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深圳市產(chǎn)婦產(chǎn)后抑郁癥的流行狀況及危險因素分析

發(fā)布時間:2018-05-11 23:37

  本文選題:產(chǎn)后抑郁 + EPDS量表 ; 參考:《華中科技大學學報(醫(yī)學版)》2017年06期


【摘要】:目的探討深圳市產(chǎn)婦產(chǎn)后抑郁癥的患病情況及其影響因素,為早期防治產(chǎn)后抑郁提供科學依據(jù)。方法采用方便抽樣的方法,以在深圳市婦幼保健院生產(chǎn)并于產(chǎn)后60d內(nèi)回到該院接受產(chǎn)后康復(fù)檢查的3 610名產(chǎn)婦為調(diào)查對象,采用愛丁堡產(chǎn)后抑郁篩查量表對產(chǎn)婦產(chǎn)后抑郁狀況進行評估,采用自編調(diào)查表對一般情況進行流行病學調(diào)查。結(jié)果共收回問卷3 610份,有效問卷3 550份,有效率為98.34%。315例(8.87%)產(chǎn)婦篩查出有明顯的產(chǎn)后抑郁癥狀。多因素分析結(jié)果顯示,有不良孕產(chǎn)史、首次生產(chǎn)及采用混合喂養(yǎng)或人工喂養(yǎng)是產(chǎn)后抑郁發(fā)生的相關(guān)危險因素,其OR值及95%可信區(qū)間(95%CI)分別為:1.623(1.247~2.112)、1.558(1.189~2.040)、1.889(1.460~2.445)和1.996(1.362~2.925)。結(jié)論深圳市產(chǎn)后抑郁癥檢出率相對較低,婦女保健人員應(yīng)針對有不良孕產(chǎn)史、首次生產(chǎn)以及非母乳喂養(yǎng)的產(chǎn)婦進行早期產(chǎn)后抑郁易患人群的篩查和干預(yù),以降低產(chǎn)后抑郁癥的發(fā)病及危害。
[Abstract]:Objective to investigate the prevalence of postpartum depression in Shenzhen and its influencing factors, and to provide scientific basis for early prevention and treatment of postpartum depression. Methods the method of convenient sampling was used to investigate 3 610 pregnant women who were born in Shenzhen Maternal and Child Health Care Hospital and returned to the hospital to undergo postpartum rehabilitation examination within 60 days after delivery. The status of postpartum depression was evaluated by Edinburgh postpartum depression screening scale, and the general situation was investigated by self-designed questionnaire. Results A total of 3 610 questionnaires and 3 550 valid questionnaires were collected. The effective rate was 98.34.315 cases of postpartum depression. The results of multivariate analysis showed that the risk factors of postpartum depression were the first birth and mixed feeding or artificial feeding. The OR value and 95% CI were 1.5581.1892.040U 1.8891.4602.445) and 1.99961.362U 2.925525, respectively. The odds ratio (OR) and 95% CI (95% CI) were 1.8891.4602.445 and 1.9961.362respectively. The odds ratio (OR) and 95% CI (95% CI) were 1.5581.1892.040U 1.8891.4602.445 and 1.9961.362respectively. Conclusion the detection rate of postpartum depression in Shenzhen is relatively low. Women health care workers should screen and intervene the predisposition of early postpartum depression for women with history of bad pregnancy, first-time delivery and non-breast-feeding. In order to reduce the incidence and harm of postpartum depression.
【作者單位】: 深圳市婦幼保健院;華中科技大學同濟醫(yī)學院公共衛(wèi)生學院;深圳市疾病預(yù)防控制中心;
【基金】:深圳市科創(chuàng)委基礎(chǔ)計劃項目(No.JCYJ20140414153700881)
【分類號】:R749.4
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本文編號:1876172

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