CAJ | 학술논문

目的：调查惠州市产后抑郁症的发病情况并探讨其相关影响因素。方法采用整群随机抽样方法，以2013年1～5月全市5所医院产后42 d妇女为调查对象，采用自行设计的一般资料调查表及爱丁堡产后忧郁调查量表（EPDS）进行问卷调查，对产后抑郁症可能的影响因素进行Logistic多因素回归分析。结果1806例产妇中，发生产后抑郁症209例，发病率为11．6％。Logistic多因素回归分析结果显示，新生儿性别为男孩、顺产、有人帮忙带小孩、上孕妇学校次数等于或大于2次为产后抑郁症的保护因素（P＜0．05）；担心分娩影响体型、家庭不和睦、对居住环境不满意为产后抑郁症的危险因素（P＜0．05）。结论产后抑郁症是多种因素共同作用的结果，有针对性地对产后妇女采取干预措施，才能有效保护产后妇女的心理健康。
목적：조사혜주시산후억욱증적발병정황병탐토기상관영향인소。방법채용정군수궤추양방법，이2013년1～5월전시5소의원산후42 d부녀위조사대상，채용자행설계적일반자료조사표급애정보산후우욱조사량표（EPDS）진행문권조사，대산후억욱증가능적영향인소진행Logistic다인소회귀분석。결과1806례산부중，발생산후억욱증209례，발병솔위11．6％。Logistic다인소회귀분석결과현시，신생인성별위남해、순산、유인방망대소해、상잉부학교차수등우혹대우2차위산후억욱증적보호인소（P＜0．05）；담심분면영향체형、가정불화목、대거주배경불만의위산후억욱증적위험인소（P＜0．05）。결론산후억욱증시다충인소공동작용적결과，유침대성지대산후부녀채취간예조시，재능유효보호산후부녀적심리건강。
Objective To investigate the incidence and related factors of postpartum depression in Huizhou cit‐y .Methods By using randomly cluster sampling method ,a total of 8 106 women were selected ,on the forty‐second day after giving birth from five hospitals in Huizhou ,and were investigated with the Women General Situation Ques‐tionnaire and the Edinburgh Postnatal Depression Scale (EPDS) .The related factors of postpartum depression were statistically analyzed by using chi‐square test and logistic regression analysis .Results The incidence of postpartum depression was 11 .6% (209/1 806) .The protective factors included the gender of baby is male ,spontaneous delivery , receiving help for breeding infant and undergoing education in gravida school for more than two times (with OR of 0 .23 ,0 .28 ,0 .15 and 0 .21 respectively) .The risk factors included worrying about the recovery of the body ,a family not harmonious and not satisfied with the living environment (with OR of 2 .31 ,2 .57 and 2 .81 respectively) .Conclu‐sion The postpartum depression might be related with many factors .Taking appropriate intervention could effectively protect the postpartum women's mental health .