初产妇产后抑郁的影响因素及其与睡眠质量的关系

Analysis of the influencing factors of postpartum depression in primiparous women and its correlation with sleep quality

目的分析初产妇产后抑郁发生情况及其影响因素,并分析产后抑郁与睡眠质量的相关性。方法以ECXEL表格统计2021年2月~2022年12月本院收治的初产妇120例进行研究,回顾性分析120例初产妇临床资料,统计产后抑郁发生率,并按照是否发生抑郁分为2组,25例发生抑郁者纳入观察组,95例未发生抑郁者纳入对照组,分析初产妇发生产后抑郁的相关因素,并以Pearson程序分析产后抑郁与睡眠质量的相关性。结果经数据统计显示,120例初产妇中25(20.83%)例发生产后抑郁,95(79.17%)例未发生产后抑郁。单因素分析:观察组年龄、文化程度、定期孕检、产妇健康情况、婴儿健康情况、医务人员态度、家属态度、喂养方式、产科并发症、爱丁堡产后抑郁量表(Edinburgh Postnatal Depression Scale,EPDS)评分、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分与对照组相比存在统计意义(P<0.05)。多因素分析:年龄≥35岁、高中及以下学历、未定期孕检、产妇健康情况不佳、婴儿健康情况不佳、医务人员态度不好、家属态度不好、混合喂养或奶粉、存在产科并发症、EPDS评分≥13分、PSQI评分≥11分为导致初产妇发生产后抑郁的高危因素。Pearson程序分析显示,产后抑郁与睡眠质量呈正相关。结论初产妇产后抑郁发生率较高,且该情况的出现与产妇文化程度、生产顺利情况、医务人员与家属态度、喂养方式等密切相关,若未及时采取合理方案改善可影响其睡眠质量,二者相互作用导致病情治疗难度增加。

Objective To analyze the incidence and influencing factors of postpartum depression in primipa-rous women,and to analyze the correlation between postpartum depression and sleep quality.Methods A study was conducted on 120 primiparous women admitted to our hospital from February 2021 to December 2022 using the ECXEL table.The clinical data of 120 primiparous women were retrospectively analyzed,and the incidence of postpartum de-pression was calculated.They were divided into two groups based on whether depression occurred.25 patients with de-pression were included in the observation group,and 95 patients without depression were included in the control group.The related factors of postpartum depression in primiparous women were analyzed,and the Pearson program was used to analyze the correlation between postpartum depression and sleep quality.Results According to data statistics,25(20.83%)of the 120 primiparous women experienced postpartum depression,while 95(79.17%)did not experience postpartum depression.Univariate analysis:There was statistical significance(P<0.05)between the observation group and the control group in terms of age,education level,regular pregnancy checkups,maternal health status,infant health status,attitudes of medical staff,family members,feeding methods,obstetric complications,Edinburgh Postnatal Depression Scale(EPDS)scores,Pittsburgh sleep quality index(PSQI)scores.Multivariate analysis:Age≥35 years old,high school education or below,irregular pregnancy checkups,poor maternal health,poor infant health,poor attitude of medical staff,poor attitude of family members,mixed feeding or formula feeding,presence of obstetric complications,EPDS score≥13 points,PSQI score≥11 points are high-risk factors for postpartum de-pression in primiparous women.Pearson program analysis showed a positive correlation between postpartum depression and sleep quality.Conclusion The incidence of postpartum depression in primiparous women is relatively high,and the occurrence of this condition is closely related to the maternal education level,smooth production,attitudes of med-ical staff and family members,feeding methods,etc.If reasonable plans are not taken in a timely manner to improve their sleep quality,the interaction between the two can increase the difficulty of treatment.