探讨新生期母婴分离应激与母体抑郁的相关性

To explore the correlation between maternal and infant separation stress and maternal depression in newborn period

目的:探讨新生期母婴分离应激与母体抑郁的相关性。方法:选取2019年1月—2020年1月产科分娩的产妇180例,将90例产后母婴分离的产妇作为观察组,将产后母婴同室的90例产妇作为对照组。通过自评抑郁量表(SDS)、生活事件量表(LES)评估产妇抑郁情况及应激水平,并分析应激水平与母体抑郁之间的相关性。结果:观察组产妇抑郁发生率明显高于对照组,差异有统计学意义(P<0.05);观察组产妇SDS和LES评分明显高于对照组,差异有统计学意义(P<0.05)。新生期母婴分离中度、重度、极重度应激水平与母体抑郁呈正相关(P<0.05),而无影响、轻度应激水平与抑郁无明显相关性(P>0.05)。结论:新生期母婴分离应激水平越严重,母体患抑郁症的可能性越大。

Objective: To explore the correlation between maternal and infant separation stress and maternal depression in newborn period.Methods: All 180 cases of parturient women who delivered in the department of obstetrics from January 2019 to January 2020 were selected as the research object, including 90 cases of parturient women who were separated from their mothers after childbirth as the observation group, and 90 cases of parturient women who shared the room with their mothers after childbirth as the control group.Maternal depression and stress level were assessed by self-rating depression scale(SDS) and life events scale(LES),and the correlation between stress level and maternal depression was analyzed.Results: The incidence of maternal depression in the observation group was significantly higher than that in the control group(P<0.05).The maternal SDS and maternal LES score of observation group was significantly higher than that of control group(P<0.05),the difference was statistically significant(P<0.05).There was a positive correlation between moderate, severe and extremely severe stress levels and maternal depression(P<0.05),while there was no significant correlation between moderate, severe and extremely severe stress levels and maternal depression(P>0.05).Conclusion: The higher the level of maternal-infant separation stress in the neonatal period, the greater the possibility of maternal depression.