产后抑郁症的相关性因素分析  

Analysis of Correlation Factors of Postpartum Depression

作　　者：孙洪丽[1] 苏虹[1] 张静[1] 范薇[1] 

机构地区：[1]昆明市妇幼保健院,云南昆明650028

出　　处：《昆明医科大学学报》2015年第12期60-64,共5页Journal of Kunming Medical University

基　　金：昆明市卫生科技计划项目(2013-01)

摘　　要：目的对昆明市的产后妇女发生抑郁症的影响因素进行分析及干预措施.方法采用爱丁堡产后抑郁量表(EPDS)评估孕妇的抑郁程度,以EPDS评分≥10分为抑郁症.选择妊娠37周至产后42 d妇女,分别在产前和产后进行EPDS调查问卷,应用Logistic回归分析模型,筛选产后抑郁症的相关因素进行分析.结果产后抑郁症发生率为17.0%,以发生抑郁与否为因变量,选择15个可能影响的因素作为自变量,进行非条件的Logistic回归分析,结果显示:家庭成员是影响产后抑郁症的重要因素(P=0.027),家庭的不和谐、发生重大不愉快事件的产妇更容易发生抑郁.结论家庭成员是影响产妇产后抑郁症的重要影响因素.应积极进行心理指导,有助于降低产后抑郁症发生率。Objective To analyze the influential factors of postnatal depression of women in Kunming city and propose intervening measure. Methods Edinburgh postnatal depression scale （EPDS） was used to evaluate the depression level of pregnant women. The EPDS score ≥ 10 is regarded as depression positive. Pregnant women from 37 weeks to 42 days after delivery were selected to answer the EPDS questionnaire in the prenatal and postnatal period. Logistic regression analysis model was used to analyze the related factors of postpartum depression. Results The rate of postnatal depress was 17%. Non-conditional logistic regression analysis was performed by using whether pregnant woman got postpartum depression or not as the dependent variable, combined with 15 factors that might affect postpartum depression as the dependent variable. The results were displayed that the family members were the important factor that affected postnatal depress （P=0.027） . Postpartum women who suffered from disharmonious family relationship and serious events were prone to get postnatal depression. Conclusion Family members are the most important factor that affect postnatal depression. They should be adopted with psychological guidance to reduce the rate of postnatal depression and improve the life quality of postpartum women.

关 键 词：产后抑郁 孕产妇 相关因素 

分 类 号：R714.64[医药卫生—妇产科学]