摘要
目的探讨产妇产后早期母婴连结及产后抑郁现状及其相关性。方法采用便利抽样法,选取2018年8月—10月在本市某三级甲等综合医院门诊进行产后复查的413例产妇为研究对象,采用一般资料调查表、产后连结问卷(postpartum bonding questionnaire,PBQ)、爱丁堡抑郁量表(Edinburgh postnatal depression scale,EPDS)进行调查。结果产妇母婴连结总分的中位数为12.0(6.0,19.0)分,均数(13.8±9.6)分,处于低水平,其中正常母婴连结者80.9%,轻度连结异常者17.4%,潜在拒绝者1.5%,明确拒绝者0.2%;产后抑郁得分为(7.2±4.6)分,处于低水平,产后抑郁发生率31.0%;产后抑郁与母婴连结得分呈正相关(r=0.419,P<0.001);多重线性回归分析显示,在控制一般资料后产后抑郁是母婴连结的风险因素(P<0.05)。结论母婴连结障碍及其产后抑郁发生率不容忽视,产后抑郁是影响母婴连结的危险因素。应注意早期发现产后母婴连结障碍和产后抑郁,采取针对性的干预策略,促进母婴健康。
Objective To investigate the status and correlation of maternal-infant bonding and postpartum depression in early postpartum period.Methods A total of 413 puerpera who underwent postpartum review in the outpatient department of a general hospital in Wuhan were enrolled as the research subjects,with the convenience sampling method,from August to October 2018.The general information questionnaire,postpartum bonding questionnaire(PBQ)and Edinburgh postnatal depression scale(EPDS)were used in the survey.Results The median M score was 12.0(6.0,19.0),at a low level,indicating that the maternal-infant bonding was good.The rate of normal mother-infant bonding was 80.9%,mild abnormal bonding at 17.4%,potential rejection at 1.5%,and explicit rejection at 0.2%.The score of postpartum depression was at a low level(7.2±4.6),with an incidence rate at 1.0%.There was a significant positive correlation between the postpartum depression and maternal-infant bonding(r=0.419,P<0.001).Multiple linear regression analysis showed that postpartum depression was a risk factor of the maternal-infant bonding within the controlled general information(P<0.05).Conclusions The incidence of maternal-infant bonding disorder and postpartum depression should not be ignored.Postpartum depression is a risk factor that affects the maternal-infant bonding.Attention should be paid to the early detection of maternal and infant bonding disorder and postpartum depression and targeted intervention strategies should be in place to promote the health in both of the maternal mother and infant.
作者
吴裕玲
章翀
聂蓉
Wu Yuling;Zhang Chong;Nie Rong(School of Health Science&Nursing,Wuhan Polytechnic University,Wuhan,430023,China)
出处
《现代临床护理》
2021年第3期34-39,共6页
Modern Clinical Nursing
关键词
母婴连结
抑郁
产妇
产后
产后连结问卷
爱丁堡抑郁量表
横断面研究
maternal-infant bonding
depression
puerpera
postpartum
postpartum bonding questionnaire
Edinburgh postnatal depression scale
cross-sectional study
