兰州市211例产妇产后抑郁情况及相关影响因素分析

Analysis of postpartum depression status and its influencing factors in 211 women from Lanzhou

目的了解兰州大学第二医院产妇产后抑郁发生情况,分析相关影响因素。方法对2018年3—6月在兰州大学第二医院产科住院分娩的211名产妇进行问卷调查,问卷内容包括根据实际情况自制的一般情况调查表和爱丁堡产后抑郁量表,根据调查结果分析影响因素。结果调查的211名产妇产后抑郁发生率为17.54%,单因素分析显示有统计学意义的影响因素是有无工作、居住环境满意度、与公婆关系、性格特点、处世态度、新生儿有无疾病、新生儿是否住入新生儿科、喂养方式、喂养效果、孩子睡眠状况、产后睡眠情况。对以上影响因素进行非条件多因素Logistic回归分析,结果显示与公婆关系、性格特点、新生儿是否住入新生儿科、产后睡眠情况是产妇产后抑郁的独立相关影响因素。结论兰州大学第二医院住院分娩产妇产后抑郁发生率较高,医护人员应该加强对产妇的心理疏导及围生期相关知识的普及,降低产后抑郁的发生。

Objective To investigate the status of postpartum depression in the Second Hospital of Lanzhou University and analyze its influencing factors.Methods A total of 211 postpartum women in the Department of Obstetrics of the Second Hospital of Lanzhou University from March to June,2018 were given a questionnaire,which included general information and Edinburgh Postpartum Depression Scale,then the related factors were analyzed.Resutls The prevalence rate of postpartum depression was 17.54%among 211 investigated postpartum women.Univariate analysis showed that the related factors of postpartum depression included whether the patients had a job,their satisfaction with their living environment,relationship with parents-in-law,personality characteristics,attitude towards life,health status of their newborns,whether the newborn was admitted to the Department of Neonatology,the feeding patterns,feeding effects,sleep status of the newborn,their postpartum sleep quality.Multivarite Logistic analysis showed that the relationship with parents-in-law,personality characteristics,whether the newborn was admitted to the Department of Neonatology,postpartum sleep quality were independent influencing factors of postpartum depression.Conclusion The incidence rate of postpartum depression in the Department of Obstetrics of the Second Hospital of Lanzhou University was high.To reduce the incidence of postpartum depression,medical staff should strengthen their psychological counseling and popularize perinatal knowledge.