产后抑郁症患者320例的心理评估及其危险因素

Psychological assessment and risk factors of 320 patients with postpartum depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(3)
作者
作者单位

郑州市妇幼保健院 ;

摘要
探讨产后抑郁症患者的心理评估状况,分析产后抑郁症的危险因素,为临床预防以及治疗提供参考。方法 选取2017年1月至2018年12月,我院接收产后抑郁症患者320例作为观察组,同时随机选取同期在我院进行分娩的无产后抑郁症产妇100例作为对照组。采用自制调查问卷了解两组产妇基本情况,采用爱丁堡产后抑郁量表(EPDS)及抑郁自评量表(SDS)对两组产妇抑郁情绪进行对比,筛选影响产后抑郁症的相关因素,行logistic回归分析产后抑郁症的危险因素。结果 观察组EPDS评分及SDS评分显著高于对照组,两组比较差异具有统计学意义(P<0.05);观察组产妇年龄、产妇文化程度、家庭关系、家庭经济收入、居住条件、产前定期产检情况、孕期焦虑或抑郁情绪、产前并发症、分娩方式、新生儿健康状况与对照组比较,差异均具有统计学意义(P<0.05);经logistic回归分析,产妇年龄、文化程度、家庭经济收入、居住条件、产前定期产检、孕期抑郁或焦虑情绪、产前并发症、分娩方式、新生儿健康状况是导致产后抑郁症的危险因素。结论 产后抑郁症患者的EPDS评分及SDS评分显著高于正常水平值,产后抑郁症的出现受产妇心理、生理、家庭、社会以及环境等多种因素的影响,针对产后抑郁症的危险因素,积极采取有针对性的干预护理措施,减少或避免产后抑郁症的发生,具有较大的临床价值。
Abstract
Objective To explore the psychological assessment of patients with postpartum depression, analyze the risk factors of postpartum depression, and provide reference for clinical treatment and prevention.Methods 320 cases with postpartum depression were enrolled in the hospital as observation group from January 2017 to December 2018, and 100 cases women with postpartum depression who were delivered in our hospital at the same time were randomly selected as the control group. The self-made questionnaire was used to understand the basic conditions of the two groups of women. The Edinburgh Postpartum Depression Scale (EPDS) and the Self-rating Depression Scale (SDS) were used to compare the depression of the two groups. Screening for factors affecting postpartum depression, and performing logistic regression analysis of risk factors for postpartum depression.Results The EPDS score and SDS score of the observation group were significantly higher than the control group, and the difference between the two groups were statistically significant (P<0.05). The maternal age, maternal education level, family relationship, family economic income, living conditions, prenatal antenatal check-ups, anxiety or depression during pregnancy, prenatal complications, mode of delivery, and neonatal health status in the observation group were compared with the control group, the differences were statistically significant (P < 0.05).After logistic regression analysis, maternal age, education level, family economic income, living conditions, prenatal antenatal checkup, pregnancy depression or anxiety, prenatal complications, mode of delivery, and neonatal health were risk factors for postpartum depression.Conclusion The EPDS score and SDS score of patients with postpartum depression were significantly higher than the normal level. The occurrence of postpartum depression is affected by maternal psychological, physiological, family, social and environmental factors. For the risk factors of postpartum depression, targeted intervention measures are taken to reduce or avoid postpartum depression, which has a large clinical value.
关键词
产后抑郁症;情绪评估;危险因素;护理;预防
KeyWord
Postpartum depression; Emotional assessment; Risk factors; Nursing; Prevention
基金项目
页码 550-552
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程玉敏*. 产后抑郁症患者320例的心理评估及其危险因素 [J]. 国际精神病学杂志. 2020; 47; (3). 550 - 552.

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