中山市流动产妇产后抑郁症状况及影响因素分析

Zhongshan flow maternal postpartum depression status and its influencing factors is analyzed

目的调查流动产妇产后抑郁症的状况,探讨其发生的危险因素。方法采用自制问卷调查表及抑郁自评量表(EPDS),对200例住院分娩的流动产妇进行调查。采用单因素与多因素分析抑郁症发生的危险因素。结果 200例流动产妇中,62例EPDS评分≥9分,产后抑郁症检出率为31%。居住条件、生育状态、夫妻关系、家庭关系、家庭月收入、新生儿性别、新生儿健康状况及医护满意度与产后抑郁症显著相关(P<0.05);年龄、教育程度及分娩方式与产后抑郁症无相关性(P>0.05)。家庭月收入、夫妻关系、新生儿性别、新生儿健康状况及医护满意度是产后抑郁症发生的独立危险因素(P<0.05)。结论流动产妇产后抑郁症发生率相对较高,家庭收入低、夫妻关系差、新生儿性别为女性、新生儿健康状况不良和医护满意度差,增加其发生的风险,应针对性实施护理干预。

Objective to investigate the flow conditions in the maternal postpartum depression,in this study was to evaluate the risk factors.Methods self-made questionnaire and self-reported depression scale(EPDS)investigating the flow of 200 cases of hospitalized childbirth puerpera,with EPDS score nine points or a diagnosis of postpartum depression.Using a single element and multiple factors analysis risk factor for depression occurs.Results 200 cases of the flow in the maternal,62 cases of EPDS score nine points,or postpartum depression detection rate of 31%.Affect the single factor analysis of postpartum depression,according to the living conditions,family status,relationship,family relationship,family income,newborn gender,neonatal health and medical care satisfaction were significantly associated with postpartum depression(P<0.05);Age,education level and the mode of delivery and postpartum depression show no correlation(P > 0.05).Further multi-factor analysis indicated that,family income,the relationship,newborn gender,neonatal health and medical care satisfaction are independent risk factors for postpartum depression occurs.Conclusion flow relatively high incidence of maternal postpartum depression,low family income,poor relationship,newborn sex for women,newborn in bad health and medical care satisfaction increase the risk of it,should be targeted to develop nursing intervention.