唇腭裂患儿母亲产后抑郁情况及影响因素分析  

Analysis of Postpartum Depression and Its Influencing Factors in mothers of Children with Cleft Lip and Palate

作　　者：杨帅[1] 郝建锁 陈幼华[1] Yang Shuai;Hao Jiansuo;Chen Youhua(School of Nursing,Jinan University,Guangzhou 510632,Guangdong Province,China;Affiliated Stomatology Hospital of Guangzhou Medical University,Guangzhou 510000,Guangdong Province,China)

机构地区：[1]暨南大学护理学院,广东广州510632 [2]广州医科大学附属口腔医院,广东广州510000

出　　处：《中外医药研究》2024年第6期78-80,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：暨南大学中央高校基本科研业务费项目(编号:21621031)。

摘　　要：目的:调查唇腭裂患儿母亲产后抑郁发生情况并分析其影响因素。方法:选取2022年4月—2023年4月于广州市妇女儿童医疗中心携唇腭裂患儿就诊的母亲204名作为研究对象。收集唇腭裂患儿母亲一般资料,根据爱丁堡产后抑郁量表结果分为抑郁组与非抑郁组,采用Logistic回归分析唇腭裂患儿母亲产后抑郁的影响因素。结果:204名母亲中,产后抑郁64名(占比31.4%),产后未抑郁140名(占比68.6%)。抑郁组农村居住占比、有不良孕产史占比高于非抑郁组,受教育程度初中及以下、睡眠质量很差占比高于非抑郁组,领悟社会支持量表评分低于非抑郁组,差异有统计学意义(P<0.05)。无不良孕产史、睡眠质量好、领悟社会支持量表评分高是唇腭裂患儿母亲产后抑郁的独立保护因素(P<0.05)。结论:影响唇腭裂患儿母亲产后抑郁的因素较多,医护人员需要重点关注有不良孕产史、睡眠质量差、社会支持度低的患儿母亲产后的身心状态。Objective:To investigate the occurrence of postpartum depression and its influencing factors in mothers of children with cleft lip and palate.Methods:A total of 204 mothers of children with cleft lip and palate were selected from Guangzhou Women and Children Medical Center from April 2022 to April 2023.The general data of motherso of Children with Cleft Lip and Palate were collected and divided into the depressed group and the non-depressed group according to the results of the Edinburgh postpartum Depression Scale.The influencing factors of postpartum depression in mothers of children with cleft lip and palate were analyzed by Logistic regression.Results:Among the 204 puerpera,64(31.4%)had postpartum depression and 140(68.6%)had no postpartum depression.The proportion of rural residence and adverse pregnancy history in the depressed group was higher than that in the non-depressed group,the proportion of education level of junior high school or below and poor sleep quality was higher than that in the non-depressed group,and the score of perceptive social support scale was lower than that in the non-depressed group,and the difference was statistically significant(P<0.05).No adverse pregnancy history,good sleep quality and high scores on the perceived Social Support Scale were independent protective factors for postpartum depression in mothers of children with cleft lip and palate(P<0.05).Conclusion:There are many factors affecting postpartum depression in mothers of children with cleft lip and palate.Medical staff should pay more attention to the postpartum physical and mental state of mothers with poor pregnancy history,poor sleep quality and low social support.

关 键 词：唇腭裂 产后抑郁 不良孕产史 睡眠质量 社会支持 

分 类 号：R714.6[医药卫生—妇产科学] R749.4[医药卫生—临床医学]