妇女产后抑郁症发生现状及相关因素研究  

Related factors of postpartum depression in women

作　　者：李莉[1] 任娟[1] LI Li;REN Juan(Department of Obstetrics,Shiyan Maternal&Child Health Hospital,Shiyan 442000)

机构地区：[1]十堰市妇幼保健院产科,十堰442000

出　　处：《生殖医学杂志》2021年第7期907-912,共6页Journal of Reproductive Medicine

基　　金：十堰市科学技术研究与开发项目计划(18Y110)。

摘　　要：目的分析在我院分娩的妇女产后抑郁症(PPD)的发生现状及其相关影响因素。方法收集2017年7月至2019年2月在我院住院分娩的产妇823例为研究对象,产后2个月时对其进行问卷调查。按照妇女PPD发病状况将调查对象分为PPD组(179例)和非PPD组(644例)。对比分析两组妇女的问卷调查结果,采用多因素Logistic回归分析PPD发生的影响因素。结果纳入妇女中PPD发生率21.75%。比较两组的一般资料显示,PPD组妇女的年龄、受教育年限、家庭人均月收入、舒适状况量表(GCQ)得分均显著低于非PPD组(P<0.05);PPD组妇女的爱丁堡产后抑郁量表(EFDS)得分、夫妻年龄差距、产后丈夫出差率、共同居住家庭成员数目、无业率、初产妇比例、01∶30am后就寝比例均显著高于非PPD组(P<0.05)。多因素Logistic回归分析显示,夫妻年龄差距大、受教育年限少、产后丈夫出差、共同居住家庭成员数目多、01∶30am后就寝、生活舒适度低是妇女产后抑郁的危险因素(OR>1,P<0.05)。结论妇女产后抑郁问题不容忽视。临床干预时应鼓励配偶及其他家人主动承担更多责任,建议妇女产后调整生活作息,以降低产后抑郁的发生率。Objective:To explore the present situation of postpartum depression(PPD)in the women after childbirth and the related factors.Methods:A total of 823 women who gave childbirth in our hospital from July 2017 to February 2019 were collected as the research objects,and a questionnaire survey was conducted two months after delivery.According to whether PPD occurs in women,the women were divided into PPD group(n=179)and non-PPD group(n=644).The questionnaire survey results of the women were compared between the two groups,and the multivariate Logistic regression was used to analyze the influencing factors of PPD.Results:The PPD rate of women was 21.75%.Comparing the general data of the two groups,it showed that the women’s age,years of education,monthly income per-family,general comfort questionnaire(GCQ)score were significantly lower in the PPD group than those of the non-PPD group(P<0.05).The score of Edinburgh postnatal depression scale(EFDS),age difference between husband and wife,business trip rate of husband after delivery,number of family members living together,unemployment rate,primipara rate and the percentage of going to bed after 01∶30am in the PPD group were significantly higher than those in the non-PPD group(P<0.05).Multivariate logistic regression analysis showed that the big age gap between husband and wife,less years of education,business trip of husband after delivery,more number of family members living together,going to bed after 01∶30am,and low living comfort were the risk factors of women’s postpartum depression(OR>1,P<0.05).Conclusions:Women’s postpartum depression should not be ignored.Spouses and other family members should be encouraged to take on more responsibilities in clinical intervention.It is suggested that women should adjust their life and work schedules postpartum to reduce the incidence of postpartum depression.

关 键 词：妇女 产后抑郁 相关因素 

分 类 号：R271.43[医药卫生—中医妇科学]