探讨产后抑郁症的相关影响因素

Investigation on the association between the obstetric factors and risk of postpartum depression

目的探讨影响产后抑郁症发生的产科相关影响因素。方法采用自编产科因素调查量表、爱丁堡产后抑郁量表,对182例产妇进行问卷调查,并进行单因素及多因素非条件Logistic分析。结果围生期心理、孕期并发症和孕期保健知识对产后抑郁有不同程度的影响(均P<0.01),医护人员态度对产后抑郁无显著影响(P>0.05)。围生期心理负担过重和妊娠期出现并发症与产后抑郁症发生呈正相关;孕期保健知识与产后抑郁症发生呈负相关。结论围生期心理负担过重和妊娠期出现并发症的产妇发生产后抑郁的可能性较大;孕期保健知识了解越多的产妇发生产后抑郁的可能性越小。

Objective To investigate the association between obstetric factors and the risk of postpartum depression. Methods A total of 182 parturients were investigated with Edinburgh Postnatal Depression Scale （EPDS） and self-designed questionnaire and the data were analyzed using univariate and multivariable logistic regression analysis. Results Mental state during delivery, complications during preg- nancy and knowledge of heahh care during pregnancy were associated with the risk of postpartum depression （all P〈0.01）. Attitude of stair was no associated with the risk of postpartum depression（P〉0.05）. Mental fear during delivery and complications during pregnan- cy were positively correlated with a risk of postpartum depression. Knowledge of health care during pregnancy was negatively correlat- ed with a risk of postpartum depression. Conclusion Parturients who had complications during pregnancy and were scared during de- livery have high incidence of postpartum depression. Parturients who learned more knowledge of health care during pregnancy had low incidence of postpartum depression.