睡眠质量与产后抑郁状态的相关性研究  

Study on the correlation between sleep quality and postpartum depression

作　　者：李鹏[1] 张妍[1] 冯瑶[1] 白文兴[1] 周虹[1] 

机构地区：[1]北京大学公共卫生学院妇女与儿童青少年卫生学系,北京100191

出　　处：《中国妇幼保健》2016年第7期1369-1372,共4页Maternal and Child Health Care of China

基　　金：国家自然科学基金资助项目(81202216);北京高等学校青年英才计划项目(YETP0059)

摘　　要：目的 探讨产妇产后抑郁状态与睡眠质量之间的相关性。方法 选择2013年1月-4月在北京市海淀区妇幼保健院进行住院分娩的565名产妇,其中376人完成第42d的产后随访;分别采用爱丁堡产后抑郁量表（EPDS）和匹兹堡睡眠质量指数表（PQSI）来评价产妇的抑郁状态和睡眠情况,用SPSS 18.0统计软件对相关资料进行统计学分析。结果 产后1-3 d的565例产妇中,抑郁筛检阳性率为25.1%,追踪到产后42 d人376名产妇中,抑郁筛检阳性率为19.9%。年龄,孕期负性生活事件和睡眠障碍是产妇产后1-3 d抑郁症的重要影响因素,母亲文化程度、早产以及睡眠障碍是产妇产后42 d抑郁症的重要影响因素。结论 睡眠质量差对产妇情绪的影响将贯穿整个产褥期,需要给予持续高度的关注。Objective To explore the correlation between sleep quality and postpartum depression. Methods A total of 565 women giving birth to their babies in Maternal and Child Health Care Hospital of Haidian District in Beijing from January to April in 2013 were selected, and 376 women of them completed postpartum follow-up at 42 days after delivery. Edinburgh Postnatal Depression Scale （EPDS） and Pittsburgh sleep quality index （PQSI） were used to evaluate maternal depression and sleep. SPSS 18.0 software was used to conduct statistical analysis. Results Among 565 women at 1-3 days after delivery, the positive rate of depression was 25.1%. Among 376 women at 42 days after delivery, the positive rate of depression was 19. 9%. Age, negative life events during pregnancy, and sleep disorder were main in- fluencing factors of maternal depression at 1-3 days after delivery; maternal educational level, preterm birth, and sleep disorder were main influencing factors of maternal depression at 42 days after delivery. Conclusion The impact of poor sleep quality on maternal emotion continues the whole course of puerperium, which deserves further attention.

关 键 词：睡眠质量 产后抑郁 随访 爱丁堡产后抑郁量表 匹兹堡睡眠质量指数表 

分 类 号：R195[医药卫生—卫生统计学]