产后抑郁症的社区调查分析

Survey Postpartum Depression of Community

目的探讨产后抑郁症的发生情况和相关影响因素。方法采用自行设计的一般资料调查表、爱丁堡产后抑郁量表(EPDS)、艾森克个性问卷(EPQ)对503例产妇在产后7～28天进行调查,对所有资料进行卫生统计学及流行病学分析。结果1503例产妇产后抑郁发生率为5.51%(28/503);2EPQ中的N量表分和P量表分抑郁症组均高于非抑郁症组,L量表分抑郁症组低于非抑郁症组;3非条件Logistic回归分析显示:新生儿疾病等6项因素为产后抑郁的危险因素,母乳喂养等2项因素为保护因素。结论产后抑郁症是多种因素综合作用的结果,针对各种危险因素积极干预非常重要。

Objective To investigate the occurrence of postpartum depression and related factors. Methods By using the selfdesigned general information questionnaire, the Edinburgh Postnatal Depression Scale （EPDS）,and Eysenck Personality Questionnaire （EPQ）, 503 cases of materal post-natal 7 to 28 days after parturition were investigated and all the informations were analyzed in health statistics and epidemiology. Results ①The depression incidence of 503 cases of maternal postpartum was 5.51% （28/ 503） ; ②The scores of N and P sub-scales of EPQ scale in depression group were higher than those of non-depression group. The scores of L sub-scale were lower than those of non-depression group; ③Non-conditional logistic analysis single-factor analysis showed that six factors such as neonatal disease were risk factors of postpartum depression and two factors such as breast-feeding were protection factors. Conclusion Postpartum depression is a disease with variety of factors and active intervention is very Important.