發(fā)布時間：2018-02-09 05:43

  本文關鍵詞： 社會資本 產前抑郁 初產婦 心理健康　出處：《杭州師范大學》2017年碩士論文　論文類型：學位論文

【摘要】：目的:(1)了解杭州市初產婦孕晚期社會資本的現(xiàn)狀;(2)了解杭州市初產婦孕晚期產前抑郁的情況;(3)分析杭州市初產婦孕晚期社會資本對其產前抑郁的影響;(4)運用社會資本分析方法為改善初產婦的孕晚期心理健康狀況提供指導性建議。方法:(1)對社會資本概念、維度、測量的研究現(xiàn)狀進行文獻回顧,在此基礎上設計調研方案。(2)通過訪談調查、專家咨詢、預調查,設計出用于正式調研的調查問卷。(3)采用立意抽樣的方法,選取浙江大學附屬婦產科醫(yī)院作為調研地,以孕周在30~36周之間的初產婦作為調研對象,采用紙質問卷和電子問卷相結合的方法,收回1075份有效問卷。(4)運用SPSS20.0中文版統(tǒng)計分析軟件,以P0.05為檢驗標準,選用了方差分析、t檢驗、卡方檢驗、相關分析、多重線性回歸等統(tǒng)計分析方法,對現(xiàn)場調查所收集的數(shù)據(jù)進行分析并驗證假設。結果:(1)本研究中初產婦的社會資本總分及其各維度平均得分為:社會資本(197.35±49.25)分,社會信任(30.32±4.23)分,社會互惠(22.87±4.25)分,社會網(wǎng)絡(109.85±45.16)分,社會參與(34.31±7.61)分;將社會資本總分以均值為界分為高低兩組,分別占總人數(shù)的54.1%和45.9%。說明杭州市大多數(shù)初產婦孕晚期社會資本水平較高。(2)使用愛丁堡產后抑郁量表(EPDS)進行產前抑郁的篩選,有抑郁癥狀共293人(27.3%),其中輕度抑郁247人(23%),重度抑郁46人(4.3%)。(3)初產婦的社會資本及其各維度與產前抑郁均存在負相關,說明初產婦的社會資本及其各維度總量越大,其產前抑郁得分越低。(4)回歸分析顯示,影響杭州市初產婦產前抑郁的社會資本維度按大小排序分別是:社會信任得分、社會參與得分、社會網(wǎng)絡得分,社會互惠沒有被納入回歸方程。結論:杭州市初產婦孕晚期的社會資本及產前抑郁得分均受到人口學特征的影響;杭州市初產婦孕晚期的社會資本總體水平較高,大多數(shù)初產婦的社會網(wǎng)絡水平較高,而社會信任、社會互惠、社會參與程度較低,可通過提升社會信任、增強社會互惠等方法來改善初產婦孕晚期的社會資本總體水平;社會資本的4個維度中,社會信任、社會參與、社會網(wǎng)絡是產前抑郁的影響因素,提升初產婦社會資本各維度得分,均可降低產前抑郁的發(fā)生率;為改善杭州市初產婦的孕期心理健康狀況,本研究提出讓初產婦在孕期內增強社會信任感、提升社會互惠水平、優(yōu)化個體網(wǎng)絡結構、加大社會參與程度等建議。
[Abstract]:Objective to understand the current situation of social capital in late pregnancy in Hangzhou (2) to understand the status of antenatal depression in late pregnancy in Hangzhou (3) to analyze the influence of social capital in late pregnancy on prenatal depression of primipara in Hangzhou. The method of capital analysis provides guidance and advice for improving the mental health of primipara in the third trimester. Based on the literature review of the research situation of dimension and measurement, this paper designs a survey scheme. (2) through interview, expert consultation, pre-investigation, a questionnaire for formal investigation is designed, which adopts the method of intention sampling. The hospital of gynecology and obstetrics affiliated to Zhejiang University was selected as the research place, and the primipara who was pregnant between 30 and 36 weeks was chosen as the research object, and the method of combining paper questionnaire with electronic questionnaire was adopted. 1 075 valid questionnaires were collected. (4) using the Chinese version of SPSS20.0 statistical analysis software, taking P0.05 as the test standard, selecting the statistical analysis methods such as ANOVA / t test, chi-square test, correlation analysis, multiple linear regression, etc. The data collected in the field investigation were analyzed and hypothesized. Results: the total score of social capital and the average score of each dimension in this study were 197.35 鹵49.25), social trust 30.32 鹵4.23), social reciprocity 22.87 鹵4.25), social network 109.85 鹵45.16). The total score of social capital was divided into two groups according to the mean value. 54.1% and 45.9% of the total population, respectively. It shows that most primiparous women in Hangzhou have a higher level of social capital in late pregnancy.) the Edinburgh postpartum Depression scale (EPDS) is used to screen for prenatal depression. A total of 293 patients had depression symptoms, including 247 patients with mild depression (23patients with mild depression) and 46 with severe depression (4.3patients with severe depression) the social capital and its dimensions were negatively correlated with antenatal depression, which indicated that the total amount of social capital and its dimensions of primipara was larger. The lower the score of antepartum depression is, the lower the score of antepartum depression is. The regression analysis shows that the social capital dimension influencing antenatal depression in Hangzhou is: social trust score, social participation score, social network score, etc. Conclusion: the scores of social capital and prenatal depression of primiparous women in Hangzhou are affected by demographic characteristics, and the overall level of social capital in late pregnancy is higher in Hangzhou. The social network level of most primipara is higher, and the social trust, social reciprocity and social participation are low. The overall level of social capital in the third trimester of pregnancy can be improved by enhancing social trust and enhancing social reciprocity. Among the four dimensions of social capital, social trust, social participation and social network are the influencing factors of prenatal depression. In order to improve the mental health of primipara during pregnancy in Hangzhou, this study puts forward some suggestions such as enhancing social trust, promoting social reciprocity, optimizing individual network structure and increasing social participation.
【學位授予單位】：杭州師范大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R715.3
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本文編號：1497211