摘要
目的:了解社会支持对产后抑郁的影响。方法:2009年8月～2010年9月采用随机整群抽样的方法选取深圳市80个社区的4 000名产妇为调查对象,采用自行设计的社会人口学调查表及爱丁堡产后抑郁调查量表(EPDS)、社会支持量表(SSRS)进行问卷调查。结果:产后抑郁组的客观支持、主观支持、支持利用度和支持总分都低于正常组(t=8.885、t=11.341、t=8.065、t=13.685,P<0.001)。社会支持评定量表4项因子得分为产后抑郁症发生的保护性因素,得分越高,抑郁症发生的几率越低,OR(95%CI)分别为0.79(0.75～0.83)、0.85(0.83～0.88)、0.77(0.72～0.82)和0.88(0.86～0.90)。结论:社会支持与产后抑郁之间存在相关性,具有良好社会支持系统的产妇发生产后抑郁比率较低,应构建完善的社会支持系统,从家庭到社会不同层面给予产妇关爱与帮助,通过心理干预等方法提高产妇的社会支持利用度,减少产后抑郁的发生。
Objective： To understand the impact of social support on postpartum depression. Methods： A total of 4 000 maternal in 80 communities of Shenzhen were investigated in the survey by using random cluster sampling method from August 2009 to September 2010. They were estimated by Self - designed socio - demographic questionnaire, the Edinburgh Postnatal Depression Questionnaire （EPDS） and Social Support Rating Scale （SSRS） . Results： The total score of social support rating scale, objective support, subjective support, uti- lization of support for postpartum in depression group were lower than those of normal group and the differences between the two groups were significant （t --8. 885, t -- 11. 341, t = 8. 065, t = 13. 685, P 〈 0. 001 ） . The score of the four factors in the Social Support Rating Scale were protective factors of the occmTence of postpartum depression, and the higher the score, the lower the ratio of occurrence of postpartum depression. OR （95% CI） were 0.79 （0.75 to 0.83）, 0.85 （0.83 to 0.88）, 0.77 （0.72 to 0.82） and 0.88 （0.86 to 0.90） respectively. Conclusion： Lower rates of maternal postpartum depression in maternal with good social support systems shows that there is a correlation between social support and postnatal depression. A sound social support system should be build in order that maternal can be cared and helped in different levels from the family to the community and the measures such as psychological intervention should be taken to improve utilization of maternal social support and reduce the occurrence and development of postpartum depression.
出处
《中国妇幼保健》
CAS
北大核心
2013年第16期2576-2579,共4页
Maternal and Child Health Care of China
基金
深圳市科技计划项目〔200903115〕
关键词
产后抑郁
社会支持
影响
产妇
Postpartum depression
Social support
Effects
Puerpera
