丽水地区初产妇围产期抑郁现状及与家庭功能和社会支持的关系分析

Condition of perinatal depression and its relationship with family function and social support in primiparas in Lishui area

目的了解丽水地区初产妇围产期抑郁现状,分析其与家庭功能和社会支持的关系,为探索围产保健服务策略研究提供依据。方法选取300例妊娠晚期初产妇作为调查对象,收集产妇及其丈夫一般资料,采用爱丁堡产后抑郁量表(EPDS)、家庭功能评定量表(FAD)、社会支持评定量表(SSRS)评估初产妇抑郁情况、家庭功能及社会支持水平,采用logistic回归模型分析相关影响因素。结果本次研究共发放调查问卷300份,回收有效问卷286份,有效回收率95.33%。286例初产妇中,围产期抑郁者75例,发生率26.22%。logistic回归分析显示:文化程度为大专及以下学历、产后母婴分离、家庭功能差及社会支持水平低均为初产妇围产期抑郁的危险因素(OR分别=1.51、3.51、2.33、2.86,P均<0.05)。结论丽水地区初产妇围产期抑郁发生率偏高,且受文化程度、产后母婴分离、家庭功能及社会支持水平等多因素影响,应针对不同特征人群采取多渠道干预措施,改善家庭功能,提升社会支持水平。

Objective To understand the condition of perinatal depression of primiparas in Lishui area,and to analyze its relationship with family function and social support,so as to provide evidence for exploring perinatal health care ser⁃vice strategy.Methods Totally 300 primiparas in the third trimester of pregnancy who underwent prenatal examination were selected as the survey subjects.The general data of puerperae and their husbands were collected.Edinburgh postpar⁃tum depression scale(EPDS),family assessment device(FAD)and social support rating scale(SSRS)were used to evaluate the depression status,family function and social support level of primiparas.Logistic regression model was ap⁃plied to analyze the related influencing factors.Results Totally 300 questionnaires were distributed in this study,and 286 valid questionnaires were recovered,with valid rate of 95.33%.Among the 286 primiparas,there were 75 cases of perinatal depression with an incidence of 26.22%.The logistic regression analysis showed that education level,postpartum maternal separation,family function and social support level were the influencing factors of perinatal depression in pri⁃miparas(OR=1.51,3.51,2.33,2.86,P<0.05).Conclusion The incidence rate of perinatal depression in primiparas in Lishui area is high,and it is affected by many factors,such as education level,postpartum maternal separation,family function and social support level.It is necessary to take multi-channel interventions for different characteristic groups to improve family function and enhance social support level.