产科医务人员产后抑郁认知调查及启示  

Cognitive investigation and enlightenment of postpartum depression among obstetric medical staff

作　　者：姚瑶[1] 杨怀洁[1] YAO Yao;YANG Huaijie(Department of Obstetrics,the People’s Hospital of China Three Gorges Universitythe First People’s Hospital of Yichang,Hubei Province,Yichang443000,China)

机构地区：[1]三峡大学人民医院湖北省宜昌市第一人民医院产科,湖北宜昌443000

出　　处：《中国医药导报》2022年第15期61-64,74,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(81701484);湖北省卫生健康委科研项目(WJ2021F058)。

摘　　要：目的调查产科医务人员对产后抑郁的认知现状,分析相关影响因素,为产后抑郁防治提供理论基础。方法2019年1月至2月采用问卷星在线调查方式,选择宜昌地区7所综合性医院、3所妇幼保健医院,应用产后抑郁认知问卷调查产科医务人员对产后抑郁的认知情况,同时收集医务人员一般情况,分析影响产科医务人员产后抑郁认知的因素。结果共调查10所医院共435名产科医务人员,其中427名医务人员完成问卷调查,问卷回收有效率为98.16%。产后抑郁认知问卷总平均分77.47分。不同文化程度、岗位、工作单位产科医务人员对产后抑郁的认知得分比较,差异有统计学意义(P<0.05)。多元线性回归分析显示,文化程度、岗位是影响产后抑郁认知的重要因素(P<0.05)。结论本地区产科医务人员对产后抑郁认知状况整体水平不高。医院管理部门和产科医务人员应进一步提高对产后抑郁重视程度。产科管理层面针对不同文化程度和岗位的医务人员,需定期进行分层专项培训,特别应强化培训产后抑郁评估诊断方法,为进一步落实产后抑郁防治工作提供保障。Objective To investigate the cognitive status of obstetric medical staff on postpartum depression,to analyze related influencing factors,and to provide a theoretical basis for the prevention and treatment of postpartum depression.Methods From January to February 2019,an online questionnaire survey was used to investigate the cognitive status of obstetric medical staff on postpartum depression by using the postpartum depression cognition questionnaire seven general hospitals and three maternal and child health care hospitals in Yichang area were selected.At the same time,the general information of medical staff was collected,and the factors affecting the cognition of postpartum depression of obstetric medical staff were analyzed.Results A total of 435 obstetric medical staff in ten hospitals were surveyed,of which 427 medical staff completed the questionnaire,and the effective rate of questionnaire recovery was 98.16%.The overall mean score of the postpartum depression cognitive questionnaire was 77.47 points.Comparing the cognitive scores of postpartum depression among medical staff in obstetrics department with different educational levels,positions and work units,and the differences were statistically significant(P<0.05).Multiple linear regression analysis showed that education level and position were important factors affecting the cognition of postpartum depression(P<0.05).Conclusion The overall level of cognitive status of postpartum depression among obstetric medical staff in this area is not high.Hospital management departments and obstetric medical staff should further increase the importance of postpartum depression.At the obstetrics management level,medical staff with different education levels and positions need to conduct regular stratified special training,especially training in postpartum depression assessment and diagnosis methods,to provide guarantee for the further implementation of postpartum depression prevention and treatment.

关 键 词：产后抑郁 认知 医务人员 现状调查 

分 类 号：R714[医药卫生—妇产科学]