高危产妇产后抑郁发生现状及影响因素分析  

Influence Factors of Postpartum Depression in High-risk Pregnant Women

作　　者：李菲 黄美凌 曾迎春[2] 方晓敏[1] 

机构地区：[1]广东药科大学护理学院,广东广州510310 [2]广州医科大学附属第三医院护理部,广东广州510150

出　　处：《护理学报》2017年第23期1-4,共4页Journal of Nursing（China）

基　　金：广东省中医药局面上项目(20121132)

摘　　要：目的调查分析与高危产妇产后抑郁相关的影响因素。方法应用爱丁堡产后抑郁量表、知觉压力量表、中文版育儿胜任感量表、社会支持量表,对广州市某三级甲等医院产后1周内高危产妇进行调查,对相关影响因素进行分析。结果 233例高危产妇中,产后抑郁阳性检出率为39.1%(91/233),知觉压力水平高、分娩方式为剖宫产、合并胎膜早破是高危产妇产后抑郁发生的危险因素。结论高危产妇中产后抑郁阳性检出率为39.1%,产后抑郁的发生受多种因素的影响,医护人员应该重视高危产妇产后心理状态的评估,采取有效的干预措施。Objective To explore the influence factors of postpartum depression in high-risk pregnant women. Methods Highrisk pregnant women were investigated one week after delivery with the Edinburgh Postnatal Depression Scale, Perceived Stress Scale,Chinese version of the Parenting Sense of Competence Scale and Social Support Rating Scale. Results The incidence of postpartum depression was 39.1%（91/233）, perceived stress, premature rupture of membranes, Caesarean section were the risk factors of postpartum depression. Conclusion Postpartum depression in high-risk pregnant women is influenced by many factors; healthcare staff should pay more attention to the assessment of postpartum mental state of the high-risk pregnant women, and effective interventions should be taken to reduce and prevent the incidence of postpartum depression.

关 键 词：高危妊娠 产后抑郁 影响因素 知觉压力 育儿胜任感 社会支持 

分 类 号：R473.71[医药卫生—护理学]