高龄经产妇产后抑郁与人格特征、社会支持的相关性研究

发布时间：2018-03-29 00:23

本文选题：高龄经产妇　切入点：产后抑郁症　出处：《山东大学》2017年硕士论文

【摘要】：目的1.了解济南市综合性医院高龄经产妇产后抑郁现状。2.分析高龄经产妇产后抑郁的主要影响因素及其与人格特征和社会支持的相关性。3.提高临床医护人员重视,所得结果为产后抑郁预防及诊断治疗提供参考依据。方法1.采用横断面调查性研究,运用问卷调查的方法,以2016年5月至2016年10月于济南市某三级甲等综合性医院产后2～7天的高龄经产妇为研究对象,样本量为265例。填写《一般情况调查问卷》、《爱丁堡产后抑郁量表》、《易感性人格量表》及《社会支持评定量表》对高龄经产妇进行相关信息调查。2.运用SPSS17.0软件处理数据,采用描述性统计、独立样本t检验、卡方检验、单因素及Pearson相关分析对调查结果进行分析。结果1.265例高龄经产妇EPDS平均得分为9.80±3.62,其中43例产妇EPDS评分≥13分归为抑郁组,产后抑郁的发生率为16.22%,其EPDS平均得分为15.74±3.16。222例产妇EPDS评分13分归为非抑郁组,其EPDS平均得分为8.65±2.36。2.年龄、文化程度、医疗费用支付方式、胎次、职业、参加孕妇学校次数、谁照顾月子因素对产后抑郁的影响具有显著差异(P0.05)。不同的人均月经济收入、居住条件和新生儿性别对产后抑郁的发生无明显影响(P0.05)。3.产后抑郁与人格特征之间的关系EPDS评分与VPSQ、易感性和反应性评分均具有显著相关性(P0.05),同时抑郁组产妇的VPSQ量表评分与非抑郁组产妇存在显著统计学差异(P0.05)。4.产后抑郁与社会支持之间的关系抑郁组高龄经产妇主观支持、支持利用度以及社会支持总分均明显低于正常产妇且差异具有统计学意义(P0.05)。将具有统计学意义的社会支持的三个项目与产后抑郁量表总分进行相关分析结果显示,产妇的产后抑郁与主观支持的密切程度(r=-0.211,p=0.001)、支持利用度(r=-0.149,p=0.015)和社会支持总分(r=-0.231,p0.001)呈负相关,而与客观支持(r=-0.080,p=0.193)无显著相关性。结论1.济南市高龄经产妇产后抑郁发生率较高,卡方检验发现产后抑郁发生率与年龄、文化程度、医疗费用支付方式、胎次、职业、参加孕妇学校的次数和谁照顾月子显著相关。2.人格特征与产后抑郁的发生发展有密切关系。《易感性人格量表》作为产后抑郁症发生的预测工具,有助于医护人员及时关注产后抑郁症的高危人群。3.社会支持与高龄经产妇产后抑郁症的发生呈负相关,社会支持度越高,其抑郁发生率越低,给以高龄经产妇充分的社会支持是预防产后抑郁症的重要措施。4.及时发现高危因素以便进一步采取有针对性的干预措施,从而降低抑郁发生率,提高高龄经产妇心理健康。
[Abstract]:Objective 1. To understand the present situation of postpartum depression in elderly women in Jinan General Hospital. 2. To analyze the main influencing factors of postpartum depression and its correlation with personality and social support. The results provide a reference for the prevention and treatment of postpartum depression. From May 2016 to October 2016, aged women who had been in a general hospital of Grade 3A in Jinan city for 2 days after delivery were selected as the subjects of the study. The sample size was 265 cases. The questionnaire of general situation, the Edinburgh postpartum depression scale, the susceptible personality scale and the social support rating scale were used to investigate the relevant information of the elderly women. 2. The data were processed by SPSS17.0 software. Descriptive statistics, independent sample t test, chi-square test, single factor and Pearson correlation analysis were used to analyze the results. Results the average EPDS score of 1.265 elderly women was 9.80 卤3.62, 43 of them were classified as depression group. The incidence of postpartum depression was 16.222.The average score of EPDS was 15.74 卤3.16.222 women with EPDS score of 13, and the average score of EPDS was 8.65 卤2.36.2.Age, education, medical expense payment, birth order, occupation, number of times of school attendance of pregnant women. There were significant differences in the influence of the factors of caring for the children of the month on postpartum depression (P 0.05). Different per capita monthly economic income, The relationship between postpartum depression and postpartum depression was not significantly influenced by living conditions and sex of newborn (P 0.05). The relationship between postpartum depression and personality traits was significantly correlated with EPDS score, susceptibility and reactivity score (P 0.05). Meanwhile, the VPSQ of depressive women was significantly correlated with that of postpartum depressive women (P < 0.05). The relationship between postpartum depression and social support was significant (P < 0.05). The relationship between postpartum depression and social support in depression group was significantly different from that in non-depression group (P < 0.05). The utilization of social support and the total score of social support were significantly lower than those of normal women, and the difference was statistically significant (P 0.05). The results of correlation analysis between the three items of social support with statistical significance and the total score of postpartum depression scale showed that there were significant differences between the three items and the total score of postpartum depression scale. There was a negative correlation between postpartum depression and the close degree of subjective support r-0.211p0. 001, and the total score of social support r-0.231p0.001), but there was no significant correlation between postpartum depression and objective support. Conclusion 1.The incidence of postpartum depression in the elderly women in Jinan is higher than that in the elderly women in Jinan, and the incidence of postpartum depression in the elderly women in Jinan City is higher than that in the elderly women in Jinan City, and the total score of social support is 0.231% (p 0.001), but there is no significant correlation between the degree of postpartum depression and objective support. Chi square test found that the incidence of postpartum depression and age, education, medical expenses, birth order, occupation, The frequency of school attendance for pregnant women was significantly correlated with who took care of the moon. 2.Personality traits were closely related to the occurrence and development of postpartum depression. The susceptibility Personality scale was used as a predictor of postpartum depression. Social support has a negative correlation with the incidence of postpartum depression in elderly women. The higher the social support, the lower the incidence of depression. Adequate social support for elderly women is an important measure to prevent postpartum depression. (4) to find out the high risk factors in time in order to further take targeted intervention measures to reduce the incidence of depression and improve the mental health of elderly women.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71

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