华中科技大学学报(医学版)
華中科技大學學報(醫學版)
화중과기대학학보(의학판)
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
2015年
5期
598-602
,共5页
汪静%张妤%倪泽敏%聂绍发
汪靜%張妤%倪澤敏%聶紹髮
왕정%장여%예택민%섭소발
流入人口%产后抑郁%社会支持%EPDS抑郁量表%危险因素
流入人口%產後抑鬱%社會支持%EPDS抑鬱量錶%危險因素
류입인구%산후억욱%사회지지%EPDS억욱량표%위험인소
rural-to-urban migrant%postpartum depression%social support%Edinburgh Postnatal Depression Scale%risk factor
目的:了解武汉地区农村流入人口产后抑郁现况及社会支持情况,探讨其相关影响因素。方法采用简单随机抽样方法,使用爱丁堡产后抑郁量表(EPDS )和社会支持评定量表,以面对面结构式访谈形式对武汉地区农村流入人口产后抑郁现况、社会支持情况及抑郁影响因素进行调查。结果回收有效问卷516份(有效率97.36%)。武汉地区农村流入人口产后抑郁检出率为37.21%,多因素Logistic回归分析的结果显示无医疗保险(OR=1.56,95% CI:1.01~2.45)、照看孩子感觉累(OR=3.18,95% CI:2.01~4.85)、丈夫对妻子关心程度一般(OR=2.72,95% CI:1.57~4.72)和根本不关心(OR=3.23,95% CI:1.05~9.91)、对居住条件不满意(OR=10.81,95% CI:1.21~14.37)、生活中存在压力事件(OR=2.71,95% CI:1.70~4.29)是农村流入人口发生产后抑郁的危险因素;产后抑郁组产妇社会支持各项得分均显著低于正常组妇女。结论武汉地区农村流入人口产后抑郁发生率较高,且产后抑郁的发生与多个因素密切相关,增加农村流动妇女的社会支持度可在一定程度上减少该群体产后抑郁的发生。
目的:瞭解武漢地區農村流入人口產後抑鬱現況及社會支持情況,探討其相關影響因素。方法採用簡單隨機抽樣方法,使用愛丁堡產後抑鬱量錶(EPDS )和社會支持評定量錶,以麵對麵結構式訪談形式對武漢地區農村流入人口產後抑鬱現況、社會支持情況及抑鬱影響因素進行調查。結果迴收有效問捲516份(有效率97.36%)。武漢地區農村流入人口產後抑鬱檢齣率為37.21%,多因素Logistic迴歸分析的結果顯示無醫療保險(OR=1.56,95% CI:1.01~2.45)、照看孩子感覺纍(OR=3.18,95% CI:2.01~4.85)、丈伕對妻子關心程度一般(OR=2.72,95% CI:1.57~4.72)和根本不關心(OR=3.23,95% CI:1.05~9.91)、對居住條件不滿意(OR=10.81,95% CI:1.21~14.37)、生活中存在壓力事件(OR=2.71,95% CI:1.70~4.29)是農村流入人口髮生產後抑鬱的危險因素;產後抑鬱組產婦社會支持各項得分均顯著低于正常組婦女。結論武漢地區農村流入人口產後抑鬱髮生率較高,且產後抑鬱的髮生與多箇因素密切相關,增加農村流動婦女的社會支持度可在一定程度上減少該群體產後抑鬱的髮生。
목적:료해무한지구농촌류입인구산후억욱현황급사회지지정황,탐토기상관영향인소。방법채용간단수궤추양방법,사용애정보산후억욱량표(EPDS )화사회지지평정량표,이면대면결구식방담형식대무한지구농촌류입인구산후억욱현황、사회지지정황급억욱영향인소진행조사。결과회수유효문권516빈(유효솔97.36%)。무한지구농촌류입인구산후억욱검출솔위37.21%,다인소Logistic회귀분석적결과현시무의료보험(OR=1.56,95% CI:1.01~2.45)、조간해자감각루(OR=3.18,95% CI:2.01~4.85)、장부대처자관심정도일반(OR=2.72,95% CI:1.57~4.72)화근본불관심(OR=3.23,95% CI:1.05~9.91)、대거주조건불만의(OR=10.81,95% CI:1.21~14.37)、생활중존재압력사건(OR=2.71,95% CI:1.70~4.29)시농촌류입인구발생산후억욱적위험인소;산후억욱조산부사회지지각항득분균현저저우정상조부녀。결론무한지구농촌류입인구산후억욱발생솔교고,차산후억욱적발생여다개인소밀절상관,증가농촌류동부녀적사회지지도가재일정정도상감소해군체산후억욱적발생。
Objective To investigate the prevalence of postpartum depression (PPD) and social support for this disease in rural‐to‐urban migrant women in Wuhan district and explore the influential factors.Methods The prevalence ,social support and influential factors of PPD were surveyed in rural‐to‐urban migrant postpartum women in Wuhan in a face‐to‐face manner by using simple random sampling ,the Edinburgh postnatal depression scale (EPDS ) and Social Support Rating Scale (SSRS ) scale.Results The prevalence of PPD among Wuhan rural‐to‐urban migrant females was 37.21%.The logistic regression indi‐cated that no medical insurance (OR=1.56 ,95% CI:1.01 -2.45) ,feeling tired of taking care of baby (OR= 3.18 ,95% CI:2.01 -4.85) ,dissatisfied with husband’s care (little care from husband OR=2.72 ,95% CI:1.57-4.72 ;no care from husband OR=3.23 ,95% CI:1.05 -9.91) ,dissatisfied with the dwelling condition (OR=10.81 ,95% CI:1.21 -14.37) and stressful life events (OR=2.71 ,95% CI:1.70-4.29) were significantly associated with the occurrence of PPD.Additionally ,the scores of social support among migrant females with PPD were significantly lower than those in health migrant females.Conclusion There is a high prevalence of PPD among rural‐to‐urban migrant postpartum women in Wuhan district.Multiple factors are as‐sociated with PPD.Improving social support may reduce the occurrence of PPD to some extent in this population.