摘要
目的:调查产后抑郁(PPD)的患病情况,分析PPD的危险因素,为PPD的预防和干预提供依据。方法:利用自制问卷和爱丁堡产后抑郁量表(EPDS),对2012年7～10月在北京市朝阳区一所医院分娩的300例产妇的基本情况和PPD情况进行调查。EPDS共包括l0个项目,得分范围为0～30分。本研究定义EPDS总分≥10分者为产后抑郁症。采用SPSS18.0软件对PPD的发生情况及危险因素进行分析。结果:本次调查时点内调查对象PPD发生率为24.33%。多因素logistic回归分析发现,"与婆家关系差"(OR=2.47,95%CI=1.120-5.44)、"孕前健康状况差"(OR=4.99,95%CI=1.561-15.93)、"怀孕影响目前工作或收入"(OR=1.79,95%CI=1.02-3.12)的产妇,PPD患病率较高。结论:当前PPD的发生率较高,心理原因是主要危险因素,产后良好的家庭支持和心理支持可降低PPD症的发生率。
Objective： To explore the prevalence of postpartum depression （PPD） and related risk factors. Methods： Three hundred pregnant women were evaluated for postnatal health status with Edinburgh postnatal depression scale （EPDS）. SPSS18.0 software was used in statistical analysis. Results： With 10 points as the EPDS scale criteria, the prevalence of PPD was 24.33%. Factors influenced the prevalence of PPD were as follow： ＂ the relationship between mother - in - law and daughter -in -law＂ （OR =2.47, 95%CI= 1.12-5.44）, ＂women＇s health status before pregnant＂ （OR =4. 99, 95%CI= 1.56 - 15.93） and ＂the effects of pregnancy on work and income＂ （ OR = 1.79, 95 % CI = 1.02 - 3.12）. Conclusion： The prevalence of PPD is high due to many risk factors. In order to reduce the incidence, more family and psychological supports are necessary.
出处
《中国计划生育学杂志》
2013年第5期321-323,333,共4页
Chinese Journal of Family Planning
基金
北京市朝阳区精神疾病预防控制中心特色项目
关键词
产后抑郁症
患病率
危险因素
心理支持
爱丁堡产后抑郁量表
Postpartum depression
Prevalence
Risk factor
Psychological support
Edinburgh postnatal depression scale
