摘要
目的:探讨产妇产后抑郁的影响因素,分析其与情绪调节策略、母婴健康素养的关系。方法:选取2020年10月-2023年12月住院分娩产妇220例,调查产妇一般资料,采用爱丁堡产后抑郁量表(EPDS)、情绪调节问卷(ERQ)、母婴健康素养评估问卷评估产妇产后抑郁、情绪调节策略、母婴健康素养情况,Pearson分析情绪调节策略、母婴健康素养与产妇产后抑郁的关系,二元logistic回归分析产妇产后抑郁的影响因素。结果:220例产妇产后6周内失访2例,问卷回收不合格9例,共剔除11例,纳入209例。209例产妇中发生产后抑郁32例(15.3%)(产后抑郁组),未发生产后抑郁177例(84.7%)(非产后抑郁组)。单因素分析显示,受教育程度、非计划妊娠、产妇类型、足月分娩、新生儿疾病与产妇产后抑郁有关(P<0.05),Pearson相关性显示,母婴健康素养、ERQ认知重评与产妇产后抑郁呈负相关关系,ERQ表达抑制与产妇产后抑郁呈正相关关系(均P<0.05);二元logistic回归分析显示,非计划妊娠、初产妇、新生儿疾病、ERQ认知重评低、ERQ表达抑制高、母婴健康素养水平低是产妇产后抑郁的影响因素(均P<0.05)。结论:产后抑郁受多种因素影响,其中情绪调节策略、母婴健康素养与产妇产后抑郁发生密切相关,临床应重视相关因素予以针对性干预,以降低产后抑郁的发生率。
Objective: To investigate the influencing factors of the postpartum depression of pregnant women, and to analyze the correlation between the postpartum depression of the women and their emotion regulation strategies and the maternal and infant health literacy. Methods: 220 women who had giving birth in hospital from October 2020 to December 2023 were selected as the study objects. The general data of these women were investigated. Edinburgh postnatal depression scale(EPDS), emotion regulation questionnaire(ERQ), and maternal and infant health literacy assessment questionnaire were used to evaluate the postpartum depression situation, the emotion regulation strategies and the maternal and infant health literacy of the women. Pearson analysis was used to explore the correlation between the postpartum depression of the women and their emotion regulation strategies and the maternal and infant health literacy. The influencing factors of the postpartum depression of the women were analyzed by binary logistic regression. Results: Among 220 women, 2 cases were lost to follow-up within 6 weeks after delivery, and 9 cases were unqualified for the retrieval questionnaire, so a total of 11 cases were excluded and 209 cases were included for analysis finally. Among 209 women, there were 32(15.3%) women with postpartum depression in group A and 177(84.7%) women without postpartum depression in group B. Univariate analysis showed that the education level, the unplanned pregnancy, the parturient type, the full-term delivery and the neonatal diseases of the women were related to their postpartum depression(P<0.05). Pearson correlation showed that the maternal and infant health literacy and the ERQ cognitive reappraisal score of the women were negatively correlated with their postpartum depression,while the ERQ expression inhibition of the women was positively correlated with their postpartum depression(all P<0.05).Binary logistic regression showed that the unplanned pregnancy,the primipara,the neonatal disease,the cognitive reapp
作者
张洁
崔静静
俞秋波
ZHANG Jie;CUIJingjing;YU Qiubo(Baihe Street Community Health Service Center,Yinzhou District,Ningbo,Zhejiang Province,315000;Ning-bo University Affiliated Kangning Hospital,Ningbo;Ningbo University Affiliated People's Hospital,Ningbo)
出处
《中国计划生育学杂志》
2024年第9期2005-2010,共6页
Chinese Journal of Family Planning
关键词
产后抑郁
影响因素
情绪调节策略
母婴健康素养
相关性
Postpartum depression
Influencing factor
Emotion regulation strategy
Maternal and infant health literacy
Correlation
