本文選題：產(chǎn)婦 + 產(chǎn)后抑郁��； 參考：《山東大學(xué)》2012年碩士論文

【摘要】：研究背景： 產(chǎn)后抑郁是發(fā)生在產(chǎn)褥期的一種異常心理行為,其臨床表現(xiàn)與一般的抑郁癥狀相同,主要是以抑郁、沮喪、哭泣、煩躁、易激惹、甚至自殺傾向等為特征。產(chǎn)后抑郁的病因復(fù)雜,與遺傳、生物學(xué)、心理學(xué)、社會學(xué)等因素有關(guān)。近年來,隨著社會經(jīng)濟(jì)與科學(xué)技術(shù)的高速發(fā)展,人們的生活壓力逐漸加大,產(chǎn)后抑郁的發(fā)生率也在不斷上升,不僅影響產(chǎn)婦的身心健康,而且會對嬰兒的身心發(fā)育、夫妻關(guān)系、家庭功能乃至社會功能造成一定的損害。目前,有關(guān)產(chǎn)后抑郁的發(fā)生率及其相關(guān)因素已有諸多報(bào)道,但結(jié)論頗不一致,這給產(chǎn)后抑郁的預(yù)防干預(yù)帶來較大困難。 研究目的： 了解內(nèi)蒙古包頭地區(qū)住院分娩產(chǎn)婦產(chǎn)后抑郁發(fā)生情況,分析影響住院分娩產(chǎn)婦發(fā)生產(chǎn)后抑郁的社會因素,為促進(jìn)產(chǎn)婦心理健康調(diào)適提供參考依據(jù)。 資料與方法： 1.本研究采用隨機(jī)抽樣的方法,以從2012年6月到2012年7月在包頭市兩所三級甲等醫(yī)院和一所二級甲等醫(yī)院住院分娩的246名符合條件的產(chǎn)婦為研究對象,在產(chǎn)后2-7天對其進(jìn)行問卷調(diào)查。 2.采用愛丁堡產(chǎn)后抑郁量表(EPDS)及根據(jù)當(dāng)?shù)貙?shí)際情況自擬的心理社會因素調(diào)查表(內(nèi)容包括年齡、民族、學(xué)歷、職業(yè)、配偶情況、家庭收入居住情況、既往史、孕期一般情況、產(chǎn)科特征、喂養(yǎng)方式、嬰兒情況、家庭關(guān)系)進(jìn)行測評分析。結(jié)果用SPSS13.0統(tǒng)計(jì)軟件進(jìn)行處理。 主要結(jié)果： 1.產(chǎn)后抑郁發(fā)生情況：246名住院分娩產(chǎn)婦中,EPDS得分≥9分,即PPD篩檢為陽性者為92例,產(chǎn)后抑郁的發(fā)生率為37.4%。 2.社會心理影響因素：產(chǎn)后抑郁組與對照組在居住地、民族、文化程度、職業(yè)、經(jīng)濟(jì)收入、產(chǎn)次、睡眠狀況、分娩方式、喂養(yǎng)方式等因素間差異無統(tǒng)計(jì)學(xué)意義；在年齡、產(chǎn)后陪護(hù)者、高危妊娠、與期待嬰兒性別不符合等因素方面存在統(tǒng)計(jì)學(xué)差異；影響抑郁與非抑郁的非條件多因素Logistic回歸分析結(jié)果表明：年齡≥30周歲、與期盼嬰兒性別不符、產(chǎn)后由婆婆照顧可推定為包頭市產(chǎn)后抑郁的危險(xiǎn)因素。 結(jié)論： 1.住院分娩產(chǎn)婦產(chǎn)后抑郁發(fā)生率為37.4%。 2.產(chǎn)婦的文化程度、民族、居住地、職業(yè)、經(jīng)濟(jì)收入、產(chǎn)次、睡眠狀況、分娩方式、喂養(yǎng)方式等與產(chǎn)后抑郁在統(tǒng)計(jì)學(xué)上無顯著性差異。 3.具備以下特征的住院分娩產(chǎn)婦發(fā)生產(chǎn)后抑郁的可能性較高：年齡≥30周歲、與期盼嬰兒性別不符、產(chǎn)后由婆婆照顧。
[Abstract]:Background: Postpartum depression is a kind of abnormal psychological behavior that occurs in puerperium. Its clinical manifestation is the same as general depressive symptoms, mainly characterized by depression, depression, crying, irritability, irritability and even suicidal tendency. The etiology of postpartum depression is complex and related to genetic, biological, psychological, sociological and other factors. In recent years, with the rapid development of social economy and science and technology, people's life pressure is gradually increasing, and the incidence of postpartum depression is also rising, which not only affects the physical and mental health of the parturient, but also affects the physical and mental development of the infant and the relationship between husband and wife. The family function and even the social function cause certain damage. At present, there are many reports about the incidence of postpartum depression and its related factors, but the conclusions are quite inconsistent, which makes the prevention and intervention of postpartum depression more difficult. Objectives of the study: To understand the incidence of postpartum depression in hospitalized parturient in Baotou area of Inner Mongolia, and analyze the social factors that affect postpartum depression in hospitalized parturient, so as to provide reference for promoting the adjustment of mental health of parturient. Information and methods: 1. From June 2012 to July 2012, 246 pregnant women who were hospitalized and delivered in two Grade 3A hospitals and a second Class A hospital in Baotou City were selected as subjects. A questionnaire survey was conducted on 2-7 days postpartum. 2. The Edinburgh postpartum depression scale (EPDS) and the psychological and social factors questionnaire (including age, nationality, educational background, occupation, spouse, family income, past history, general situation during pregnancy) were designed according to the actual local conditions. Obstetrical characteristics, feeding patterns, infant status, family relationships) were evaluated and analyzed. Results SPSS13.0 statistical software was used to deal with the problem. Main results: 1. The incidence of postpartum depression was more than 9, 92 cases were positive for PPD screening, and the incidence of postpartum depression was 37.4%. 2. Psychosocial factors: there was no significant difference between the postpartum depression group and the control group in terms of residence, nationality, education, occupation, income, birth, sleep status, delivery style, feeding style, etc. There were significant differences in the factors of postpartum chaperone, high risk pregnancy and the sex nonconformity of the expected baby, and the non-conditional multivariate Logistic regression analysis of depression and non-depression showed that age 鈮，

本文編號：1852928