产后抑郁影响因素的多元Logistic回归分析  

Multiple Logistic regression analysis of influencing factors of postpartum depression

作　　者：谢芳[1] 李金容 张彩霞[1] XIE Fang;LI Jinrong;ZHANG Caixia(Department of Obstetrics and Gynecology,Xinyi City People's Hospital,Maoming Guangdong 525300,P.R.China)

机构地区：[1]信宜市人民医院妇产科,广东茂名525300

出　　处：《中国计划生育和妇产科》2020年第7期93-96,共4页Chinese Journal of Family Planning & Gynecotokology

基　　金：茂名市科技计划项目(项目编号:2019362)。

摘　　要：目的采用多元Logistic回归分析的方法探讨产后抑郁的影响因素。方法选择2017年2月至2019年2月在信宜市人民医院分娩的180名产妇为研究对象,进行问卷调查,回收有效问卷166份。主要调查内容为年龄、职业、学历、婚姻情况、家庭人均月收入、分娩方式、新生儿性别、喂养方式、心理咨询干预情况。对产后抑郁的影响因素进行多元Logistic回归分析。结果根据爱丁堡产后抑郁量表和汉密顿抑郁量表评分,166名产妇中,产后抑郁54名,设为抑郁组,余下112名设为正常组。单因素分析结果显示,抑郁组本科以下学历、无业、再婚、家庭人均月收入≤3 000元、新生儿性别为女、人工喂养、未接受心理咨询干预的比例明显高于正常组,差异均有统计学意义(P<0.05)。将上述变量纳入多因素分析中,筛选出低学历、无业、再婚、家庭人均月收入低、人工喂养、未接受心理咨询为产后抑郁的独立危险因素(OR=1.147,1.293,1.342,1.306,1.592,1.474)。结论学历、职业、婚姻情况、家庭人均月收入、喂养方式、心理咨询情况为产后抑郁的影响因素。Objective Multiple logistic regression analysis was used to explore the influencing factors of postpartum depression.Methods From February 2017 to February 2019,180 women who gave birth in Xinyi City People ’s Hospital were selected as the research subjects.A questionnaire survey was conducted and 166 valid questionnaires were recovered.The main contents of the survey were age,occupation,education,marital status,family monthly income per capita,mode of delivery,sex of the newborn,feeding style,psychological counseling and intervention.Multivariate Logistic regression analysis was conducted on the influencing factors of postpartum depression.Results According to the Edinburgh Postpartum Depression Scale and the Hamilton Depression Scale,54 out of 166 postpartum women were classified as depression group and the remaining 112 as normal group.Univariate analysis showed that the depression group had undergraduate education,unemployed,remarried,family monthly income per capita≤3 000 yuan,the gender of the newborn was female,artificial feeding,and the rate of not receiving psychological counseling intervention was significantly higher than that of the normal group.The differences were statistically significant(P<0.05).The above variables were included in the multivariate analysis,and low-education,unemployed,remarried,low monthly household income per capita,artificial feeding,and no psychological consultation were selected as independent risk factors for postpartum depression(OR = 1.147,1.293,1.342,1.306,1.592,1.474).Conclusion Educational background,occupation,marital status,family monthly income per capita,feeding style,and psychological counseling are the influencing factors of postpartum depression.

关 键 词：产后抑郁 回归分析 影响因素 心理干预 

分 类 号：R714.7[医药卫生—妇产科学]