摘要
目的:探究初产妇剖宫产后抑郁症(PPD)发生的危险因素及风险预测模型构建。方法:收集153例初产妇临床资料,分为抑郁组、无抑郁组,分析产后PPD发生率及其危险因素并构建风险预测模型。结果:初产妇剖宫产后PPD发生率20.92%,抑郁症发生率20.91%。结果显示,BMI>28kg/m^(2)、孕周<37周、人均月收入<5000元、产前焦虑是其危险因素,社会支持水平高是保护因素(P<0.05)。预测模型AUC为0.931,敏感性、特异性分别为97.35%、71.07%。结论:初产妇剖宫产后PPD发生率较高且影响因素众多,本模型对PPD有较高预测价值。
Objective:To investigate the risk factors for postpartum depression(PPD)in primiparous women undergoing cesarean section,and construct a risk prediction model.Methods:The clinical data of 153 primigravid women were collected and divided into depressed and non-depressed groups to analyse the incidence of postpartum PPD and its risk factors and construct a risk prediction model.Results:The incidence of PPD after caesarean section in primigravid women was 20.92%,and the incidence of depression was 20.91%.The results showed that BMI>28 kg/m^(2),gestational week<37 weeks,per capita monthly income<5000 yuan,and antenatal anxiety were risk factors,and high level of social support was a protective factor(P<0.05).The AUC of the prediction model was 0.931,and the sensitivity and specificity were 97.35%and 71.07%,respectively.Conclusion:The incidence of PPD in primiparous women after cesarean section is high,and there are many influencing factors.The risk prediction model constructed in this study is of high predictive value in PPD.
作者
庞利影
马翠兰
姚芬
冯丽萍
杨利华
庄丹丹
Pang Liying;Ma Cuilan;Yao Fen;Feng Liping;Yang Lihua;Zhuang Dandan(Linquan County People's Hospital Operating Room,Fuyang City,Anhui 236400)
出处
《现代科学仪器》
2024年第2期122-126,共5页
Modern Scientific Instruments
关键词
初产妇
剖宫产
抑郁症
危险因素
风险预测模型
Primiparous woman
Cesarean section
Depression
Risk factor
Risk prediction model
