产妇心理弹性在产后负性生活事件与产后抑郁间的中介效应  

The Mediating Effect of Maternal Resilience On Postpartum Depression and Postpartum Negative Life Events

作　　者：庄幼青[1] 蒋翠婷 曾丽玲[1] 温济英[1] 李雪然[1] 张利峰[2] ZHUANG Youqing;JIANG Cuiting;ZENG Liling;WEN Jiying;LI Xueran;ZHANG Lifeng(Obstetrics Department,Women’s and Children’s Hospital of Guangdong Province,Guangzhou 510010,Guangdong Province,China;School of Nursing,Sun Yat-Sen University Guangzhou 510080,Guangdong Province,China)

机构地区：[1]广东省妇幼保健院产科,广东广州510010 [2]中山大学护理学院,广东广州510080

出　　处：《解放军护理杂志》2021年第12期18-21,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨负性生活事件、心理弹性与产后抑郁之间的关系,为采取针对性干预措施提供参考依据。方法采用便利抽样法选择广州市某三级甲等医院产后康复门诊复诊的390例产妇为研究对象,采用爱丁堡产后抑郁量表、产后负性生活事件量表、心理弹性量表对其进行问卷调查,并进行路径分析。结果产妇的产后抑郁得分为10.00(6.00~13.00)分,产后负性生活事件总分(78.14±18.93)分,心理弹性得分(65.11±12.78)分。产后抑郁与产后负性生活呈正相关(r=0.652,P<0.001),产后抑郁及产后负性生活事件与心理弹性均呈负相关(r=-0.479、-0.402,P<0.001);心理弹性在产后负性生活事件与产后抑郁间有部分中介效应(0.113),占总效应的16.69%。结论产后负性生活事件不仅直接作用于产后抑郁,还可通过心理弹性中介作用间接影响产后抑郁。Objective To explore the relationship between postpartum depression,negative life events and mental resilience of parturient,and to provide reference for targeted intervention.Methods 390 parturients were selected from Postpartum Rehabilitation Outpatient Department of a tertiary A hospital in Guangzhou by the convenience sampling method.All parturients were investigated with the Edinburgh Postpartum Depression Scale,Postpartum Negative Life Events Scale and Conner-Davidson Resilience Scale.The route analysis was conducted.Results The maternal depression of parturients quartile score was 10.00(6.00~13.00),the maternal negative life events score was(78.14±18.93),and the mental resilience score was(65.11±12.78).Postpartum depression was positively correlated with postpartum negative life(r=0.652,P<0.001),Postpartum depression and postpartum negative life events were negatively correlated with mental resilience(r=-0.479,-0.402,P<0.001).Resilience has a partial mediating effect between postpartum depression and postpartum negative life events(0.113),accounting for 16.69%of the total effect.Conclusions Postpartum negative life events can exert influence postpartum depression directly or via the mediating role of mental resilience.

关 键 词：抑郁 产妇 产后负性生活事件 心理弹性 中介效应 

分 类 号：R473.71[医药卫生—护理学]