产后压力性尿失禁患者的抑郁情况及其影响因素探讨

Discussion on the Depression Status and Influencing Factors of Patients with postpartum Stress Urinary Incontinence

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2026, 53(1)
作者
作者单位

唐山市妇幼保健院,妇科

摘要
【摘要】目的 分析产后压力性尿失禁(stress urinary incontinence,SUI)患者抑郁的影响因素。方法 2021年1月~2024年3月本院纳入90例产后SUI患者进行回顾性研究,使用爱丁堡产后抑郁量表(Edinburgh Postnatal Depression Scale,EPDS)评估患者的抑郁情况,将其分为产后抑郁组(n=26)、无产后抑郁组(n=64)。采集患者的临床资料,包括年龄、BMI、分娩方式、产次、文化程度、费用支付类别、月收入、计划内妊娠、家庭关怀度指数(family APGAR index,APGAR)评分、尿失禁自我效能量表(Geriatric Self-Efficacy Index for Urinary Incontinence, GSE-UI)评分。采用多因素分析行非条件Logistic逐步回归分析相关影响因素。结果 产后抑郁组计划内妊娠的比例低于无产后抑郁组,GSE-UI评分<20分、APGAR评分≤12分的比例高于无产后抑郁组(P<0.05);多因素Logistic回归分析显示,计划内妊娠、GSE-UI评分、APGAR评分是SUI患者发生产后抑郁的影响因素(P<0.05)。结论 产后SUI患者发生是否计划内妊娠、家庭支持度、患者的自我效能可能增加患者抑郁的风险。
Abstract
【Abstract】Objective To analyze the influencing factors of depression in patients with postpartum stress urinary incontinence (SUI).Method From January 2021 to March 2024, 90 postpartum patients with SUI were included in our hospital for a retrospective study. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess the depression status of the patients. They were divided into the postpartum depression group (n=26) and the non-postpartum depression group (n=64).Collect the clinical data of patients Including age, BMI, mode of delivery, number of deliveries, educational level, category of expense payment, monthly income, planned pregnancy, family APGAR index (APGAR) score, and Geriatric Self-Efficacy Index for Urinary Incontinence (GSE-UI) score.Unconditional Logistic stepwise regression analysis was performed using multivariate analysis to analyze the related influencing factors.Result The proportion of planned pregnancies in the postpartum depression group was lower than that in the non-postpartum depression group, and the proportion of GSE-UI score < 20 points and APGAR score ≤12 points was higher than that in the non-postpartum depression group (P < 0.05).Multivariate Logistic regression analysis showed that planned pregnancy, GSE-UI score, and APGAR score were the influencing factors of postpartum depression in patients with SUI (P < 0.05).Conclusion Whether postpartum SUI patients have planned pregnancies, family support, and the patients' self-efficacy may increase the risk of depression.
关键词
【关键词】产后压力性尿失禁;抑郁;影响因素
KeyWord
【Key words】Postpartum stress urinary incontinence; Depression; Influencing factors
基金项目
页码 192-195
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赵竞. 产后压力性尿失禁患者的抑郁情况及其影响因素探讨 [J]. 国际精神病学杂志. 2026; 53; (1). 192 - 195.

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