产后抑郁症的社区防治需求及干预措施研究

Investigation on Prevention and Treatment of Postpartum Depression and Community-Based Interventions

目的通过社区产后访视,了解人们对产后抑郁症的知晓率,及有无迫切的治疗愿望。并对产后抑郁症进行早发现,早诊断,同时及时转诊。方法对437例产妇分别在产后第7天或第14天,以及第28天,采用自行设计的社会人口学调查表及抑郁自评量表(SDS)进行问卷调查。结果产后抑郁症的发病率为18.33%,产后抑郁症的知晓率90.48%,愿意就诊的产妇309例,占73.57%。产妇愿意求助的对象依次为朋友、医护人员、家人、心理医生。结论加强社区产后访视人员的相关培训,以便及时给予适当的心理咨询和辅导,改善产妇的心境,减少产后抑郁症的发生。

Objective To investigate the awareness of parturient on postpartum depression and the treatment desire, and provide information for the early detection, diagnosis and treatment of postpartum depression. Methods Conducted a questionnaire survey of 437 cases maternal by using self-designed study of the socio-demographic questionnaires and self-rating depression scale on the 7th, the 14th and 28th postpartum. Results The incidence of postpartum depression was 18.33%, the awareness rate of postpartum depression was 90.48%. There were 309 cases had willingness to visit doctor,accounted for 75.57%. In sequence of people who maternal want to seeking help was friends, medical personnel, family members, psychologists. Conclusion Enhancing the training of community postnatal visits, providing timely psychological counseling and guidance can improve maternal mood and reduce the inci- dence of postpartum depression.