CAJ | 학술논문

目的：探讨影响产后抑郁症发生的产科相关影响因素。方法采用自编产科因素调查量表、爱丁堡产后抑郁量表，对182例产妇进行问卷调查，并进行单因素及多因素非条件Logistic分析。结果围生期心理、孕期并发症和孕期保健知识对产后抑郁有不同程度的影响（均P＜0.01），医护人员态度对产后抑郁无显著影响（P>0.05）。围生期心理负担过重和妊娠期出现并发症与产后抑郁症发生呈正相关；孕期保健知识与产后抑郁症发生呈负相关。结论围生期心理负担过重和妊娠期出现并发症的产妇发生产后抑郁的可能性较大；孕期保健知识了解越多的产妇发生产后抑郁的可能性越小。
목적：탐토영향산후억욱증발생적산과상관영향인소。방법채용자편산과인소조사량표、애정보산후억욱량표，대182례산부진행문권조사，병진행단인소급다인소비조건Logistic분석。결과위생기심리、잉기병발증화잉기보건지식대산후억욱유불동정도적영향（균P＜0.01），의호인원태도대산후억욱무현저영향（P>0.05）。위생기심리부담과중화임신기출현병발증여산후억욱증발생정정상관；잉기보건지식여산후억욱증발생정부상관。결론위생기심리부담과중화임신기출현병발증적산부발생산후억욱적가능성교대；잉기보건지식료해월다적산부발생산후억욱적가능성월소。
Objective To investigate the association between obstetric factors and the risk of postpartum depression. Methods A total of 182 parturients were investigated with Edinburgh Postnatal Depression Scale (EPDS) and self-designed questionnaire and the data were analyzed using univariate and multivariable logistic regression analysis. Results Mental state during delivery, complications during preg-nancy and knowledge of health care during pregnancy were associated with the risk of postpartum depression (all P<0.01). Attitude of staff was no associated with the risk of postpartum depression(P>0.05). Mental fear during delivery and complications during pregnan-cy were positively correlated with a risk of postpartum depression. Knowledge of health care during pregnancy was negatively correlat-ed with a risk of postpartum depression. Conclusion Parturients who had complications during pregnancy and were scared during de-livery have high incidence of postpartum depression. Parturients who learned more knowledge of health care during pregnancy had low incidence of postpartum depression.