基于结构方程模型探讨长沙市开福区产妇产后抑郁现状及其影响因素
发布时间:2018-05-23 19:05
本文选题:产后抑郁 + 结构方程模型 ; 参考:《中南大学学报(医学版)》2017年10期
【摘要】:目的:了解长沙市开福区产妇产后抑郁的现状,基于结构方程模型探索产后抑郁的影响因素、相关关系及作用路径。方法:随机选取于2015年内在长沙市开福区分娩且符合纳入标准的产妇作为研究对象,建立前瞻性出生队列。应用自制的产妇一般情况调查表收集产妇及家庭的相关信息,应用爱丁堡产后抑郁量表(EPDS)评估产妇产后1个月的抑郁情绪。采用结构方程模型探讨产后抑郁的影响因素及相关关系。结果:共调查961例产妇,82例(8.2%)EPDS总分≥9。由结构方程路径分析图可知影响因素对产后抑郁的作用路径、大小及相关关系;具体影响因素为母亲的年龄、文化水平、家庭人均收入、有无准备怀孕、妊娠并发症及合并症、受孕方式、分娩方式、喂养方式、婴儿出生体重、婴儿性别及患病就医。结论:长沙市开福区产妇产后抑郁的发生率较低,结构方程模型可以应用于探讨产后抑郁的影响因素及相关关系。
[Abstract]:Objective: to understand the present situation of postpartum depression in Kaifu District of Changsha City and explore the influencing factors, correlation and action path of postpartum depression based on structural equation model. Methods: a prospective birth cohort was established by randomly selecting puerperas who had delivered in Kaifu District of Changsha City in 2015 and met the inclusion criteria. The information of puerpera and family was collected by self-made questionnaire of general situation of parturient, and the depression mood of puerpera was evaluated by Edinburgh postpartum depression scale (EPDS). To explore the influencing factors and correlation of postpartum depression by structural equation model. Results: the total score of EPDS was 鈮,
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