产妇育儿胜任感在家庭支持与产后抑郁之间的中介效应分析  

Analysis of the mediating effect of parenting competenceon family support and postpartum depression

作　　者：王平[1] 许秀华 李静[1] 陈玥颖 王宏艳 WANG Ping;XU Xiuhua;LI Jing;CHEN Yueying;WANG Hongyan(Department of Obstetrics,Tangshan Maternal and Child Health Care Hospital,Tangshan 063000,China)

机构地区：[1]河北省唐山市妇幼保健院产科,063000

出　　处：《中国煤炭工业医学杂志》2024年第5期526-533,共8页Chinese Journal of Coal Industry Medicine

基　　金：河北省医学科学研究课题(编号:20221746)

摘　　要：目的 分析育儿胜任感在家庭支持与产后抑郁二者关系之间的中介效应。方法 运用便利抽样的方法,于2022年4-5月选取该院妇产科524例产妇作为调查对象。采用中文版育儿胜任感量表(C-PSOC)评价孕产妇的育儿胜任感水平、家庭支持量表(PSS-Fa)评价孕产妇的家庭支持水平、爱丁堡产后抑郁量表(EPDS)评价孕产妇的产后抑郁水平,运用Pearson相关分析方法分析家庭支持、育儿胜任感以及产后抑郁三者之间关系,Bootstrap检验家庭支持的中介效应。结果 孕产妇C-PSOC得分为50~101分,平均(73.4±10.0)分;PSS-Fa得分为6~15分,平均(12.6±2.0)分;EPDS得分为0~30分,平均(8.3±3.6)分。以EPDS得分≥13分为界限,产后抑郁倾向检出率为7.25%。不同家庭月收入的产妇抑郁倾向检出率不同,差异有统计学意义(χ^(2)=6.180,P=0.045),且随着收入的增加而降低(χ^(2)=5.876,P=0.019)。二分类非条件logistic回归分析研究结果表明,有疾病史、产前异常、第三胎、人工喂养和混合喂养、新生儿为女孩、丈夫从不参与照顾新生儿是产后抑郁倾向的独立危险因素。而第二胎、育儿胜任感和家庭支持得分高为产后抑郁倾向的保护性因素。育儿胜任感与产后抑郁之间呈负相关(r=-0.168,P<0.01);育儿胜任感与家庭支持之间呈正相关(r=0.370,P<0.01);家庭支持与产后抑郁之间呈负相关(r=-0.159,P<0.01)。育儿胜任感在家庭支持与产后抑郁之间有部分中介作用,效应值为29.4%。结论 有疾病史、产前异常、第三胎、人工喂养和混合喂养、新生儿为女孩、丈夫从不参与照顾新生儿是产后抑郁的独立危险因素。第二胎、育儿胜任感和家庭支持得分高为产后抑郁的保护性因素。育儿胜任感在家庭支持与产后抑郁之间具有部分中介效应。Objective To analyze the mediating effect of parenting competence on the relationship between family support and postpartum depression.Methods By using the method of convenient sampling,524 pregnant women in the Department of Obstetrics and Gynecology of Tangshan Maternal and Child Health hospital in Tangshan were selected from April 2022 to May 2022.Parenting competency scale(C-PSOC),Family support scale(PSS-Fa)and Edinburgh Postpartum Depression scale(EPDS)were used to evaluate the level of parenting competency,family support and postpartum depression.Pearson correlation analysis was used to analyze the relationship among family support,parenting competency and postpartum depression.Bootstrap was used to test the mediating effect of family support.Results The C-PSOC score of pregnant women was 50~101,with an average of(73.4±10.0).The PSS-Fa score was 6~15,with an average of(12.6±2.0).The EPDS score was 0~30,with an average of(8.3±3.6).Based on the EPDS score of 13,the incidence of postpartum depression was 7.25%.The detection rate of depression tendency of parturients with different monthly income was different,and the difference was statistically significant(χ^(2)=6.180,P=0.045),and decreased with the increase of income(χ^(2)=5.876,P=0.019).The incidence of depression was higher in women with previous diseases,prenatal abnormalities,newborn girls,artificial feeding,husbands who never participated in taking care of newborns and low family support,and the difference was statistically significant(P<0.05).There was a negative correlation between parenting competence and postpartum depression(r=-0.168,P<0.01),a positive correlation between parenting competence and family support(r=0.370,P<0.01),and a negative correlation between family support and postpartum depression(r=-0.159,P<0.01).Parenting competency plays an intermediary role between Family support and postpartum depression,with an effect value of 29.4%.Conclusion The results show that the independent risk factors of postpartum depression are disease hi

关 键 词：育儿胜任感 家庭支持 产后抑郁 中介效应 

分 类 号：R714.6[医药卫生—妇产科学]