深圳市产妇产后抑郁症的流行状况及危险因素分析

发布时间：2018-05-11 23:37

  本文选题：产后抑郁 + EPDS量表　； 参考：《华中科技大学学报(医学版)》2017年06期

【摘要】：目的探讨深圳市产妇产后抑郁症的患病情况及其影响因素,为早期防治产后抑郁提供科学依据。方法采用方便抽样的方法,以在深圳市妇幼保健院生产并于产后60d内回到该院接受产后康复检查的3 610名产妇为调查对象,采用爱丁堡产后抑郁筛查量表对产妇产后抑郁状况进行评估,采用自编调查表对一般情况进行流行病学调查。结果共收回问卷3 610份,有效问卷3 550份,有效率为98.34%。315例(8.87%)产妇筛查出有明显的产后抑郁症状。多因素分析结果显示,有不良孕产史、首次生产及采用混合喂养或人工喂养是产后抑郁发生的相关危险因素,其OR值及95%可信区间(95%CI)分别为:1.623(1.247~2.112)、1.558(1.189~2.040)、1.889(1.460~2.445)和1.996(1.362~2.925)。结论深圳市产后抑郁症检出率相对较低,妇女保健人员应针对有不良孕产史、首次生产以及非母乳喂养的产妇进行早期产后抑郁易患人群的筛查和干预,以降低产后抑郁症的发病及危害。
[Abstract]:Objective to investigate the prevalence of postpartum depression in Shenzhen and its influencing factors, and to provide scientific basis for early prevention and treatment of postpartum depression. Methods the method of convenient sampling was used to investigate 3 610 pregnant women who were born in Shenzhen Maternal and Child Health Care Hospital and returned to the hospital to undergo postpartum rehabilitation examination within 60 days after delivery. The status of postpartum depression was evaluated by Edinburgh postpartum depression screening scale, and the general situation was investigated by self-designed questionnaire. Results A total of 3 610 questionnaires and 3 550 valid questionnaires were collected. The effective rate was 98.34.315 cases of postpartum depression. The results of multivariate analysis showed that the risk factors of postpartum depression were the first birth and mixed feeding or artificial feeding. The OR value and 95% CI were 1.5581.1892.040U 1.8891.4602.445) and 1.99961.362U 2.925525, respectively. The odds ratio (OR) and 95% CI (95% CI) were 1.8891.4602.445 and 1.9961.362respectively. The odds ratio (OR) and 95% CI (95% CI) were 1.5581.1892.040U 1.8891.4602.445 and 1.9961.362respectively. Conclusion the detection rate of postpartum depression in Shenzhen is relatively low. Women health care workers should screen and intervene the predisposition of early postpartum depression for women with history of bad pregnancy, first-time delivery and non-breast-feeding. In order to reduce the incidence and harm of postpartum depression.
【作者单位】： 深圳市妇幼保健院;华中科技大学同济医学院公共卫生学院;深圳市疾病预防控制中心;
【基金】：深圳市科创委基础计划项目(No.JCYJ20140414153700881)
【分类号】：R749.4
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本文编号：1876172