产妇运动方式与产后抑郁关系分析

Analysis of the relationship between maternal exercise style and postpartum depression

目的探讨运动与产后抑郁之间的关系.方法通过电子问卷调查居住在贵阳市南明区产后42天左右的产妇,采用爱丁堡产后抑郁量表评价抑郁程度,获取有效问卷1203份.应用卡方分析进行产后抑郁状况的差异比较,应用单因素和多因素Logistic回归分析产后抑郁的危险因素.结果调查对象产后抑郁的发生率为31.59%,严重产后抑郁的发生率为15.63%.卡方分析显示,与产后抑郁发生率相关的因素有年龄(χ^(2)=4.58,P=0.0324)、是否上班(χ^(2)=5.55,P=0.0185),其中年龄偏低者、未上班者产后抑郁发生率更高.健身操和定期监测体重也与产后抑郁发生率有关,在跳健身操的产妇中产后抑郁的发生率更低(P<0.05),且在年龄偏低人群及未上班人群中均为产后抑郁发生的保护因素[OR(95%CI):0.489(0.272,0.882)、0.376(0.212,0.670)].结论健身操等有氧运动和定期监测体重与缓解产后抑郁有关,可作为产后抑郁的预防手段和辅助护理手段.

Objective To investigate the relationship between exercise and postpartum depression.Methods For all the pregnant women living in Nanming District,Guiyang City,the Edinburgh postpartum depression scale was used to evaluate the degree of depression,and 1203 valid questionnaires were obtained.Chi-square analysis was applied to compare differences in postpartum depression status,and univariate and multivariate logistic regression was applied to analyze risk factors for postpartum depression.Results The incidence of postpartum depression was 31.59%,with severe postpartum depression The incidence rate was 15.63%.Chi-square analysis showed that the factors associated with the incidence of postpartum depression were age(χ^(2)=4.58,P-0.0324)and whether to go to work(χ^(2)=5.55,P=0.0185),among which those with lower age and not going to work had a higher incidence of postpartum depression.Exercise and regular weight monitoring were also associated with the incidence of postpartum depression,with a lower incidence(P<0.05)and protective factors[OR(95%CI):0.489(0.272,0.882);0.376(0.212,0.670)].Conclusion Aerobic exercise such as aerobics is related to regular weight monitoring and the relief of postpartum depression,and can be used as a preventive means and auxiliary nursing means for postpartum depression.