自然分娩与剖宫产产妇产后精神障碍及其相关因素分析

Influencing factors of postpartum mental disorders in pregnant women with natural delivery and cesarean section

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(4)
作者
作者单位

商丘市第四人民医院 ;

摘要
[摘要] 研究自然分娩与剖宫产产妇产后精神障碍情况,分析导致产妇产后出现精神障碍的危险因素,指导临床为产妇围产期设计更为合理的干预方案,减少产后精神障碍风险,提高产妇产后生活质量。方法 采用回顾性分析的方法,抽取我院2016年2月至2018年4月经剖宫产分娩的800例产妇临床资料作为观察组,抽取同期于我院接受自然分娩的1000例产妇临床资料作为对照组,参照相关标准对比两组产妇产后精神障碍发生率,分析产妇临床资料,采用单因素及多因素分析的方法找出导致产妇产后发生精神障碍的危险因素。结果 剖宫产产妇与自然分娩产妇产后精神障碍发生率比较,差异无统计学意义(P>0.05);经单因素分析发现,年龄、职业、家庭人均月收入、婆媳关系、夫妻关系、产次、家族史、病前性格、产后身体恢复情况、产后性生活是引发剖宫产与自然分娩产妇产后精神障碍的共同因素,此外,妊娠期有合并症、既往有剖宫产史是导致剖宫产产妇产后精神障碍的独立因素(P<0.05);经多因素分析发现,文化程度低、夫妻关系差、产次>3次、有家族史是影响剖宫产与自然分娩产妇产后精神障碍的共同因素(OR>1,P<0.05),而家庭人均收入低是影响自然妊娠产妇产后精神障碍的独立危险因素(OR>1,P<0.05),既往有剖宫产史、病前性格内向、妊娠期有合并症则是影响剖宫产产妇产后精神障碍的独立危险因素(OR>1,P<0.05)。结论 无论何种分娩方式,产妇在产后均有精神障碍发生风险,文化程度低、夫妻关系不佳、多次分娩、有家族史、病前性格内向等均是诱发产后精神障碍的关键因素,临床针对这类患者应做好围产期护理,以降低产后精神障碍发生风险,提高产妇产后生活质量。
Abstract
[Abstract] Objective To study the risk factors of postpartum mental disorders in pregnant women with natural delivery and cesarean section, and to provide more reasonable intervention regimen for perinatal pregnant women, so as to decrease risks of postpartum mental disorders and increase postpartum living quality. Methods According to retrospective analysis, the clinical data of 800 pregnant women with cesarean section from February 2016 to April 2018 were selected as observation group, and the clinical data of 1000 pregnant women with natural delivery were selected as control group at the same time. The incidence of postpartum mental disorders between the two groups were compared according to related standards. The clinical data of pregnant women were analyzed, and the risk factors of postpartum mental disorders were analyzed by single-factor and multiple-factor analysis. Results There was no statistical difference in the incidence of postpartum mental disorders between the pregnant women with natural delivery and cesarean section (P>0.05); According to single-factor analysis, the age, profession, family monthly income per capita, relationship between mother-in-law and daughter-in-law, spousal relationship, parity, family history, personality before illness, postpartum recovery, postpartum sexual life were common factors of causing postpartum mental disorders in the pregnant women with natural delivery and cesarean section, in addition, pregnancy complications and cesarean section history were independent factors of causing postpartum mental disorders in the pregnant women with cesarean section (P<0.05); According to multiple-factor analysis, low education level, worse spousal relationship, parity>3 times, having family history were common factors of causing postpartum mental disorders in the pregnant women with natural delivery and cesarean section (OR>1, P<0.05), the low family income per capita was independent factor of influencing postpartum mental disorders in the pregnant women with natural delivery (OR>1, P<0.05), the cesarean section history, introversion before illness, pregnancy complications were independent factors of influencing postpartum mental disorders in the pregnant women with cesarean section (OR>1, P<0.05). Conclusion Regardless of the mode of delivery, the pregnant women have risks of postpartum mental disorders. Low education level, worse spousal relationship, multiple delivery, family history, introversion before illness are key factors of inducing postpartum mental disorders. As for these patients, it is necessary to provide better perinatal nursing, as to decrease risks of postpartum mental disorders and increase postpartum living quality.
关键词
[关键词] 自然分娩;剖宫产;精神障碍;影响因素
KeyWord
[Key Words] natural delivery; cesarean section; mental disorders; influencing factors
基金项目
页码 717-720
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张丽伟*,万玉莹,杨艳梅 ,张旭,刘晓涵. 自然分娩与剖宫产产妇产后精神障碍及其相关因素分析 [J]. 国际精神病学杂志. 2019; 46; (4). 717 - 720.

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