高龄经产妇产后抑郁状况及影响因素分析  

Analysis of the status and its influence factors of the postpartum depression of advanced multiparas

作　　者：陈熠明 陈桂儿 CHEN Yiming;CHEN Gui'er(Hangzhou Obstetrics and Gynecology Hospital,Hangzhou,Zhejiang Province,310008)

机构地区：[1]浙江省杭州市妇产科医院,310008

出　　处：《中国计划生育学杂志》2024年第8期1767-1771,共5页Chinese Journal of Family Planning

摘　　要：目的:了解高龄(≥35岁)经产妇产后抑郁发生情况并分析其影响因素。方法:采用便利抽样法,选取2023年6-12月在本院住院分娩的高龄经产妇作为研究对象,收集人口学信息及分娩资料、采用爱丁堡产后抑郁量表(EPDS)、社会支持评定量表(SSRS)调查产妇产后抑郁状况及社会支持水平,采用logistic回归模型分析高龄经产妇产后抑郁的相关影响因素。结果:284例高龄经产妇筛查出产后抑郁(EPDS评分≥13分)88例(占31.0%)。多因素logistic回归分析显示,家庭人均月收入<4000元(OR=2.61,95%CI 1.27~5.36)、非计划妊娠(OR=3.21,95%CI 1.43~7.22)、新生儿低体重(OR=5.11,95%CI 2.01~12.97)、产前抑郁(OR=4.03,95%CI 1.76~9.19)、睡眠障碍(OR=2.07,95%CI 1.15~3.71)、人工喂养(OR=3.06,95%CI 1.37~6.83)是高龄产妇产后抑郁的独立危险因素(P<0.05),社会支持水平(OR=0.26,95%CI 0.11~0.66)是高龄经产妇产后抑郁的保护因素(P<0.05)。结论:高龄经产妇产后抑郁发生率较高,主要与家庭经济状况差、非计划妊娠、新生儿低体重、人工喂养、产前抑郁、睡眠障碍、社会支持不足等因素有关。Objective:To understand the postpartum depression status of advanced multiparas(≥35 years old),and to analyze the influencing factors of the postpartum depression.Methods:Convenience sampling method was used to select the advanced multiparas who had delivered hospitalized in Hangzhou obstetrics and gynecology hospital from June to December 2023 as the research objects.The demographic information and the delivery data of these multiparas were collected.The postpartum depression status and the social support level of these multiparas were investigated by Edinburgh postpartum depression scale(EPDS)and social support rating scale(SSRS).Logistic regression was used to analyze the related influencing factors of the postpartum depression of these multiparas.Results:There were 88(31.0%)cases with postpartum depression(EPDS score≥13 points)in 284 advanced multiparas.Multivariate logistic regression analysis showed that the family per capita income<4000 Yuan(OR=2.61,95%CI 1.27-5.36),the unplanned pregnancy(OR=3.21,95%CI 1.43-7.22),the low birth weight of the newborns(OR=5.11,95%CI 2.01-12.97),the prenatal depression(OR=4.03,95%CI 1.76-9.19),the sleep disorders(OR=2.07,95%CI 1.15-3.71)and the artificial feeding(OR=3.06,95%CI 1.37-6.83)of the advanced multiparas were the independent risk factors of their postpartum depression occurrence(P<0.05).The social support level(OR=0.26,95%CI 0.11-0.66)of the advanced multiparas was the protective factor of their postpartum depression occurrence(P<0.05).Conclusion:The incidence of postpartum depression of the advanced multiparas is high,which is related to their low family economic status,their unwanted pregnancy,their low neonatal weight,their artificial feeding,their prenatal depression,their sleep disorder and their insufficient social support,and so on.

关 键 词：产后抑郁 高龄 经产妇 影响因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学]