产褥期抑郁症相关因素调查与分析

Investigational study on influential factors of postpartum depression

目的调查分析影响产褥期抑郁症发生的相关因素,探讨对应护理措施。方法回顾性分析256名住院产妇的临床资料,包括年龄、文化程度、胎次、新生儿健康、新生儿性别、产妇职业、配偶职业、家庭是否和睦、家庭照顾状况、经济稳定性、丈夫或直系亲人有无患重大疾病、居住地,分娩方式。按有无产褥期抑郁症分为抑郁症组13例和无抑郁症组243例。结果2组产妇配偶职业、经济稳定性、新生儿健康、家庭照顾、家庭和睦情况比较,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,配偶职业不稳定和家庭经济不稳定是产褥期抑郁症发生的危险因素(P<0.05)。结论配偶职业、新生儿健康、家庭和睦、家庭照顾和经济稳定性等因素对产褥期抑郁症的发生有不同程度的影响。

Objective To investigate the potential factors of postpartum depression,and to provide high-quality nursing during puerperal period. Methods The baseline characteristic and clinical data of 256 puerperae,such as age,education level,parity,neonatal sex and condition,maternal occupation,spouse occupation,family relationship,family-based care,economic stability,health status of relatives,place of residence and delivery type,were retrospectively collected by self-made questionnaire. Total 256 puerperae were assigned to depression group( n = 13) and non-depression group( n = 243) according to diagnosis on postpartum depression. Results There were significant difference in spouse occupation,economic stability,neonatal health conditions,family-based care and family relationship between two groups( P < 0. 05). Logistic regression analysis show that the spouse occupation and economic stability were two major influence factors of postpartum depression( P < 0. 05).Conclusion Social factors such as spouse occupation,neonatal health conditions,family harmony,family-based care and economic stability may have impact on postpartum depression.