中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
14期
4-7
,共4页
产后抑郁%初产妇%发生率%影响因素
產後抑鬱%初產婦%髮生率%影響因素
산후억욱%초산부%발생솔%영향인소
Postpartum depression%Primipara%Incidence%Influencing factors
目的：调查初产妇产后抑郁发生率，分析影响产后抑郁发生的相关因素。方法采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、爱丁堡产后抑郁量表（EPDS）和家庭亲密度与适应性量表（FACES）对350例初产妇进行前瞻性研究。结果产后抑郁51例，发生率为14.57%，年龄小、教育程度高、新生儿情况差、非纯母乳喂养、家庭收入较差的产妇更易发生产后抑郁（P＜0.05）。产后抑郁产妇产前SAS、SDS评分及家庭亲密度和适应性评分与正常产妇比较，差异均有统计学意义（P＜0.05）。教育程度、产前焦虑、产前抑郁、家庭适应性及新生儿评分是产后抑郁的主要影响因素（P＜0.05）。结论初产妇产后易发生抑郁，产前心理状态、家庭支持、教育程度及新生儿情况对产后抑郁发生影响显著，应加强针对性干预措施，减少产后抑郁的发生率。
目的：調查初產婦產後抑鬱髮生率，分析影響產後抑鬱髮生的相關因素。方法採用焦慮自評量錶（SAS）、抑鬱自評量錶（SDS）、愛丁堡產後抑鬱量錶（EPDS）和傢庭親密度與適應性量錶（FACES）對350例初產婦進行前瞻性研究。結果產後抑鬱51例，髮生率為14.57%，年齡小、教育程度高、新生兒情況差、非純母乳餵養、傢庭收入較差的產婦更易髮生產後抑鬱（P＜0.05）。產後抑鬱產婦產前SAS、SDS評分及傢庭親密度和適應性評分與正常產婦比較，差異均有統計學意義（P＜0.05）。教育程度、產前焦慮、產前抑鬱、傢庭適應性及新生兒評分是產後抑鬱的主要影響因素（P＜0.05）。結論初產婦產後易髮生抑鬱，產前心理狀態、傢庭支持、教育程度及新生兒情況對產後抑鬱髮生影響顯著，應加彊針對性榦預措施，減少產後抑鬱的髮生率。
목적：조사초산부산후억욱발생솔，분석영향산후억욱발생적상관인소。방법채용초필자평량표（SAS）、억욱자평량표（SDS）、애정보산후억욱량표（EPDS）화가정친밀도여괄응성량표（FACES）대350례초산부진행전첨성연구。결과산후억욱51례，발생솔위14.57%，년령소、교육정도고、신생인정황차、비순모유위양、가정수입교차적산부경역발생산후억욱（P＜0.05）。산후억욱산부산전SAS、SDS평분급가정친밀도화괄응성평분여정상산부비교，차이균유통계학의의（P＜0.05）。교육정도、산전초필、산전억욱、가정괄응성급신생인평분시산후억욱적주요영향인소（P＜0.05）。결론초산부산후역발생억욱，산전심리상태、가정지지、교육정도급신생인정황대산후억욱발생영향현저，응가강침대성간예조시，감소산후억욱적발생솔。
Objective To investigate the incidence of early postpartum depression , postpartum depression occurs im-pact analysis related factors. Methods Self-Rating Anxiety Scale(SAS), Self-Rating Depression Scale(SDS), the Ed-inburgh Postnatal Depression Scale (EPDS) and family cohesion and adaptability scale(FACES) on 350 cases of prim-ipara prospective study. Results 51 cases of postpartum depression, the rate was 14.57%, Age of light, high level of education, poor neonatal cases, non-exclusive breastfeeding, household income, poor mothers were more likely to postpartum depression(P<0.05). Postpartum depression, maternal prenatal SAS, SDS scores and scores of family cohe-sion and adaptability normal pregnancy, the differences were statistically significant (P<0.05). Education, prenatal anxiety, prenatal depression, family adaptability and neonatal score were the main influencing factors of postpartum depression(P<0.05). Conclusion Initial prone to postpartum depression, prenatal psychological state, family support, education and neonatal cases of postpartum depression significantly affected , should strengthen targeted interventions to reduce the incidence of postpartum depression.
