297例二胎孕妇抑郁情绪及影响因素

An Investigation on Depression in 297 Pregnant Women with Second Birth and its Influencing Factors

目的:调查二胎孕妇抑郁情绪的状况,分析二胎孕妇产生抑郁情绪的影响因素。方法:选取297例二胎孕妇,采用问卷调查法,调查其年龄、学历、睡眠质量等一般人口学特征,应用抑郁筛查量表(PHQ-9)分析二胎孕妇有无抑郁情绪及抑郁情绪的严重程度;根据PHQ-9评分,将研究对象分为对照组(0~4分,无抑郁情绪)和病例组(5~27分,有抑郁情绪),采用χ2检验比较两组二胎孕妇的一般人口学特征资料的构成差异,Logistic回归分析二胎孕妇抑郁情绪的影响因素。结果:297例二胎孕妇中,41.10%无抑郁情绪,58.90%有抑郁情绪,可能轻微抑郁者占比最多、可能中度抑郁者其次、可能中重度抑郁者和可能重度抑郁者占比最少;单因素分析显示,病例组和对照组二胎孕妇的年龄、二胎意愿和睡眠质量比较,差异有统计学意义(P<0.05);Logistic回归分析结果显示,年龄>35岁(OR=7.305,95%CI为1.433~37.232)是二胎孕妇抑郁情绪的危险因素,睡眠质量良好(OR=0.101,95%CI为0.027~0.038)是二胎孕妇抑郁情绪的保护因素。结论:年龄和睡眠质量是二胎孕妇抑郁情绪的影响因素。

Objective:To investigate the status of depression in pregnant women with second birth,and to analyze its influencing factors.Methods:A total of 297 pregnant women with second birth were investigated about their general demographic characteristics with questionnaire,on age,education,and sleep quality.The patient health questionnaire 9(PHQ-9)was used to judge depressive emotion and its degrees.According to the scoring criteria of PHQ-9,the subjects were divided into the control group(0~4 points,without depression)and the case group(5~27 points,with depression).Composition differences in general demographic data between the 2 groups were compared byχ2 tests.Logistic regression was used to analyze the influencing factors to depression emotion.Results:The detection rates of pregnant women with and without depression were respectively 58.90%and 41.10%.In the case group,the proportion of slightly possible depression persons was the highest,that of moderately possible depression persons ranked second,and that of moderately severe and severely depressed persons was the lowest.Univariate analysis indicated that there were statistically significant differences in age,second-child willingness,and sleep quality between the 2 groups of pregnant women(P<0.05).The results of Logistic multivariate regression analysis on depression emotion of pregnant women with second birth showed that age>35(OR=7.305,95%CI:1.433~37.232)was the risk factor and good sleep quality(OR=0.101,95%CI:0.027~0.038)was the protective factor.Conclusion:Age and sleep quality may be influencing factors to depression of pregnant women with second birth.