郑州市产妇产后抑郁症流行现状及其影响因素模型构建

The Epidemic Status of Postpartum Depression and Its Influencing Factors Model Construction in Zhengzhou

目的:对郑州市产妇产后抑郁症(PPD)流行现状进行分析,并构建与验证其影响因素模型。方法:选取河南省人民医院于2020年5月至2022年6月收治的600例产妇作为研究对象。根据爱丁堡产后抑郁量表(EPDS)评分将其分为正常组(493例)和抑郁组(107例),比较两组的一般资料和孕产期情况。通过logistic回归分析产妇发生PPD的影响因素并建立模型,以受试者工作特征曲线(ROC)评估模型诊断效能。结果:经多因素logistic回归分析,年龄小、家庭人均月收入<4000元、文化程度低、居住地乡村、家庭关系不融洽、喂养方式不是母乳喂养、有新生儿疾病是产妇发生PPD的独立危险因素(P<0.05);经ROC曲线分析,本研究构建风险评估模型曲线下面积(AUC)值为0.940,均高于单一风险因素,灵敏度为96.26%、特异度为85.98%。结论:产妇发生PPD的概率不可忽视。年龄小、家庭人均月收入<4000元、文化程度低、居住地乡村、家庭关系不融洽、喂养方式不是母乳喂养、有新生儿疾病是产妇发生PPD的独立危险因素,且以此构建产妇PPD风险预测模型的预测效能较好。

Objective To analyze the epidemic status of postpartum depression(PPD)in Zhengzhou,and establish and verify its influencing factor model.Methods Six hundred cases of parturience treated in Henan Provincial People's Hospital from May 2020 to June 2022 were selected as the study objects.They were divided into normal group(493 cases)and depressed group(107 cases)according to the Edinburgh postpartum depression scale(EPDS)score,and the general information and pregnancy conditions of the two groups were compared.The influencing factors of maternal PPD were analyzed by logistic regression and the model was established.The diagnostic efficiency of the model was evaluated by receiver operating characteristic curve(ROC).Results Multivariate logistic regression analysis showed that young age,per capita monthly family income<4000 yuan,low education level,rural residence,disharmonious family relationship,feeding method other than breast-feeding and newborn disease were independent risk factors for PPD(P<0.05).According to ROC curve analysis,the area under the curve(AUC)value of the risk assessment model established in this study was 0.940,both higher than that of a single risk factor,with sensitivity of 96.26%and specificity of 85.98%.Conclusion The probability of PPD in parturients cannot be ignored.Young age,per capita family income<4000 yuan,low education level,rural residence,disharmonious family relationship,non-breast-feeding,and neonatal diseases were independent risk factors for PPD,and the prediction efficiency of maternal PPD risk prediction model was better.