摘要
目的 分析产后抑郁的发生率及与其相关的因素 ,为早期发现、早期干预产后抑郁提供依据。方法 以 2 0 0 2年 10月 1日～ 2 0 0 3年 9月 30日在我院分娩并知情、同意参加本研究的 30 7名孕妇作为研究对象 ,孕期采用综合医院焦虑抑郁量表 (HADS) ,产后采用爱丁堡产后抑郁量表 (EPDS) ,EPDS总分≥ 13分即为产后抑郁。通过非条件Logistic回归分析筛选出与产后抑郁相关的主要危险因素。结果 30 7名孕妇中 ,产后抑郁的发生率为 7.6 % ,多因素分析中有 8个因素进入多因素回归模型 ,分别为近 3个月夫妻关系、经常担忧产后避孕、产前洁癖、近 3个月经济问题、担心分娩安全、产后抢救、丈夫产后探望及产后饮食。
Objective To investigate the incidence and risk factors of postpartum depression.Method Clinical data of 307 deliveries during October 2002～September 2003 were analyz ed. Both HAD and EPD scales were used in the study. Postpartum depression was de fined as the score of EPDS≥13. Results The incidence of postpartum depression was 7.5% among 307 deliveries. There were 17 factors associated with postpartum depression significantly according to sin gle-factor analysis and 8 factors entered last regression model according to mu lti-factor analysis. Conclusion It is necessary to give pregnant women both medical and social psychol ogical supports during the course of pregnancy and even after delivery.
出处
《上海医学》
CAS
CSCD
北大核心
2004年第10期756-758,共3页
Shanghai Medical Journal
