包头市三家综合医院住院分娩产妇产后抑郁现状及影响因素研究

发布时间：2018-05-06 15:53

  本文选题：产妇 + 产后抑郁　； 参考：《山东大学》2012年硕士论文

【摘要】：研究背景： 产后抑郁是发生在产褥期的一种异常心理行为,其临床表现与一般的抑郁症状相同,主要是以抑郁、沮丧、哭泣、烦躁、易激惹、甚至自杀倾向等为特征。产后抑郁的病因复杂,与遗传、生物学、心理学、社会学等因素有关。近年来,随着社会经济与科学技术的高速发展,人们的生活压力逐渐加大,产后抑郁的发生率也在不断上升,不仅影响产妇的身心健康,而且会对婴儿的身心发育、夫妻关系、家庭功能乃至社会功能造成一定的损害。目前,有关产后抑郁的发生率及其相关因素已有诸多报道,但结论颇不一致,这给产后抑郁的预防干预带来较大困难。 研究目的： 了解内蒙古包头地区住院分娩产妇产后抑郁发生情况,分析影响住院分娩产妇发生产后抑郁的社会因素,为促进产妇心理健康调适提供参考依据。 资料与方法： 1.本研究采用随机抽样的方法,以从2012年6月到2012年7月在包头市两所三级甲等医院和一所二级甲等医院住院分娩的246名符合条件的产妇为研究对象,在产后2-7天对其进行问卷调查。 2.采用爱丁堡产后抑郁量表(EPDS)及根据当地实际情况自拟的心理社会因素调查表(内容包括年龄、民族、学历、职业、配偶情况、家庭收入居住情况、既往史、孕期一般情况、产科特征、喂养方式、婴儿情况、家庭关系)进行测评分析。结果用SPSS13.0统计软件进行处理。 主要结果： 1.产后抑郁发生情况：246名住院分娩产妇中,EPDS得分≥9分,即PPD筛检为阳性者为92例,产后抑郁的发生率为37.4%。 2.社会心理影响因素：产后抑郁组与对照组在居住地、民族、文化程度、职业、经济收入、产次、睡眠状况、分娩方式、喂养方式等因素间差异无统计学意义；在年龄、产后陪护者、高危妊娠、与期待婴儿性别不符合等因素方面存在统计学差异；影响抑郁与非抑郁的非条件多因素Logistic回归分析结果表明：年龄≥30周岁、与期盼婴儿性别不符、产后由婆婆照顾可推定为包头市产后抑郁的危险因素。 结论： 1.住院分娩产妇产后抑郁发生率为37.4%。 2.产妇的文化程度、民族、居住地、职业、经济收入、产次、睡眠状况、分娩方式、喂养方式等与产后抑郁在统计学上无显著性差异。 3.具备以下特征的住院分娩产妇发生产后抑郁的可能性较高：年龄≥30周岁、与期盼婴儿性别不符、产后由婆婆照顾。
[Abstract]:Background: Postpartum depression is a kind of abnormal psychological behavior that occurs in puerperium. Its clinical manifestation is the same as general depressive symptoms, mainly characterized by depression, depression, crying, irritability, irritability and even suicidal tendency. The etiology of postpartum depression is complex and related to genetic, biological, psychological, sociological and other factors. In recent years, with the rapid development of social economy and science and technology, people's life pressure is gradually increasing, and the incidence of postpartum depression is also rising, which not only affects the physical and mental health of the parturient, but also affects the physical and mental development of the infant and the relationship between husband and wife. The family function and even the social function cause certain damage. At present, there are many reports about the incidence of postpartum depression and its related factors, but the conclusions are quite inconsistent, which makes the prevention and intervention of postpartum depression more difficult. Objectives of the study: To understand the incidence of postpartum depression in hospitalized parturient in Baotou area of Inner Mongolia, and analyze the social factors that affect postpartum depression in hospitalized parturient, so as to provide reference for promoting the adjustment of mental health of parturient. Information and methods: 1. From June 2012 to July 2012, 246 pregnant women who were hospitalized and delivered in two Grade 3A hospitals and a second Class A hospital in Baotou City were selected as subjects. A questionnaire survey was conducted on 2-7 days postpartum. 2. The Edinburgh postpartum depression scale (EPDS) and the psychological and social factors questionnaire (including age, nationality, educational background, occupation, spouse, family income, past history, general situation during pregnancy) were designed according to the actual local conditions. Obstetrical characteristics, feeding patterns, infant status, family relationships) were evaluated and analyzed. Results SPSS13.0 statistical software was used to deal with the problem. Main results: 1. The incidence of postpartum depression was more than 9, 92 cases were positive for PPD screening, and the incidence of postpartum depression was 37.4%. 2. Psychosocial factors: there was no significant difference between the postpartum depression group and the control group in terms of residence, nationality, education, occupation, income, birth, sleep status, delivery style, feeding style, etc. There were significant differences in the factors of postpartum chaperone, high risk pregnancy and the sex nonconformity of the expected baby, and the non-conditional multivariate Logistic regression analysis of depression and non-depression showed that age 鈮，

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