产前抑郁症影响因素分析

Analysis of the influencing factors of pregnant women with prenatal depression

目的:调查天津市孕产妇产前抑郁症发生情况并分析影响因素。方法:于2018年2月—2019年3月选取天津市3所医院妇产科接诊的516名孕产妇,采用Zung抑郁自评量表(SDS)进行抑郁评估,将孕产妇分为抑郁组和非抑郁组,对收集资料进行单因素及logistic回归分析。结果:516例孕产妇中,产前抑郁发生143例(27.7%);产前抑郁症发生与其文化程度、家庭人均月收入、工作状态、既往有抑郁史、不良孕产史、妊娠合并症、妊娠意愿、对胎儿性别期待、夫妻关系、公婆关系等因素有关(P<0.05);logistics回归分析显示,孕产妇产前抑郁的独立危险因素包括文化程度(OR=2.485)、既往有抑郁史(OR=2.535)、不良孕产史(OR=2.993)、妊娠合并症(OR=2.346)、非意愿妊娠(OR=2.121)、对胎儿性别有期待(OR=1.816)、夫妻关系不融洽(OR=2.830)、与公婆关系不融洽(OR=2.567)。结论:孕产妇发生产前抑郁的几率较高,提示医护人员及家庭成员应密切关注孕产妇心理状况,针对可能影响因素及时开展干预,以降低产前抑郁发生。

Objective:To investigate the incidence of prenatal depression situation of pregnant women in Tianjin,and to provide evidence for formulating strategies to reduce the incidence of prenatal depression.Methods:516 pregnant women from three hospitals in Tianjin city were selected in this study from February 2018 to March 2019,and they were divided into depression group and non-depression group.Zung self-rating depression scale(SDS)was used to assess the depression of these pregnant women in both groups.The data of the women in the two groups were analyzed by univariate analysis and Logistic regression analysis.Results:143(27.71%)women in these 516 pregnant women had prenatal depression.Univariate analysis showed that the occurrence of prenatal depression was related to educational level,family income per capita,working status,past depression history,adverse pregnant history,parturition history,pregnancy complications,pregnancy intention,expectation of fetal sex,the relationship between husband and wife,or the relationship with parents-in-law(P<0.05).Logistic regression analysis showed that the independent risk factors of prenatal depression included education level(OR=2.485),previous depression history(OR=2.535),adverse pregnancy history(OR=2.993),pregnancy complications(OR=2.346),unwanted pregnancy(OR=2.121),expectation of fetal sex(OR=1.816),the incompatible relationships between husband and wife(OR=2.830),and the incompatible relationships with parents-in-law(OR=2.567).Conclusion:Prenatal depression of maternity is more common,so it is suggested that medical staff and family members should pay close attention to the psychological status of pregnant women,and carry out targeted interventions based on the risk factors to reduce the incidence of prenatal depression timely.