中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2012年
6期
543-546
,共4页
解雅春%袁宏伟%庄如锦%韩聪慧%刘淑红%陈素芬%付智伟%王志明%乔素贞%郭琳%张慧颖
解雅春%袁宏偉%莊如錦%韓聰慧%劉淑紅%陳素芬%付智偉%王誌明%喬素貞%郭琳%張慧穎
해아춘%원굉위%장여금%한총혜%류숙홍%진소분%부지위%왕지명%교소정%곽림%장혜영
妊娠,高危%队列研究%抑郁%社会心理因素
妊娠,高危%隊列研究%抑鬱%社會心理因素
임신,고위%대렬연구%억욱%사회심리인소
Pregnancy,high-risk%Cohort studies%Depression%Psychosocial factors
目的 了解哈尔滨市高危妊娠孕产妇的抑郁状况及其社会心理因素.方法 2010年9月至2011年6月,以哈尔滨市某医院的42例高危妊娠孕产妇和40名正常孕产妇为研究对象,对其进行随访.随访时点为孕32 ～36周、产前1周、产后1周及产后6周.随访期间调查孕产妇基本情况,应用自制社会心理因素调查表及抑郁自评量表评估产前抑郁情绪状况,应用爱丁堡产后抑郁(EPDS)量表于产后1周筛查产后抑郁症状,应用单因素分析及多因素非条件logistic回归分析高危妊娠孕产妇抑郁的社会心理相关因素.结果 42例高危妊娠孕产妇年龄为(31.0±5.6)岁,40名正常孕产妇年龄为(30.5±3.8)岁(t=0.169,P＞0.05).高危孕产妇孕期抑郁情绪检出率(45.2％,19/42)高于正常孕产妇(25.0％,10/40)(x2 =3.671,P=0.045).高危孕产妇孕32～36周、产前1周、产后1周及产后6周各时点抑郁情绪检出率分别为30.9％( 13/42)、42.9％(18/42)、23.8％(10/42)、26.2％ (11/42)；正常孕产妇分别为25.0％ (10/40)、15.0％ (6/40)、20.0％(8/40)、17.5％(7/40),两组孕产妇产前1周抑郁情绪检出率差异有统计学意义(x2=7.680,P＜0.01),孕32～36周(x2=0.133,P=0.80)、产后1周(x2=0.174,P =0.79)及产后6周(x2=0.903,P=0.43)的抑郁情绪检出率差异均无统计学意义.高危妊娠孕产妇产后1周、产后6周的抑郁症状检出率分别为12.5％ (4/32)、30.4％( 7/23),正常孕产妇分别为8.3％ (3/36)、22.9％( 8/35),差异均无统计学意义(x2值分别为0.319、0.416,P值均＞0.05).高危妊娠及正常孕产妇产前1周抑郁情绪与产后6周抑郁症状相关(r值分别为0.824、0.677,P值均＜0.05).多因素非条件logistic回归显示,待产准备不足( OR =2.73,P＜0.01)和担心分娩安全(OR=2.89,P＜0.01)是高危妊娠孕产妇抑郁情绪的危险因素.结论 高危妊娠孕产妇抑郁情绪检出率较高,且在产前1周时最明显,待产准备不足和担心分娩安全是高危妊娠孕产妇抑郁情绪的危险因素.
目的 瞭解哈爾濱市高危妊娠孕產婦的抑鬱狀況及其社會心理因素.方法 2010年9月至2011年6月,以哈爾濱市某醫院的42例高危妊娠孕產婦和40名正常孕產婦為研究對象,對其進行隨訪.隨訪時點為孕32 ～36週、產前1週、產後1週及產後6週.隨訪期間調查孕產婦基本情況,應用自製社會心理因素調查錶及抑鬱自評量錶評估產前抑鬱情緒狀況,應用愛丁堡產後抑鬱(EPDS)量錶于產後1週篩查產後抑鬱癥狀,應用單因素分析及多因素非條件logistic迴歸分析高危妊娠孕產婦抑鬱的社會心理相關因素.結果 42例高危妊娠孕產婦年齡為(31.0±5.6)歲,40名正常孕產婦年齡為(30.5±3.8)歲(t=0.169,P＞0.05).高危孕產婦孕期抑鬱情緒檢齣率(45.2％,19/42)高于正常孕產婦(25.0％,10/40)(x2 =3.671,P=0.045).高危孕產婦孕32～36週、產前1週、產後1週及產後6週各時點抑鬱情緒檢齣率分彆為30.9％( 13/42)、42.9％(18/42)、23.8％(10/42)、26.2％ (11/42)；正常孕產婦分彆為25.0％ (10/40)、15.0％ (6/40)、20.0％(8/40)、17.5％(7/40),兩組孕產婦產前1週抑鬱情緒檢齣率差異有統計學意義(x2=7.680,P＜0.01),孕32～36週(x2=0.133,P=0.80)、產後1週(x2=0.174,P =0.79)及產後6週(x2=0.903,P=0.43)的抑鬱情緒檢齣率差異均無統計學意義.高危妊娠孕產婦產後1週、產後6週的抑鬱癥狀檢齣率分彆為12.5％ (4/32)、30.4％( 7/23),正常孕產婦分彆為8.3％ (3/36)、22.9％( 8/35),差異均無統計學意義(x2值分彆為0.319、0.416,P值均＞0.05).高危妊娠及正常孕產婦產前1週抑鬱情緒與產後6週抑鬱癥狀相關(r值分彆為0.824、0.677,P值均＜0.05).多因素非條件logistic迴歸顯示,待產準備不足( OR =2.73,P＜0.01)和擔心分娩安全(OR=2.89,P＜0.01)是高危妊娠孕產婦抑鬱情緒的危險因素.結論 高危妊娠孕產婦抑鬱情緒檢齣率較高,且在產前1週時最明顯,待產準備不足和擔心分娩安全是高危妊娠孕產婦抑鬱情緒的危險因素.
목적 료해합이빈시고위임신잉산부적억욱상황급기사회심리인소.방법 2010년9월지2011년6월,이합이빈시모의원적42례고위임신잉산부화40명정상잉산부위연구대상,대기진행수방.수방시점위잉32 ～36주、산전1주、산후1주급산후6주.수방기간조사잉산부기본정황,응용자제사회심리인소조사표급억욱자평량표평고산전억욱정서상황,응용애정보산후억욱(EPDS)량표우산후1주사사산후억욱증상,응용단인소분석급다인소비조건logistic회귀분석고위임신잉산부억욱적사회심리상관인소.결과 42례고위임신잉산부년령위(31.0±5.6)세,40명정상잉산부년령위(30.5±3.8)세(t=0.169,P＞0.05).고위잉산부잉기억욱정서검출솔(45.2％,19/42)고우정상잉산부(25.0％,10/40)(x2 =3.671,P=0.045).고위잉산부잉32～36주、산전1주、산후1주급산후6주각시점억욱정서검출솔분별위30.9％( 13/42)、42.9％(18/42)、23.8％(10/42)、26.2％ (11/42)；정상잉산부분별위25.0％ (10/40)、15.0％ (6/40)、20.0％(8/40)、17.5％(7/40),량조잉산부산전1주억욱정서검출솔차이유통계학의의(x2=7.680,P＜0.01),잉32～36주(x2=0.133,P=0.80)、산후1주(x2=0.174,P =0.79)급산후6주(x2=0.903,P=0.43)적억욱정서검출솔차이균무통계학의의.고위임신잉산부산후1주、산후6주적억욱증상검출솔분별위12.5％ (4/32)、30.4％( 7/23),정상잉산부분별위8.3％ (3/36)、22.9％( 8/35),차이균무통계학의의(x2치분별위0.319、0.416,P치균＞0.05).고위임신급정상잉산부산전1주억욱정서여산후6주억욱증상상관(r치분별위0.824、0.677,P치균＜0.05).다인소비조건logistic회귀현시,대산준비불족( OR =2.73,P＜0.01)화담심분면안전(OR=2.89,P＜0.01)시고위임신잉산부억욱정서적위험인소.결론 고위임신잉산부억욱정서검출솔교고,차재산전1주시최명현,대산준비불족화담심분면안전시고위임신잉산부억욱정서적위험인소.
Objective This study aimed to investigate the depression status among high-risk pregnancy women,and to analyze its relevant social and psychological factors.Methods A total of 42 highrisk pregnancy women and 40 normal pregnancy women in a teaching hospital in Harbin city were followed up at time points of 32 - 36 weeks pregnancy,one week before labor,one week postpartum,and six weeks postpartum,respectively.During follow-up,the basic situation,social psychosocial factors of pregnancy women were collected and the depression of pregnancy women was measured by self-designed questionnaire and self-rating depression scale.The Edinburgh Postnatal Depression Scale ( EPDS ) was applied at timepoint of one week postpartum Single factor analysis and the unconditional multivariate logistic regression were applied for analyzing the on the related social-psychosocial factors among high-risk pregnancy women.Results The age of high- risk pregnancy women was ( 31.0 ± 5.6 ),and thc age of normal pregnancy women was (30.5 ±3.8) (t =0.169,P ＞0.05).The results showed that the depression rate in high-risk pregnancy women was 45.2％ (19/42),which was 25.0％ (10/40) in normal pregnancy women,the difference was significant( x2 =3.671,P =0.045 ).The depression rates at different time points were 30.9％ ( 13/42 ),42.9％ ( 18/42 ),23.8％ ( 10/42 ),26.2％ ( 11/42 ) in high-risk pregnancy women respectively,and 25.0％ ( 10/40 ),15.0％ ( 6/40 ),20.0％ ( 8/40 ),17.5％ ( 7/40 ) in the control group respectively,the difference of the depression rates among groups at one week before labor was significant ( x2 =7.680,P ＜ 0.01 ),the difference among groups at 32 - 36 weeks pregnancy ( x2 =0.133,P =0.80),at one week postpartum( x2 =0.174,P =0.79 )and at six weeks postpartum (x2 =0.903,P =0.43 )were not significant.At one week postpartum and six weeks postpartum periods,the EPDS depression rate were 12.5％ (4/32),30.4％ (7/23) in case group respectively,8.3 ％ (3/36),22.9％ (8/35) in control group respectively,the difference were not significant ( x2 =0.319,0.416,P =0.573,0.519 ).There were significantly associations between the depression mood of one week before labor and the depressive symptoms of six weeks postpartum in both groups ( r =0.824,0.677,both P values were ＜ 0.05 ).The risk factors for maternal depression among high-risk pregnancy women were not ready for production ( OR =2.73,P ＜ 0.01 )and fearing of childbirth safety ( OR =2.89,P ＜ 0.01 ).Conclusion The depression date of high-risk pregnancy was high,especially at the time point one week before labor.Risk factors of maternal depression among high-risk pregnancy were “not ready for production” and “fear of childbirth safety”.
