中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY
2014年
2期
72-74
,共3页
孕期健康教育%QQ交流%产后抑郁症
孕期健康教育%QQ交流%產後抑鬱癥
잉기건강교육%QQ교류%산후억욱증
health education during pregnancy%QQ communication%postpartum depression
目的：探讨孕期健康教育与QQ交流平台在预防产后抑郁症中的作用。方法选择2012年6月至2013年3月在深圳市盐田区人民医院产前检查及住院分娩并进行产后42 d复查的产妇560例作为研究对象，将孕产期接受健康教育及参加QQ交流的产妇300例设为观察组；未接受健康教育及QQ交流的260例设为对照组。采用爱丁堡产后抑郁量表（ Edinburgh postnatal depression scale ，EPDS）进行产后抑郁症筛查；根据《精神疾病的诊断与统计手册》进行诊断并分析结果；对产妇进行问卷调查，搜集并分析发生产后抑郁症的影响因素。结果560例产妇中，确诊产后抑郁症74例（13.21％），观察组发病率低于对照组（9.33％vs 17.69％，P＜0.05）；生女孩的产妇、居住条件差的产妇发病率高（P＜0.05）。结论产后抑郁症病因复杂，影响因素多，加强孕期健康教育，孕期、产褥期参与QQ交流，对预防产后抑郁症有重要作用。
目的：探討孕期健康教育與QQ交流平檯在預防產後抑鬱癥中的作用。方法選擇2012年6月至2013年3月在深圳市鹽田區人民醫院產前檢查及住院分娩併進行產後42 d複查的產婦560例作為研究對象，將孕產期接受健康教育及參加QQ交流的產婦300例設為觀察組；未接受健康教育及QQ交流的260例設為對照組。採用愛丁堡產後抑鬱量錶（ Edinburgh postnatal depression scale ，EPDS）進行產後抑鬱癥篩查；根據《精神疾病的診斷與統計手冊》進行診斷併分析結果；對產婦進行問捲調查，搜集併分析髮生產後抑鬱癥的影響因素。結果560例產婦中，確診產後抑鬱癥74例（13.21％），觀察組髮病率低于對照組（9.33％vs 17.69％，P＜0.05）；生女孩的產婦、居住條件差的產婦髮病率高（P＜0.05）。結論產後抑鬱癥病因複雜，影響因素多，加彊孕期健康教育，孕期、產褥期參與QQ交流，對預防產後抑鬱癥有重要作用。
목적：탐토잉기건강교육여QQ교류평태재예방산후억욱증중적작용。방법선택2012년6월지2013년3월재심수시염전구인민의원산전검사급주원분면병진행산후42 d복사적산부560례작위연구대상，장잉산기접수건강교육급삼가QQ교류적산부300례설위관찰조；미접수건강교육급QQ교류적260례설위대조조。채용애정보산후억욱량표（ Edinburgh postnatal depression scale ，EPDS）진행산후억욱증사사；근거《정신질병적진단여통계수책》진행진단병분석결과；대산부진행문권조사，수집병분석발생산후억욱증적영향인소。결과560례산부중，학진산후억욱증74례（13.21％），관찰조발병솔저우대조조（9.33％vs 17.69％，P＜0.05）；생녀해적산부、거주조건차적산부발병솔고（P＜0.05）。결론산후억욱증병인복잡，영향인소다，가강잉기건강교육，잉기、산욕기삼여QQ교류，대예방산후억욱증유중요작용。
Objective To discuss the effect of pregnancy health education and QQ platform communication on preventing postpartum depression .Methods 560 puerpera who had delivery in Shenzhen Yantian District People's Hospital and had postpartum check 42 days after delivery between June 2012 to March 2013 were chosen .The puerpera who attended the health education and with 300 puerpera who joined the QQ communication were selected into observation group , and with 260 puerpera who did not were selected into control group .The Edinburgh postnatal depression scale ( EPDS ) was adopted to screen the postpartum depression .The diagnostic criteria of postpartum depression defined in "The manual of diagnosis of mental illness and statistics"was adopted , and all the information was analyzed .Questionnaires were investigated in puerpera and influence factors of postpartum depression were collected and analyzed .Results Among 560 puerpera , 74 cases of postpartum depression were diagnosed .The overall incidence rate was 13.21%.The disease incidence rate in observation group was lower than the control group ( P<0.05 ) .The puerpera who had girls had a higher rate than the puerpera who had boys ( P <0.05 ) .The puerperae with worse living condition had a higher rate ( P <0.05 ) .The differences were statistically significant . Conclusion Postpartum depression has complex etiology and factors .Therefore, strengthening pregnancy health education and pregnancy and puerperium QQ communication has important effect on postpartum depression prevention .
