摘要
目的探讨高龄孕产妇抑郁症状的相关因素。方法选取本院2016年3月～2017年5月本院收治的218例高龄产妇,根据其是否存在抑郁症状分为两组,其中抑郁组(SDS分≥53分)146例,正常组(SDS分<53分)72例。所有孕产妇入院后均进行血常规、尿常规、超声等常规检查,利用本院自制的高龄孕产妇一般情况调查表、焦虑抑郁情绪测量量表(HAD)、爱丁堡产后抑郁量表(EPDS)对孕产妇进行评估,并分析高龄孕产妇抑郁症状的相关因素。结果两组产妇学历、居住条件、流产史对比,差异无统计学意义;两组产妇年龄、孕次、职业、家庭收入、妊娠期并发症及社会支持对比,差异有统计学意义(P<0.05);Logistic多因素分析结果显示,年龄、孕次、职业及妊娠期并发症均为高龄孕产妇抑郁的危险因素;家庭收入、社会支持均为高龄孕产妇抑郁的保护因素。结论高龄孕产妇抑郁发生率较高,且是由多种因素引发,根据孕产妇的具体危险因素,应给予合理、有效的干预措施,从而降低高龄孕产妇抑郁发生率,提升其生活质量。
Objective To explore the related factors of depression in elderly pregnant women. Methods From March 2016 to May 2017, 218 elderly parturient women were divided into two groups according to their depressive symptoms, including 146 depressive patients （SDS 〈 53 points） and 72 normal ones （SDS 〈 53 points）. All the pregnant and lying-in women were examined by blood routine test, urine routine test, ultrasound and other routine tests. The elderly pregnant and lying-in women were assessed by self-made questionnaire, anxiety and depression scale （HAD） and Edinburgh Postpartum Depression Scale （EPDS）, and the related factors of depressive symptoms of the elderly pregnant and lying-in women were ana- lyzed. Results There was no significant difference in maternal education, living conditions and abortion history between the two groups; there was significant difference in maternal age, pregnancy, occupation, family income, complications during pregnancy and social support between the two groups（P〈0.05）; Logistic multivariate analysis showed that age, pregnancy, occupation and pregnancy. All the complications were risk factors of depression, and family income and social support were protective factors of depression. Conclusion The incidence of depression in elderly pregnant and lying-in women is high, which is caused by many factors. According to the specific risk factors of pregnant and lying-in women, reasonable and effective intervention measures should be given to reduce the incidence of depression in elderly pregnant and lying-in women and improve their quaity of life.
作者
李琦
郏晓骏
邰海凤
汤慧君
吴晓燕
Li Qi;Jia Xiaojun;Tai Haifeng;Tang Huijun;Wu Xiaoyan(Department of Obstetrics and Gynecology,Shanghai Putuo District maternal and child health care hospital,Shanghai,20006Q China)
出处
《当代医学》
2018年第27期80-82,共3页
Contemporary Medicine
关键词
高龄
孕产妇
抑郁症状
相关因素
Advanced age
Pregnant women
Depressive symptoms
Related factors
