围生期抑郁情绪的影响因素以及对其缓解作用的相关的研究

Study on the influencing factors of perinatal depression and its alleviating effect

目的围生期抑郁情绪的影响因素以及社会支持与抗压能力对其作用的研究。方法随机选取2014年1月至2016年1月于山东省日照市妇幼保健院妇产科就诊产妇共712例,从孕中期(孕12周以后)至产后1个月内孕产妇,记录每例孕产妇第1次就诊时的人口变量评分,以后每次就诊时均做抑郁情绪评分,取平均值。抗压能力评分和社会支持评分,做分层二元Logistic回归分析各变量,抗压能力,社会支持对抑郁情绪的影响和缓解作用。结果712例孕产妇最终有615例符合纳入标准,入选率为86.3%(615/712),615例孕产妇身体不适症状评分平均分为(2.2 ± 0.8)分,抗压能力量表评分平均分为(115.3 ± 32.1)分,社会支持量表评分平均分为(48.2 ± 9.4)分。受教育程度、月收入水平、身体不适症状评分能够显著影响围生期抑郁情绪评分(b=-0.023、-0.013、0.625,P<0.05)。结论受教育程度和月收入水平是围生期抑郁症的独立影响因子,自我抗压能力可缓解抑郁情绪。

Objective The influencing factors of perinatal depression and the study of social support and anti-stress ability. Methods A total of 712 women were enrolled in the Obstetrics and Gynecology Department of Rizhao City Maternal and Child Health Hospital from January 2014 to January 2016. From the second trimester (after 12 weeks of pregnancy)-pregnant women within 1 month after delivery, each pregnancy was recorded. The maternal population was scored at the first visit, and the depression score was scored at each visit. Stress resistance scores and social support scores, stratified binary Logistic regression analysis of variables, stress resistance, social support on depression and mitigation effects. Results Of the 712 maternal women, 615 were included in the standard. The enrollment rate was 86.3%(615/712). The average score of 615 maternal uncomfortable symptoms was 2.2±0.8, and the average score of the compressive capacity scale was 115.3 ±32.1, the average score of the social support scale was: 48.2 ± 9.4. The degree of education, monthly income, and physical discomfort scores significantly affected the perinatal depression score (b=-0.023,-0.013, 0.625, P<0.05). Self-compression ability can alleviate the impact of physical discomfort on perinatal depression, and social support can not be significantly relieved. Conclusions Education level and monthly income level are independent factors of perinatal depression, self-resistance can relieve depression.