产褥期抑郁及其影响因素的Logistic回归分析

Logistic regression analysis of puerperium depression and its influential factors

目的:研究产褥期抑郁的影响因素,为卫生服务部门对孕产期妇女提供针对性的保健服务、提高产褥期妇女的心理健康水平以及预防产褥期抑郁的发生提供理论依据。方法:采用SDS抑郁自评量表,对产褥期妇女的抑郁状态进行测量;自行设计调查表调查产褥期抑郁的影响因素。数据用描述性指标、χ2检验以及多因素非条件Logistic回归进行统计分析,并考虑因素间交互作用对产褥期抑郁发生的影响。结果:年龄、产妇职业、生产胎次、怀孕原因、夫妻感情和照顾类型6个变量对产妇抑郁的发生有影响;家庭年均收入与新生儿生长发育状况两个变量对产褥期抑郁的发生存在交互作用。结论:产妇年龄每增大一个年龄组发生抑郁的概率增大2.046倍,产妇不同职业的抑郁发生率均低于农民,第一胎次的产妇发生抑郁的概率较大,夫妻感情较好或一般组产妇较感情很好组产妇发生抑郁的概率增加10.204倍,"丈夫及其家人"照顾类型的产妇抑郁发生的概率是"丈夫及女方或双方家人"照顾类型的2.166倍。此外,家庭的年均收入越高和新生儿发育状况越好的产妇发生抑郁的机率越小。

Objective： To provide the scientific evidence for medical and health department to make policy, and present some suggestions aiming at how to improve the puerperal women＇s psychological health and protect the materal and children＇s health. Methods： Selfrating depressive scale （SDS） was used to measure the depressive state of the puerperal women. A face -to -face interview was used to obtain information on the influential factors of postpartum depression. Data were analyzed by descriptive index, Chisq - test and the unconditional Logistic regression. Results： 6 factors were found out that influenced postpartum depression of puerperal women, including＂ age＂ ,＂ employment of puerperal women＂, ＂ times of delivery＂,＂ the reason of gestation＂, ＂ the eouple＇s affection＂,＂ nursing type＂ and the interaction between ＂ annual income of family＂ and＂ status of child＇s upgrowth＂ . Conclusion： The puerperal women aged 30 and 35 or peasant are more easily to catch depression than others. The occurence of depression becomes smaller with enjoying better eouple＇s affection, or having nursing type of participation of women＇s families. Meanwhile, the interaction between ＂ annual income of family＂ and＂ status of child＇s upgrowth＂ can influence the occurrence of postpartum depression. The puerperal women who have growth of annual income in her family, or better status of child＇s upgrowth are more difficultly to catch depression than others.