论文部分内容阅读
目的探讨妊娠妇女产后心理状态变化及其影响因素,为有效进行产后心理疏导提供基础资料。方法筛选2015年1月-2015年12月在德清县中医院分娩的2 092例产妇作为研究对象,根据生产状态分为观察组和对照组。其中顺产1 070例,剖宫产1 022例。记录两组孕妇一般情况,经多因素回归分析孕妇女产后抑郁状态影响因素。结果2 092例产妇发生产后抑郁319例,发生率为15.25%,将其作为观察组;另外1 773例未发生产后抑郁的为对照组。两组年龄、孕前健康状况比较差异无统计学意义(P>0.05);两组学历、人际关系、睡眠质量、经济收入、居住条件、社会支持比较差异具有统计学意义(P<0.05)。单因素分析结果表明,学历、人际关系、睡眠质量、经济收入、居住条件、社会支持6项相关危险因素;将上述6项相关危险因素纳入Logistic回归分析显示,学历、人际关系、睡眠质量、经济收入、居住条件、社会支持为独立危险因素。结论学历、人际关系、睡眠质量、经济收入、居住条件、社会支持是孕妇产后发生抑郁的关键的影响因素,建议及早对孕产妇进行心理及健康指导教育,以降低孕妇产后抑郁的情况的发生。
Objective To investigate the change of postpartum psychological status and its influencing factors in pregnant women and provide the basic information for effective postpartum psychological counseling. Methods A total of 2 092 pregnant women delivered at Deqing County Chinese Medicine Hospital from January 2015 to December 2015 were selected as study subjects and divided into observation group and control group according to their production status. Of these, 1,070 were delivered on a random basis and 1,022 were cesarean. The general conditions of two groups of pregnant women were recorded, and the influencing factors of postpartum depression among pregnant women were analyzed by multivariate regression analysis. Results A total of 2 092 maternal postpartum depression occurred in 319 postpartum patients, with an incidence rate of 15.25%, which was regarded as the observation group. Another 1 773 postpartum depression patients were treated as control group. There was no significant difference in age and pre-pregnancy health status between the two groups (P> 0.05). There was significant difference in education, interpersonal relationship, sleep quality, economic income, living conditions and social support between the two groups (P <0.05). The results of univariate analysis showed that there were 6 related risk factors such as academic record, interpersonal relationship, sleep quality, economic income, living conditions and social support. Logistic regression analysis of the above 6 related risk factors showed that education, interpersonal relationship, sleep quality, economy Income, living conditions, social support as independent risk factors. Conclusion Academic background, interpersonal relationship, quality of sleep, economic income, living conditions and social support are the key influencing factors of postpartum depression in pregnant women. It is suggested that maternal psychological and health guidance should be given as early as possible so as to reduce the occurrence of postpartum depression in pregnant women.