查。结果对318例产妇的有效资料进行分析,其中产褥期情绪不良患病率为21.38%,产褥期抑郁症患病率为11.95%。青春期、高龄初产妇、婚姻满意度差、孕期情绪不稳定、不良妊娠分娩史、对新生儿性别期望高、社会支持低、认为养孩子是负担、对抚养孩子缺乏信心、曾有过产褥期抑郁症或抑郁症病史等是产褥期抑郁症的主要影响因素。结论产褥期抑郁症的患病率较高,是多种因素综合作用的结果。针对病因进行预防及采取相应的对策,可减少产后抑郁症的发生,提高妇女生活质质。OBJECTIVE To understand the incidence, related factors and prevention strategies of postpartum depression, to reduce the incidence and damage of postpartum depression. METHODS The Edinburgh Postnatal Depression Seale（EPDS）and the self prepared questionnaire were used to conduct an investigation of 318 cases of maternity patients（postpartum mothers）. RESULTS The analysis of valid information of the 318 cases indicate that the incidence of postpartum mood bad is 21.38% , the incidence of postpartum depression is 11.95%. Major factor of postpartum depression including adolescence, elderly primipara, marital satisfaction, poorness, emotionally unstable during pregnancy, adverse pregnancy, childbirth history, high expectations of the newborn gender, lower social support, that the child is a burden, lack of confidence in their child-rearing and history of depression such as postpartum depression. CONCLUSION High prevalence postpartum depression is the result of many factors. Prevention effects base on the causes, can reduce the occurrence of depression and improve women＇ s quality of life.

关 键 词：产褥期抑郁症 爱丁堡产后抑郁量表 相关因素 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]