产后抑郁症相关因素调查研究

A Survey of Correlative Factors of Puerperal Depression

为了探索孕妇产后发生抑郁症相关因素，随机抽取１９９７年１～１１月产前门诊中决定在本院分娩的孕妇１０５２例进行情绪测定（ＨＡＤ），以产后抑郁量表（ＥＰＤＳ）跟踪调查至产后７天８６６例。调查结果表明：ＥＰＤＳ阳性率为１５．０１％，ＨＡＤ问卷中Ａ值总分、Ｄ值总分≥１１分的分别为５．１３％及４．３７％。分析了影响ＥＰＤＳ和Ａ、Ｄ值的相关因素，提出相应的社区护理措施，把孕妇心理护理工作延伸到社区，进入家庭，以适应新的医学模式的转变，以利母婴身心健康。

In order to explore the correlative factors for depression in woman after delivery,we took 1052 cases of pregnant women randomly from the out patient department who determined to delivery in our hospital from January to November in 1997.Surveying of their mood with Hospital Anxiety and Depression(HAD) was conducted,following surveying 866 cases from delivery to 7 days after childbirth with Edinburgh Postnatal Depression Scale (EPDS).The results suggest the rate of postnatal depression was 15.01% ,the scores of anxiety and depression(HAD) during pregnancy that equal to or above 11,were 5.13% and 4.37%.This paper analyses the correlative factors for postnatal depression and pregnant anxiety or depression,It suggest that the psychological nursing for pregnancy should be promoted in community and family by adapting the new medical model and meeting the physiological and psychological need of health in mother and child.