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目的调查产后6周妇女产后抑郁症(postpartum depression,PPD)的发生情况,并分析引起PPD的危险因素。方法选取莱芜市妇幼保健院妇产科于2010年2月至2013年2月收治的800名产后6周妇女作为调查对象,采用调查问卷的方式调查妇女的产后抑郁情况。调查问卷内容包括妇女一般资料、Edinburgh产后抑郁量表、产妇社会心理因素等情况。结果 97名妇女被诊断为PPD,发病率为12.34%。产妇年龄越小、文化程度越低,PPD发病率越高(P<0.05);未婚产妇PPD发病率与已婚产妇相比,差异无统计学意义(P>0.05);产妇经济收入、居住条件、职业、配偶支持、新生儿性别等社会心理因素与PPD的发病有关(P<0.05)。结论年龄、文化程度与经济收入、居住条件、职业、配偶支持与新生儿性别等社会心理因素与妇女PPD的发病均有关,应加强相关因素的健康宣教及产妇的心理辅导。
Objective To investigate the incidence of postpartum depression (PPD) in women at 6 weeks postpartum and to analyze the risk factors of PPD. Methods Eighty postpartum women of 6 weeks postpartum in Obstetrics and Gynecology of Maternal and Child Health Hospital of Laiwu City from February 2010 to February 2013 were selected as the survey subjects and questionnaires were used to investigate the postpartum depression among women. Questionnaire content includes general information about women, postnatal depression scale in Edinburgh, maternal psychosocial factors and so on. Results 97 women were diagnosed as PPD, the incidence was 12.34%. The incidence of PPD in unmarried women was significantly lower than that of married women (P> 0.05). Maternal economic income, living conditions , Job, spouse support, neonatal gender and other psychosocial factors associated with the onset of PPD (P <0.05). Conclusion Psychosocial factors such as age, educational level, economic income, living conditions, occupation, spousal support and neonatal gender are related to the incidence of PPD in women. Health education and maternal psychological counseling should be strengthened.