【摘要】：隨著社會生存和家庭生活壓力增大,中國產(chǎn)后抑郁的患病率也不斷提高,產(chǎn)后抑郁造成的家庭悲劇屢見報端,對產(chǎn)后抑郁的防治工作迫在眉睫。對產(chǎn)后抑郁的研究和防治不僅要從生理因素入手,更應(yīng)該對產(chǎn)婦獲得的社會支持方面多加關(guān)注。產(chǎn)婦生產(chǎn)七周內(nèi)是產(chǎn)后抑郁的起病期,這段時間內(nèi)產(chǎn)婦和配偶之間的人際傳播和社會支持落差會直接影響產(chǎn)婦的情緒積累�；谶@一背景,本研究著重分析產(chǎn)婦產(chǎn)前一個月到產(chǎn)后42天的心理狀態(tài)和社會支持期待的變化,配偶為產(chǎn)婦提供的社會支持差異,進(jìn)而分析社會支持落差對產(chǎn)婦心理狀態(tài)的影響。本論文以精心的可能性模式為依據(jù),以人際傳播為視角,以廣東婦幼保健醫(yī)院的生產(chǎn)前后的產(chǎn)婦及其配偶為調(diào)查對象,采用問卷調(diào)查和半結(jié)構(gòu)訪談相結(jié)合的研究方法,通過方便抽樣分析產(chǎn)婦生產(chǎn)前后的心理狀態(tài)和社會支持期待、配偶提供的社會支持變化,探索產(chǎn)婦在生產(chǎn)前后的社會支持落差,并探討配偶提供的社會支持變化對產(chǎn)婦心理狀態(tài)的影響。研究發(fā)現(xiàn)如下:一、產(chǎn)婦生產(chǎn)前后對社會支持的期待發(fā)生變化,產(chǎn)婦產(chǎn)前希望得到配偶更多的主觀支持,產(chǎn)后則希望配偶提供更多的客觀支持。二、配偶為產(chǎn)婦提供的社會支持在產(chǎn)婦生產(chǎn)前后有差異。三、產(chǎn)婦生產(chǎn)前后的社會支持期待落差變大。四、配偶對產(chǎn)婦的社會支持變化對產(chǎn)婦心理狀態(tài)的影響顯著,產(chǎn)婦從配偶處得到的社會支持落差使產(chǎn)婦情緒更加焦慮,影響產(chǎn)后抑郁的發(fā)生。配偶的社會支持直接影響著產(chǎn)婦的心理狀態(tài),在產(chǎn)后抑郁的社會支持防治過程中應(yīng)該注重對配偶的社會支持引導(dǎo),從而使產(chǎn)婦的社會支持得到滿足,使產(chǎn)婦獲得良好的心理狀態(tài),促進(jìn)家庭環(huán)境健康發(fā)展和嬰幼兒健康成長。
[Abstract]:With the increasing pressure of social survival and family life, the prevalence rate of postpartum depression in China is also increasing. The family tragedy caused by postpartum depression is often reported, so it is urgent to prevent and cure postpartum depression. The research and prevention of postpartum depression should not only start with physiological factors, but also pay more attention to the social support of puerpera. The onset of postpartum depression is within seven weeks of delivery, during which the interpersonal transmission and social support gap between the puerpera and her spouse will directly affect the emotional accumulation of the puerpera. Based on this background, this study focused on the changes of psychological state and social support expectation between one month before and 42 days postpartum, and the difference of the social support provided by the spouse to the puerpera. Then it analyzes the influence of social support drop on the psychological state of parturient. Based on the elaborate possibility model and interpersonal communication, this paper takes the pregnant women and their spouses before and after birth in Guangdong Maternal and Child Health Hospital as the objects of investigation, and adopts the research method of combining questionnaire survey and semi-structured interview. Through the convenient sampling analysis of the psychological state and the expectation of social support before and after the birth of the parturient, and the changes of the social support provided by the spouse, the difference of the social support of the parturient before and after the birth was explored. The influence of the change of social support provided by spouse on the mental state of parturient was discussed. The results are as follows: 1. The expectation of social support changes before and after delivery. The pregnant women want more subjective support from their spouses before and after birth and more objective support from their spouses after birth. Second, the social support provided by the spouse to the puerpera is different before and after delivery. Third, the social support before and after the parturient birth is expected to drop greatly. Fourth, the change of spouse's social support has a significant effect on the mental state of the parturient, and the difference of the social support from the spouse makes the parturient more anxious and affects the occurrence of postpartum depression. The social support of the spouse has a direct impact on the psychological state of the parturient. In the process of prevention and treatment of postpartum depression, attention should be paid to the guidance of the social support to the spouse, so that the social support of the parturient can be satisfied. To promote the healthy development of family environment and the healthy growth of infants.
【學(xué)位授予單位】：暨南大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：G206;B844.3

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