杭州市初产妇孕晚期社会资本现状及其对产前抑郁的影响研究

发布时间：2018-02-09 05:43

  本文关键词： 社会资本 产前抑郁 初产妇 心理健康　出处：《杭州师范大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:(1)了解杭州市初产妇孕晚期社会资本的现状;(2)了解杭州市初产妇孕晚期产前抑郁的情况;(3)分析杭州市初产妇孕晚期社会资本对其产前抑郁的影响;(4)运用社会资本分析方法为改善初产妇的孕晚期心理健康状况提供指导性建议。方法:(1)对社会资本概念、维度、测量的研究现状进行文献回顾,在此基础上设计调研方案。(2)通过访谈调查、专家咨询、预调查,设计出用于正式调研的调查问卷。(3)采用立意抽样的方法,选取浙江大学附属妇产科医院作为调研地,以孕周在30~36周之间的初产妇作为调研对象,采用纸质问卷和电子问卷相结合的方法,收回1075份有效问卷。(4)运用SPSS20.0中文版统计分析软件,以P0.05为检验标准,选用了方差分析、t检验、卡方检验、相关分析、多重线性回归等统计分析方法,对现场调查所收集的数据进行分析并验证假设。结果:(1)本研究中初产妇的社会资本总分及其各维度平均得分为:社会资本(197.35±49.25)分,社会信任(30.32±4.23)分,社会互惠(22.87±4.25)分,社会网络(109.85±45.16)分,社会参与(34.31±7.61)分;将社会资本总分以均值为界分为高低两组,分别占总人数的54.1%和45.9%。说明杭州市大多数初产妇孕晚期社会资本水平较高。(2)使用爱丁堡产后抑郁量表(EPDS)进行产前抑郁的筛选,有抑郁症状共293人(27.3%),其中轻度抑郁247人(23%),重度抑郁46人(4.3%)。(3)初产妇的社会资本及其各维度与产前抑郁均存在负相关,说明初产妇的社会资本及其各维度总量越大,其产前抑郁得分越低。(4)回归分析显示,影响杭州市初产妇产前抑郁的社会资本维度按大小排序分别是:社会信任得分、社会参与得分、社会网络得分,社会互惠没有被纳入回归方程。结论:杭州市初产妇孕晚期的社会资本及产前抑郁得分均受到人口学特征的影响;杭州市初产妇孕晚期的社会资本总体水平较高,大多数初产妇的社会网络水平较高,而社会信任、社会互惠、社会参与程度较低,可通过提升社会信任、增强社会互惠等方法来改善初产妇孕晚期的社会资本总体水平;社会资本的4个维度中,社会信任、社会参与、社会网络是产前抑郁的影响因素,提升初产妇社会资本各维度得分,均可降低产前抑郁的发生率;为改善杭州市初产妇的孕期心理健康状况,本研究提出让初产妇在孕期内增强社会信任感、提升社会互惠水平、优化个体网络结构、加大社会参与程度等建议。
[Abstract]:Objective to understand the current situation of social capital in late pregnancy in Hangzhou (2) to understand the status of antenatal depression in late pregnancy in Hangzhou (3) to analyze the influence of social capital in late pregnancy on prenatal depression of primipara in Hangzhou. The method of capital analysis provides guidance and advice for improving the mental health of primipara in the third trimester. Based on the literature review of the research situation of dimension and measurement, this paper designs a survey scheme. (2) through interview, expert consultation, pre-investigation, a questionnaire for formal investigation is designed, which adopts the method of intention sampling. The hospital of gynecology and obstetrics affiliated to Zhejiang University was selected as the research place, and the primipara who was pregnant between 30 and 36 weeks was chosen as the research object, and the method of combining paper questionnaire with electronic questionnaire was adopted. 1 075 valid questionnaires were collected. (4) using the Chinese version of SPSS20.0 statistical analysis software, taking P0.05 as the test standard, selecting the statistical analysis methods such as ANOVA / t test, chi-square test, correlation analysis, multiple linear regression, etc. The data collected in the field investigation were analyzed and hypothesized. Results: the total score of social capital and the average score of each dimension in this study were 197.35 卤49.25), social trust 30.32 卤4.23), social reciprocity 22.87 卤4.25), social network 109.85 卤45.16). The total score of social capital was divided into two groups according to the mean value. 54.1% and 45.9% of the total population, respectively. It shows that most primiparous women in Hangzhou have a higher level of social capital in late pregnancy.) the Edinburgh postpartum Depression scale (EPDS) is used to screen for prenatal depression. A total of 293 patients had depression symptoms, including 247 patients with mild depression (23patients with mild depression) and 46 with severe depression (4.3patients with severe depression) the social capital and its dimensions were negatively correlated with antenatal depression, which indicated that the total amount of social capital and its dimensions of primipara was larger. The lower the score of antepartum depression is, the lower the score of antepartum depression is. The regression analysis shows that the social capital dimension influencing antenatal depression in Hangzhou is: social trust score, social participation score, social network score, etc. Conclusion: the scores of social capital and prenatal depression of primiparous women in Hangzhou are affected by demographic characteristics, and the overall level of social capital in late pregnancy is higher in Hangzhou. The social network level of most primipara is higher, and the social trust, social reciprocity and social participation are low. The overall level of social capital in the third trimester of pregnancy can be improved by enhancing social trust and enhancing social reciprocity. Among the four dimensions of social capital, social trust, social participation and social network are the influencing factors of prenatal depression. In order to improve the mental health of primipara during pregnancy in Hangzhou, this study puts forward some suggestions such as enhancing social trust, promoting social reciprocity, optimizing individual network structure and increasing social participation.
【学位授予单位】：杭州师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R715.3
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本文编号：1497211