产后抑郁症相关因素及预防策略.docVIP

产后抑郁症相关因素及预防策略【摘要】 目的 探讨产后抑郁症发病相关因素及预防策略。方法 采用爱丁堡产后抑郁量表(EPDS)对412例产后6~8周妇女的抑郁状态进行调查,并统计分析相关的社会心理因素。结果 产后抑郁症发生情况412例产妇中有48例EPDS评分13分,提示患者有不同程度的抑郁障碍,为筛查阳性。发生率为11.65%(48/412)。产后抑郁症发生的危险因素经χ2分析发现:产妇的年龄、文化程度、性格以及夫妻关系等与产后抑郁症无明显的相关关系;而产妇的居住条件、家庭收入、地域等因素对产后抑郁症的影响有统计学意义。结论 产后抑郁症是产妇常见的精神及心理障碍。心理社会因素对产后抑郁症发生的影响不容忽视。在孕早、中、晚及产后等时期,从心理、社会等多方面进行综合性预防,可减少后抑郁症的发生。 【关键词】 产后抑郁症;相关因素;预防 Related Factors of Postpartum Depression and Prevention Strategies ZHANG Yong-mei.Maternal and child health Hospital of Dongguan City,Guangdong Prorince 523700,China 【Abstract】 Objective To discuss the incidence related factors of postpartum depression and the prevention strategies.Methods Womens depression status within postpartum 6~8 weeks on 412 cases were investigated using The Edinburgh Postnatal Depression Scale(EPDS),and the relevant social psychological factors were statistically analyzed.Results There were 48 cases with the occurrence of postpartum depression in 412 maternal cases,EPDS score13 points,indicating that these patients had different degrees of depressive disorders,screening positive.Incidence rate 11.65%(48/412).The risk factors of postpartum depression were found by χ2 analysis:maternal age,education,personality,and marital relationship had no significant correlations with postpartum depression;while mother’s living conditions,family income,geographical and other factors had statistical significances on the effects of postpartum depression.Conclusion Maternal postpartum depression is a common mental and psychological disorder.The psycho-social factors on the occurrence of postpartum depression can not be ignored.A comprehensive prevention should be made from the psychological,social and other aspects in the pregnancy early,middle,late and postnatal period,which can reduce the occurrence of postpartum depression. 【Key words】 Postpartum depression; Related factors; Prevention 产后抑郁症,又称产褥期抑郁症,是指产褥期发生的以抑郁症状群为主的精神障碍。临床资料显示,当今社会产后情绪障碍是分娩后的最大并发症,城市妇女产后抑郁症的发病率正呈逐年上升趋势。产