住院期间产妇产后抑郁现状及影响因素分析  

Status Quo Analysis on Postpartum Depression in Lying-in Women during Hospitalization and Its Influencing Factors

作　　者：陈嘉莹 张玉 陈昕怡 范怡 CHEN Jiaying;ZHANG Yu;CHEN Xinyi;FAN Yi(Obstetrics and Gynecology Hospital of Fudan University,Shanghai 200090)

机构地区：[1]复旦大学附属妇产科医院,上海200090

出　　处：《上海护理》2021年第6期38-41,共4页Shanghai Nursing

摘　　要：目的调查住院期间产妇产后抑郁的现状,并分析其影响因素。方法选取2018年7-11月在复旦大学附属妇产科医院住院分娩的产妇作为研究对象,采用一般资料问卷、爱丁堡产后抑郁量表和领悟社会支持量表对其进行调查。结果纳入研究的202例产妇在住院期间出现产后抑郁30例(14.85%),住院期间出现产后抑郁产妇的社会支持总分、家庭支持、朋友支持和其他支持评分均低于未出现产后抑郁的产妇(P<0.05),住院产妇产后抑郁得分与社会支持总分及其3个维度得分均呈负相关关系(P<0.05)。二分类logistic回归分析发现,有无进行早接触早吮吸、朋友支持得分以及领悟社会支持总分是影响住院产妇有无产后抑郁的独立影响因素(P<0.05),其中关联度最高的是进行早接触早吸吮(OR=4.188)。结论产妇在住院期间的抑郁发生值得关注,护理人员应做好早期筛查及干预,通过增加如来自朋友间的社会支持、积极创造早吸吮早接触的条件,以利于降低住院期间产妇产后抑郁的发生。Objective To investigate the current situation of postpartum depression in lying-in women during hospitalization and analyze the influencing factors.Methods Lying-in women admitted for delivery in the Obstetrics&Gynecology Hospital of Fudan University from July to November 2018 were selected as the subjects and investigated using the General Information Questionnaire,Edinburgh Postnatal Depression Scale and Perceived Social Support Scale.Results Of the 202 lying-in women included,30(14.85%)had postpartum depression during hospitalization.The total social support score and family support,friend support and other support scores of lying-in women with postpartum depression during hospitalization were lower than those of lying-in women without postpartum depression(P<0.05).The postpartum depression score of hospitalized lying-in women showed a negative correlation with the total social support score and the scores of the 3 dimensions(P<0.05).Binary logistics regression analysis revealed that the presence or absence of early contact and early sucking,friend support score,and total score of perceived social support were independent factors affecting the postpartum depression in hospitalized lying-in women(P<0.05),with early contact and early sucking most highly correlated with postpartum depression(OR=4.188).Conclusion Depression during hospitalization is worthy of attention in lying-in women.Nurses are able to reduce the occurrence of postpartum depression in lying-in women during hospitalization by carrying out early screening and intervention,increasing social support(friend support)and actively creating the conditions for early sucking and early contact.

关 键 词：产后抑郁 产妇 社会支持 早吸吮 早接触 

分 类 号：R473.71[医药卫生—护理学]