摘要
目的探讨产后抑郁症的发生率及其相关的心理社会因素,为早期心理卫生干预提供依据。方法采用爱丁堡抑郁量表及自拟的心理社会因素调查表对350例初产妇产后6周的抑郁状况进行测评分析。结果产后抑郁症的发生率为22.0%,其中轻度占90.6%,中度占9.4%。产妇的年龄、学历、婴儿性别、分娩过程、婆媳关系不同,对产后抑郁症的影响差异亦有统计学意义(P<0.05);夫妻关系、产后护理、居住条件、产后睡眠状况不同,对产后抑郁症影响差异有统计学意义(P<0.01);而产妇的职业、家庭收入、喂养方式不同,对产后抑郁症影响差异无统计学意义(P>0.05)。结论初产妇产后抑郁症发生率较高,心理社会因素对产后抑郁症的影响不容忽视。我们应做好孕产妇在围产期中的心理卫生保健工作,使产妇愉快地度过情感危险期,从而降低产褥期抑郁症的发生。
[Objective]To explore the incidence of postpartum depression and its related psychosocial factors,provide the basis for early mental health intervention. [Methods]With Edinburgh Postnatal Depression Scale（EPDS） and Self-designed Psychosocial Factor Questionnaire（SPFQ）,the depression status of 350 primiparas was assessed and analyzed 6 weeks after parturition. [Results]The incidence of postpartum depression was 22.0%,including 90.6% of mild depression and 9.4% of moderate depression.The age and educational background of primiparas,infant sex,delivery course and relationship with mother-in-law had a significant influence on postpartum depression（P0.05）.There were significant differences in incidence of postpartum depression between different conjugal relation,postpartum nursing,living condition and postpartum sleeping status（P0.01）.The occupations of primiparas,family incomes and feeding patterns had no significant influence on postpartum depression（P0.05）. [Conclusion]The incidence of postpartum depression in primiparas is high,and influences of psychosocial factors on postpartum depression cannot be ignored.It is important to carry out the mental health care during perinatal period to help parturients tide over the emotion crises enjoyably,so as to reduce the postpartum depression during puerperium.
出处
《职业与健康》
CAS
2011年第19期2225-2226,共2页
Occupation and Health
关键词
初产妇
产褥期
抑郁症
相关因素
Primipara
Puerperium
Depression
Related factors
