| 杭春梅,黄锟,孙瑜,等.产妇 4 027例重度产后抑郁检出情况分析[J].安徽医药,2020,24(7):1329-1333. |
| 产妇 4 027例重度产后抑郁检出情况分析 |
| Prevalence of major postpartum depression in 4 027 parturient women |
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| DOI：10.3969/j.issn.1009?6469.2020.07.015 |
| 中文关键词: 抑郁症，产后/流行病学 产后保健 患病率 婴儿，新生 影响因素分析 |
| 英文关键词: Depression,postpartum/ epidemiology Postnatal care Prevalence Infant,newborn Root cause analysis |
| 基金项目:安徽省卫生厅医学科学研究计划课题( 13FRO11) |
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| 中文摘要: |
| 目的探讨产后不同阶段的抑郁发生情况及其相关决定因素。方法选取 2016年 3—6月在合肥市接受产后 3～7d访视和产后 42 d检查的 4 027例产妇作为研究对象，采用自行设计的调查问卷和爱丁堡产后抑郁量表进行调查。多因素非条件 logistic回归分析比较产后不同阶段重度抑郁的相关决定因素。结果产后 3～7d和产后 42 d抑郁总检出率分别为 22.3%和 11.9%，重度抑郁的检出率分别为 5.7%和 3.6%，总体重度抑郁的检出率为 7.5%(303/4 027)。产后不同时间段重度抑郁的检出率和决定因素不同。无职业、初产( OR＝0.674)、早产( OR＝2.588)、产后 3～7d超重 /肥胖( OR＝1.448)、产后 3~7 d与家人的关系不佳( OR＝2.790)、婴儿出生健康状况不佳( OR＝12.424)和婴儿 42 d健康状况不佳( OR＝9.100)是产后总体重度抑郁发生的主要决定因素。结论产后不同阶段产妇的重度抑郁水平呈动态变化，重度产后抑郁的发生是多种因素共同作用的结果；应对特定的高危人群开展针对性健康教育及心理咨询。 |
| 英文摘要: |
| Objective To investigate the prevalence of major postpartum depression and related determinants at different stages of postpartum.Method A total of 4 027 women who received postnatal visit during 3 to 7 postnatal days and medical checkup at 42postnatal days between March to June 2016，were selected as the research objects from Hefei City.A self?designed questionnaire was used to collect women’s basic socio?economic and obstetric information.Edinburgh postnatal depression scale was adopted to assess women’s postnatal depression level.Logistic regression model was set up to investigate the determinants of major postpartumdepression in different postnatal periods.Results The prevalence of postpartum depression was 22.3% and 11.9%，respectively at 3～ 7 postnatal days and 42 postnatal days.Prevalence of major postpartum depression was 5.7% and 3.6%，respectively.The overallprevalence of major depression was 7.5%.Different prevalence and determinants were found in major postpartum depression at dif?ferent periods.No occupation，primiparity(OR＝0.674)， preterm birth(OR=2.588)， overweight/obesity(OR＝1.448)and relation? ships with family at 3～7 postnatal days(OR＝2.790)，infants’unhealthy status at birth(OR＝12.424)and at 42 postnatal days(OR＝9.100)was the main determinants of overall major postpartum depression.Conclusions The levels of severe depression ofpostpartum women in different stages of postpartum are dynamic changes.Multiple determinants caused women’s major postpartum depression.Targeted health education and mental counseling should be carried out towards high?risk populations. |
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