摘要
目的研究756例孕妇产后抑郁症(PPD)发生情况及影响因素。方法对我院2012年1月-2015年1月产科收治的756例孕妇作为研究对象,均于我院成功分娩;将756例产妇按通过《爱丁堡产后抑郁量表》划分为抑郁组204例和对照组552例,对所有孕妇进行随访,通过本次研究制定的调查表对每一位产妇进行测评,并测验孕妇分睡眠质量情况。结果本次研究756例产妇均成功完成随访,两组一般临床资料和心理资料对比中,进行试管婴儿抑郁组和对照组分别占有71例(34.80%)、99例(17.93%);收入>5000元抑郁组和对照组分别占有34(16.67%)、282(51.09%);婚姻满意抑郁组和对照组分别占有71例(34.80%)、414例(75.00%);对生活环境满意抑郁组和对照组有35例(17.16%)、299例(54.17%);产妇与父母关系好抑郁组和对照组的有49例(24.02%)、326例(59.06%);两组间行比较,怀孕方式、收入情况、婚姻满意度、生活环境和孕妇与父母关系差异具有统计学意义(P<0.05);统计结果表明孕妇PSQI和EPDS评分值均较高,分别为(15.61±5.21)分、(21.31±8.10)分;经Logistic多因素分析,结果表明睡眠质量越好、月收入越高、孕妇与父母关系度、生活环境越好与产妇PPD严重程度成负相关。结论睡眠质量、婚姻情况、月收入、生活环境和孕妇与父母关系是产妇产后抑郁的危险因素。
Objective To investigate the incidence and influencing factors of postpartum depression in 756 pregnant women.Methods A total of 756 pregnant women admitted to our hospital from January 2012 to January 2015 were enrolled in this study.They were divided into two groups according to the Edinburgh Postpartum Depression Scale： 204 cases in the depression group and 552 cases in the control group.All the pregnant women were followed up.The quality of sleep was assessed by a selfmade questionnaire in this study.Results All the 756 pregnant women completed the follow-up in this study.The general clinical data and psychological data were compared between the two groups.There were 71 cases（ 34.80%） of IVF in the depression group and 99 cases（ 17. 93%） in the control group. The number of cases whose income exceeded 5,000 yuan was 34（ 16.67%） in the depression group and 282（ 51.09%） in the control group. 71 cases（ 34.80%） in the depression group were satisfied with their marriage,compared to 414 cases（ 75.00%） in the control group.35 cases（ 17.16%） in the depression group were satisfied with the living environment,compared with 299 cases（ 54. 17%） in the control group. 49 cases（ 24. 02%） in the depression group had a good relationship with their parents-in-law,compared with 326 cases（ 59.06%） in the control group. Significant difference was detected between the two groups in ways of getting pregnant,income,levels of satisfaction with marriage,living environments and the relationships between pregnant women and their parents-in-law（ P〈0.05）.The difference was statistically significant.The PSQI and EPDS scores of pregnant women were both high as showed by statistical results.The results of multivariate logistic analysis showed that the quality of sleep,monthly incomes,relationships between the pregnant women and parents-in-law,and living environments were related to the severity of postpartum depression.Conclusion Sleep quality,marital status,monthly incomes,living environments and the relationships between pregnant women and parents-in-law are risk factors for postpartum depression.
出处
《解放军预防医学杂志》
CAS
2017年第8期1001-1003,共3页
Journal of Preventive Medicine of Chinese People's Liberation Army
基金
陕西省科学技术研究发展计划国际合作项目(No.2013 KW-27-01)
