摘要
目的探讨产后抑郁症的发生率及其有关的心理、社会因素,以提高产科医师对产后抑郁症的认识,及早采取预防和治疗措施。方法选取住院分娩的产妇260例进行抑郁自评量表、焦虑自评量表、汉姆顿抑郁量表、自制问卷调查表调查。调查内容包括产妇的一般情况、产科情况、产后的抑郁症状、应对方式的评定。结果产后抑郁症的发生率20%(52/260)。产妇的年龄、性格、文化程度、居住条件、婴儿性别等因素对产后抑郁症的影响差异无显著性(P>0.05)。产妇家庭收入、职业、家庭关系、分娩方式、住院环境及医院的服务质量等因素对产后抑郁症的影响差异有显著性(P<0.05)。结论应充分重视围产期及产褥期的心理保健和心理护理,加强对孕产妇及其家属的产前、产时宣教,积极预防产后抑郁症的发生。
Objective To study the prevalence rate of postpartum depression（PPD） and social psychological factors so as to promote obstetrician＇s understanding of the disease and establish early preventive and therapeutic measures. Methods 260 postparturition women were chosen in our hospital. Self-rating depression scale, self-rating anxiety scale, Hamilton depression scale and self-made questionnaires were used to gather the information about the demographic data ,obstetric history ,and psychological variables including the depression and coping ability. Results The prevalence rate of postpartum depression was 20%（52/260）. No significant difference was observed among the age of postpartum women, disposition,educational level,living condition, the sex of new babies,the way of feeding,and the nursing staff number（P〉0.05）. But significant difference was observed on such factors as occupation of the postpartum women,the family economic condition ,the relationship between family members ,the delivery pattern,the environment of patient wards,and the mode of nursing staff etc（P〈0.05）. Conclusion Attention should be paid to the psychological care and psychological protection in the period of postpartum and puerperium. It is necessary to educate the pregnant women and their family members during pregnancy and birth procsss in order to prevent the development of postpartum depression.
出处
《淮海医药》
CAS
2006年第4期273-275,共3页
Journal of Huaihai Medicine
关键词
产后抑郁症
相关因素
问卷调查
Postpartum depression
Related factors
Questionnaires
