产妇产后抑郁的危险因素及健康素养情况调查  

Survey of maternal health literacy and its relationship with postpartum depression

作　　者：刘松柏 濮晓菲 赵琳 廖娜 李吉 王玉凤 LIU Songbai;PU Xiaofei;ZHAO Lin(Department of Psychosomatic Medicine,People's Hospital of Suzhou High tech Zone,Suzhou 215129,China)

机构地区：[1]苏州高新区人民医院心身医学科,苏州215129 [2]苏州高新区人民医院妇产科 [3]南京大学医学院附属苏州医院妇产科 [4]苏州大学第二附属医院浒关院区妇产科 [5]苏州明基医院妇产科 [6]苏州高新区枫桥社区卫生服务中心妇产科

出　　处：《国际精神病学杂志》2025年第1期169-172,共4页Journal Of International Psychiatry

基　　金：苏州市民生科技-医疗卫生应用基础研究(编号:SYSD2020038)。

摘　　要：目的 研究孕产妇产后抑郁的危险因素,并观察其健康素养情况。方法 选择2022年8月~2023年8月在我市四家三级综合医院进行产检及分娩的孕产妇2914人,其中产后抑郁共431人,非产后抑郁共2483人。收集一般资料,包括年龄、文化程度、居住地、家庭收入、夫妻感情、分娩方式、新生儿健康状况,同时根据产后母婴健康素养评估问卷观察健康素养情况,通过非条件Logistic逐步回归分析孕产妇产后抑郁的危险因素。结果 产后抑郁组年龄≥35岁、家庭收入中等及以下、夫妻感情差、剖腹产、新生儿不健康比例显著高于非产后抑郁组(P<0.05),产后抑郁组卫生服务利用、健康促进、疾病预防得分显著低于非产后抑郁组(P<0.05)。多因素Logistic回归分析显示,年龄≥35岁、家庭收入中等及以下、夫妻感情差、新生儿不健康、卫生服务利用得分低、健康促进得分低、疾病预防得分低是孕产妇产后抑郁的危险因素(P<0.05)。结论 年龄、家庭收入、夫妻感情、新生儿健康状况、卫生服务利用得分、健康促进得分、疾病预防得分是孕产妇发生产后抑郁的影响因素,临床需对以上因素密切关注。Objective Investigate the risk factors for postpartum depression in women and observe their health literacy status.Methods 2914 pregnant and postpartum women who underwent prenatal examinations and delivery at four second level or above comprehensive hospitals in our city from August 2022 to August 2023,including 431 cases of postpartum depression and 2483 cases of non postpartum depression.Collect general information,including age,educational level,place of residence,family income,marital relationship,delivery method,and newborn health status.At the same time,observe the health literacy status based on the postpartum maternal and infant health literacy assessment questionnaire,The risk factors of postpartum depression in pregnant women were analyzed by unconditional Logistic stepby-step regression.Results The proportion of age≥35 years old,middle family income and below,poor couple affection,cesarean section and unhealthy newborn in postpartum depression group were significantly higher than those in non-postpartum depression group(P<0.05),and the scores of health service utilization,health promotion and disease prevention in postpartum depression group were significantly lower than those in non-postpartum depression group(P<0.05).Multivariate Logistic regression analysis showed that age≥35 years old,middle family income and below,poor relationship between husband and wife,unhealthy newborn,low health service utilization score,low health promotion score and low disease prevention score were risk factors for postpartum depression(P<0.05).Conclusion Age,family income,husband and wife affection,newborn health status,health service utilization score,health promotion score and disease prevention score are the influencing factors of postpartum depression,and clinicalattention should be paid to these factors.

关 键 词：孕产妇 产后抑郁 健康素养 危险因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学]