CAJ | 학술논문

目的：通过对产后抑郁筛查量表（PDSS）与爱丁堡产后抑郁量表（EPDS）和 Beck抑郁量表（BDI-Ⅱ）的相关因素分析，寻找适合孕产期心理保健的有力工具。方法选择新疆医科大学第一附属医院爱婴病房的足月产初产妇，产后3～5 d用PDSS、EPDS和BDI-Ⅱ3种产后抑郁量表进行调查，以国际上广泛使用的EPDS量表作为标准进行相关因素分析。结果（1）PDSS 总分和各因子分与 EPDS 总分显著相关（r 值0．137～0．391，P ＜0．01），多元逐步回归分析PDSS有5个因子进入回归方程（R值0．300～0．407，P ＜0．05），依次为焦虑/担心、精神错乱、睡眠/饮食失调、情绪不稳定、自杀的想法；（2）PDSS与常用量表 EPDS和BDI-Ⅱ调查显示产后心境不良的总发生率分别为18．5％、15．3％和18．6％，3种量表调查结果一致（χ2＝2．345，P ＞0．05）。结论建议产前使用简单易行、条目少的 EPDS量表进行大面积初筛，对得分高的产妇用PDSS进一步筛查，根据影响产后抑郁症发生、发展的相关因素，加强重点人群的孕产期心理保健，可有效预防产后抑郁症的发生。
목적：통과대산후억욱사사량표（PDSS）여애정보산후억욱량표（EPDS）화 Beck억욱량표（BDI-Ⅱ）적상관인소분석，심조괄합잉산기심리보건적유력공구。방법선택신강의과대학제일부속의원애영병방적족월산초산부，산후3～5 d용PDSS、EPDS화BDI-Ⅱ3충산후억욱량표진행조사，이국제상엄범사용적EPDS량표작위표준진행상관인소분석。결과（1）PDSS 총분화각인자분여 EPDS 총분현저상관（r 치0．137～0．391，P ＜0．01），다원축보회귀분석PDSS유5개인자진입회귀방정（R치0．300～0．407，P ＜0．05），의차위초필/담심、정신착란、수면/음식실조、정서불은정、자살적상법；（2）PDSS여상용량표 EPDS화BDI-Ⅱ조사현시산후심경불량적총발생솔분별위18．5％、15．3％화18．6％，3충량표조사결과일치（χ2＝2．345，P ＞0．05）。결론건의산전사용간단역행、조목소적 EPDS량표진행대면적초사，대득분고적산부용PDSS진일보사사，근거영향산후억욱증발생、발전적상관인소，가강중점인군적잉산기심리보건，가유효예방산후억욱증적발생。
Objective In order to analyzed the Postpartum Depression Screening Scale (PDSS)correlation with commonly used Edinburgh Postnatal Depression Scale (EPDS)and Beck Depression Inventory-Ⅱ(BDI-Ⅱ).Methods The Uygur and the Han term primipara before labor at the Love baby ward of the First Affiliated Hospital of Xinjiang Medical University were choosed for investigation.PDSS,EPDS and BDI-Ⅱ postpartum depression scales were used to investigate maternity blues of these primipara,and were followed-up by 3-5 days.Results (1 )The total score of the PDSS and the score of all common factor were significantly correlated with the EPDS total score (r=0.137-0.391,P <0.01).Five factors entered the regression equation by multiple stepwise regression analysis of the EPDS and PDSS factors (R value of 0.300-0.407,P<0.05),including anxiety/insecurity,mental confusion,sleeping/eating disturbances,e-motional liability, suicidal thoughts.(2 ) Related factors:The overall incidence of maternity blues produced by the PDSS,EPDS and BDI-Ⅱ were 18.5%,15.3% and 18.6%.The result of the PDSS consist-ent with the commonly used scales (χ2=2.345,P >0.05).Conclusion We recommended using the EPDS scale,which is more simple and with less entries for large-scalely early screening,and using the PDSS for further screening of parturients who get high EPDS score.Through psychological health care of high risk population based on the the related factors that affect the occurrence and the development process of post-partum depression,we can effectively prevent the occurrence of PPD.