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1.
产后抑郁症是指产妇在分娩后由于生理心理因素造成的抑郁症,是产褥期精神综合征中最常见的一种类型[1],多发生于产后6周内.常见症状有紧张、疑虑、孤僻、失眠或嗜睡、疲乏及食欲不振等,极少数严重者有绝望、离家出走、自杀或残害婴儿的行为倾向[2].产后抑郁症不仅会影响产妇及婴儿的身心健康,而且也会影响到婚姻、家庭和社会[3].目前我国产后抑郁症发病率约为17%[4],因此,如何对产后抑郁症患者进行全面的治疗和护理,缓解其不良情绪,防止复发,已成为医学界尤其是妇产科医护人员亟需解决的难题之一.本文总结了我科48例产后抑郁症患者护理,体会如下.  相似文献   

2.
产后抑郁症及其产科因素相关性探讨   总被引:14,自引:0,他引:14  
目的 调查产后抑郁症的发病情况;探讨与产后抑郁症相关的产科因素。方法 采用分层整群抽样方法,抽取长沙市2所三级甲等医院和2所二级甲等医院从2004年9月~2005年1月在这4所医院进行产后6周复查的300例初产妇,并对其进行问卷调查。调查问卷包括Edinburgh产后抑郁量表(EPDS)、自编产妇一般资料及产科因素调查问卷。采用Epidata3.02软件建立数据库,所有资料均采用SPSSll.5统计软件处理。统计方法包括描述性的统计分析、X^2检验、单因素和多因素非条件Logistic分析。结果 L300例产妇中,EPDS总分≥13分抑郁阳性并确诊为抑郁症者52例,产后抑郁症的发病率为17.30%。2,多因素非条件Logistic回归分析结果显示:第一产程时间(P=0,024)、顺产(P=0,003)、阴道助产(P=0,000)、新生儿畸形(P=0.000)、母乳喂养(P=0.037)与产后抑郁症相关,有统计学意义。其OR值分别为:2.269、0,151、49.767、28,386、0,299。结论 1.一部分妇女在产后6周内出现不同程度的抑郁性障碍,应引起高度重视。2,产后抑郁症相关的产科危险因素有阴道助产、新生儿畸形、第一产程时间长;保护性因素有顺产、母乳喂养。3,针对影响因素,采取相应的干预措施,有助于预防其发生。  相似文献   

3.
目的 探讨孕期集体干预对产后抑郁症(PPD)的作用.方法 选择在我院产检且分娩,在孕16~24周行医院焦虑-抑郁量表(HAD)筛查≥11分的438例孕妇为研究对象,分为干预组和非干预组.干预组孕妇从孕24周开始实施每周1次,每次90分钟,共6周的干预治疗,非干预组孕妇行常规孕期保健.所有研究对象在产后42天行爱丁堡产后抑郁量表(edinburgh postnatal depression scale,EPDS)测试≥12分诊断为产后抑郁症.结果 干预组产后42天HAD≥11分(有焦虑或抑郁情绪)患者比率显著低于对照组(χ2=25.22,P<0.01).干预组产妇EPDS值≥12分人数为22人,显著低于非干预组的63人,差异有统计学意义(χ2=24.51,P<0.01).结论 孕期集体干预能够缓解孕产妇焦虑-抑郁情绪,降低产后抑郁症发生率.  相似文献   

4.
产后抑郁症的发生率及其心理社会因素研究   总被引:15,自引:1,他引:15  
目的调查产后抑郁症的发生率以及相关的心理社会因素.方法采用爱丁堡产后抑郁量表(Edinburgh PostnatalDepression Scale,EPDS)对427例产后4~6周妇女的抑郁状态进行调查,相关的心理社会因素用logistic回归模型分析.结果产后抑郁症的发生率为7.3%(31/427);产后缺乏社会支持、孕期抑郁情绪、过低或过高的家庭收入与产后抑郁症密切相关.结论心理社会因素对产后抑郁症发生的影响不容忽视.  相似文献   

5.
产后抑郁症的发生率及其心理社会因素研究   总被引:9,自引:2,他引:9  
目的 :调查产后抑郁症的发生率以及相关的心理社会因素。方法 :采用爱丁堡产后抑郁量表 ( Edinburgh PostnatalDepression Scale,EPDS)对 4 2 7例产后 4~ 6周妇女的抑郁状态进行调查 ,相关的心理社会因素用 logistic回归模型分析。结果 :产后抑郁症的发生率为 7.3% ( 31/ 4 2 7) ;产后缺乏社会支持、孕期抑郁情绪、过低或过高的家庭收入与产后抑郁症密切相关。结论 :心理社会因素对产后抑郁症发生的影响不容忽视  相似文献   

6.
目的分析产后抑郁筛查量表(PDSS)与爱丁堡产后抑郁量表(EPDS)在产后抑郁筛查中的差异,探讨PDSS与EPDS的应用特点,为产后抑郁筛查量表的选择提供参考依据。方法收集104名产妇一般情况,采用PDSS和EPDS量表对产妇进行问卷调查,以EPDS为标准探讨PDSS的灵敏度、特异度和吻合度,采用SPSS 22.0分析PDSS、EPDS调查结果差异的影响因素,并对PDSS和EPDS进行准则相关效度检验。结果调查对象平均年龄(29.08±3.04)岁,EPDS测得抑郁阳性率为55.8%,PDSS测得抑郁阳性率为71.2%,两量表符合率为79.8%。以EPDS为标准测得PDSS灵敏度为94.9%,特异度为60.0%。EPDS各条目总分与PDSS各条目总分及各因子相关。结论 PDSS与EPDS两量表测量结果一致性较好,结果的吻合度较高,当筛查对象涉及是否为独生子女、是否为计划内怀孕、是否参加产前教育因素时可以选用PDSS作为测量工具避免漏诊。  相似文献   

7.
方国英 《现代预防医学》2011,38(20):4144-4145
[目的]调查分析产妇产后发生抑郁症的相关影响因素,提出产褥期妇女的精神卫生保健工作的预防措施。[方法]产妇产后42d到医院进行产后复查时,采用调查问卷的方法,记录产妇的精神状态及出现不良情绪的原因,使用爱丁堡产后抑郁量表(EPDS)进行评定。[结果]本组产妇产后抑郁症的发生率为12.86%,与新生儿性别及健康状况、对分娩疼痛承受力及产程延长有密切的关系。[结论]产后抑郁的发生与分娩状况密切相关,对产妇提供有针对性的预防措施及社会支持,可以预防和降低产后抑郁症的发生。  相似文献   

8.
母乳喂养对产妇心理健康的影响   总被引:2,自引:0,他引:2  
很多研究证实母乳喂养可以促进产妇心理健康,也有不少研究表明健康的心理状态是产妇顺利进行母乳喂养的重要条件。从不同角度对母乳喂养与乳母心理健康之间关系进行了研究,多数研究支持两者之间确有明显联系,并且不少研究支持母乳喂养有益于产妇的心理健康。  相似文献   

9.
孕产妇焦虑和抑郁与产后抑郁症的关系   总被引:2,自引:0,他引:2  
目的探讨孕产妇焦虑和抑郁情绪与产后抑郁症的关系。方法用医院焦虑自评量表(SAS)、抑郁自评量表(SDS)调查59例孕妇,比较孕妇在孕期、产时的焦虑与抑郁评分,并以艾迪产后抑郁量表(EPDS)跟踪调查至产后42 d,EPDS≥13分为阳性,即可确诊为产后抑郁症。结果产时SAS评分(46.02±9.12)和SDS评分(53.24±9.45)明显高于孕期SAS评分(36.12±11.51)和SDS评分(45.00±12.03),差异有统计学意义(P<0.01);EPDS≥13分(产后抑郁症)9例,阳性率为15.25%。9例产后抑郁症患者产时焦虑与抑郁评分较高。结论产时焦虑和抑郁情绪比孕期重;产时焦虑和抑郁情绪与产后抑郁症的发生有关。  相似文献   

10.
产后抑郁症产科相关因素分析及防治   总被引:12,自引:2,他引:12  
目的:调查产后抑郁症的发病情况,探讨产后抑郁症的产科相关因素及防治。方法:采用分层整群抽样的方法,抽取郑州市2所三级甲等医院和2所二级甲等医院2004年1月~2005年12月在这5家医院进行产后42天复查的420例初产妇,进行问卷调查。调查问卷包括爱丁堡产后抑郁量表和自编产妇一般资料及产科因素调查问卷。所有资料均采用SPSS 11.5统计软件包对数据进行统计分析,2χ检验,单因素和多因素非条件逻辑分析。结果:420例产妇EPDS≥13分抑郁阳性,确诊抑郁症77例,发病率为18.33%。多因素非条件逻辑分析结果显示:孕期定期保健和听课(P=0.034)、第一产程时间(P=0.021)、顺产(P=0.001)、阴道助产(P=0.000)、新生儿畸形(P=0.000)、母乳喂养(P=0.012)与产后抑郁相关,有统计学意义。结论:部分产妇在产后6周内出现抑郁障碍,应引起高度重视。产后抑郁症相关的产科抑郁因素有阴道助产,新生儿畸形,第一产程延长;保护因素有孕期保健和听课,顺产,母乳喂养。针对影响因素,采取相应的干预措施,有助于预防其发生。  相似文献   

11.
Prevalence of Postpartum Depression in a Native American Population   总被引:2,自引:0,他引:2  
Objectives: Data were collected on postpartum depression from 151 women, ages 16–40 years who received postpartum health services from a rural obstetrical clinic in North Carolina between September 2002 and May 2003. Reflective of the racial and socio-economic make-up of the county, 60.9% of the sample were American Indian (Lumbee tribe) 25.8% were African American and 13.3% were Caucasian or other. Methods: The Postpartum Depression Screening Scale (PDSS) was utilized to explore the prevalence of postpartum depression requiring clinical intervention in a largely unexplored population, minority women. Results: The incidence of postpartum depression symptoms was over 23%, which is significantly higher than even the most liberal estimates in other populations. As with previous literature on risk factors, the sample demonstrates a strong association between symptoms of depression, history of depression and receiving treatment for depression. Conclusions: The PDSS proved to be a clinically useful tool in this setting. Findings support the importance of implementing routine screening protocols to guide practice and implement support services.  相似文献   

12.
Conflicting results of Chinese traditional postpartum practices have aroused concerns over their health effects. The role of postpartum practices in postpartum depression (PPD) is still a matter of discussion, especially from a dietary practice point of view. The current study was designed to (1) explore the association between postpartum practices and PPD, (2) to identify the dietary pattern related to PPD, and (3) to identify the possible pathways among postpartum practices and PPD. This study is part of the YI Study, which was a cross-sectional study conducted in 10 cities in China. Data for 955 postpartum women were used in the current analysis. The Edinburgh Postnatal Depression Scale (EPDS-10) was used to evaluate PPD with a cutoff value of 9. Postpartum practice was based on the participants’ self-reported practices. Individual practices were recorded and categorized as dietary and non-dietary practices. The dietary pattern was identified based on the food intake frequencies of 25 food groups using the method of reduced rank regression. Structural equation modeling was used to explore the potential pathways between postpartum practices and PPD. The current study observed significant associations between postpartum practices and PPD (Adjusted OR = 1.41, 95% CI: 1.04–1.90). A similar trend was also found between dietary postpartum practices and PPD (Adjusted OR = 1.39, 95%CI: 1.03–1.88) but not for non-dietary practices and PPD (Adjusted OR = 1.26, 95%CI: 0.92–1.75). A PPD-related dietary pattern was identified with the characteristics of a high intake of meat and eggs and a lower intake of vegetables, mushrooms, and nuts. This dietary pattern was significantly associated with a higher chance of adhering to postpartum practice (Adjusted OR = 1.26, 95% CI: 1.10–1.44). Based on the pathway analysis, this study also observed the association between postpartum practices and PPD, and the association between dietary practices and PPD were both mediated by sleep quality. In conclusion, this study demonstrated that a substantial proportion of women in modern China experience traditional postpartum Chinese practices and that either overall or dietary-related postpartum practices are associated with a higher risk of PPD. The current dietary practices in postpartum rituals may play an important role in developing PPD. A culturally embedded, science-based dietary guideline is required to help women to achieve both physical and psychological health in the postpartum period.  相似文献   

13.
产后抑郁症的筛选与干预措施   总被引:4,自引:0,他引:4  
产后抑郁症是严重危害产妇健康的心理疾病 ,在产后 6个月的发病率为 10 %~ 15 %。该病对母婴均会产生不良影响 ,危害极大 ,早期识别具有高危因素的孕产妇并及时地实施干预措施是在临床工作中防治产后抑郁症的首要环节。该文综述了国外关于此方面的大量研究 ,包括高危孕产妇的筛选及妊娠期、分娩期和产后采取的干预措施等 ,对我国妇幼保健工作均有一定的参考价值。  相似文献   

14.
孕妇情绪与产后抑郁症相关因素的研究   总被引:2,自引:0,他引:2  
为了探讨孕妇抑郁、焦虑情绪、产后抑郁症的发生率,及其关系和有关影响因素,随机抽取1997年1~11月在本院分娩的部分孕妇共1052例进行情绪测定(HAD)问卷调查,其中以艾氏广后抑郁量表(EPDS)跟踪至产后7天的有866例。调查结果:EPDS阳性率为15.01%,HAD问卷中A值总分、D值总分≥11分的分别为5.13%及437%;随着A值、D值的增高,EPDS阳性率也随之升高。据此分析了影响EPDS和A值、D值的有关因素,并提出了相应措施。  相似文献   

15.
This article is based on the findings from a cross-sectional study of women (N = 163) who were at least two weeks postpartum and attending primary care clinics in Arica, Chile. The researcher in this study examined the prevalence of history of violence and its association with postpartum depression. The Women Abuse Screen and the Postpartum Depression Screening Scale–Spanish version were used to assess interpersonal violence and postpartum depression. A history of violence was reported by 64% of the women. Of those who experienced abuse, 44% reported ongoing abuse during their pregnancy. Women who experienced violence screened positive for elevated symptoms categories of postpartum depression such as anxiety/insecurity, emotional lability, and mental confusion compared to women who had not experienced violence. Postpartum depression symptom reporting decreased with increasing number of pregnancies (OR = 0.70, 95% CI 0.54–0.97) and greater social support (OR = 0.64, 95% CI 0.46–0.88). Postpartum depression symptom reporting increased with smoking (OR = 1.71, 95% CI 1.00–2.86), and with reporting history of violence (OR = 1.79, 95% CI 1.24–2.34). Acknowledgment of the strong association between domestic violence and postpartum depression should lead to routine screening during prenatal and postpartum periods as a way to isolate risk for postpartum depression.  相似文献   

16.
健康教育对产后抑郁症的有效干预   总被引:3,自引:0,他引:3  
产后抑郁症严重影响产妇身心健康和婴儿生长发育,其发病因素可分为生理和心理社会两大类。健康教育是减低产后抑郁症发病率的重要手段,具体内容包括:孕期教育,入院教育,产时教育,产后指导,出院指导,完善产褥期家庭访视。定期开展健康教育,不仅提高了孕妇自身的素质,提高应激能力,而且端正了孕妇及家庭对生育的态度,预防、缓解了孕妇外部压力,体现了社会的关怀和支持。有利于形成其家庭的支持和保护性环境,可极大地降低产后抑郁症的发病率,提高妇、婴健康水平。  相似文献   

17.

PURPOSE

Postpartum depression (PPD) screening at 4 to 12 weeks’ postpartum can improve outcomes for women when linked to in-practice management programs. The benefit of repeated PPD screening during the first year postpartum remains unclear.

METHODS

We report a substudy of a large pragmatic trial of early PPD screening and practice management, the Translating Research into Practice for Postpartum Depression (TRIPPD) study. Outcome analyses were based on demographic information and Patient Health Questionnaire (PHQ-9) screening scores from questionnaires mailed to all enrolled women at baseline (4 to 12 weeks’ postpartum) and again at 6 and at 12 months’ postpartum. The main outcomes of this substudy were the 6- and 12-month rates of PHQ-9 scores that were 10 or greater for women whose baseline PHQ-9 scores were less than 10. Women whose scores were 10 or greater would be considered at high risk of PPD and appropriate for further evaluation.

RESULTS

At 6 months, 134 (10.9%) of the 1,235 women who did not have PHQ-9 scores greater than 10 at baseline had elevated scores appropriate for further evaluation. At 12 months, 59 (6.1%) of the 969 women who did not have PHQ-9 scores greater than 10 at baseline or at 6 months had elevated scores. Together the 6- and 12-month repeated screenings identified 193 women at high risk of depression. This finding represents 13.5% of the 1,432 women whose screening results were negative for PPD at baseline.

CONCLUSIONS

Repeated PPD screening at 6 and 12 months’ postpartum increases the percentage of women identified as being at high risk of PPD. Further work will be required to understand the impact of this repeated screening on patient outcomes.  相似文献   

18.
目的探讨维生素D对产妇产后抑郁的影响。方法选择2013年1月至2013年12月间于我院分娩的产妇200例,随机分成观察组和对照组各100例。对照组给予常规补充各种营养物质。观察组在常规补充各种营养物质基础上,加用维生素D滴剂治疗。比较两组爱丁堡产后抑郁量表(EPDS)评分和抑郁症发症率。结果产前1 d,观察组EPDS评分与对照组相比,差异无统计学意义(P>0.05);产后3 d,观察组EPDS评分少于对照组,差异具有统计学意义(P<0.01)。产前1 d,观察组抑郁症发症率21.00%与对照组23.00%相比,差异无统计学意义(P>0.05);产后3 d,观察组抑郁症发症率7.00%少于对照组21.00%,差异具有统计学意义(P<0.01)。结论维生素D可以减少产妇产后发生抑郁症,降低爱丁堡抑郁量表评分值,疗效明显,具有较高的临床应用价值。  相似文献   

19.
Purpose: Postpartum depression (PPD) is a significant public health problem, with significant consequences for the mother, infant, and family. Available research has not adequately examined the potential impact of sociodemographic characteristics, such as place of residence, on risk for PPD. Therefore, this systematic review and meta‐analysis examines the prevalence of and risk factors for PPD in rural communities within developed and developing countries, and where possible, compares rates to those among urban women. Methods: Five databases were searched, from start dates through early May 2010, using key words relevant to PPD and rural residence. Peer‐reviewed articles were eligible if a standardized assessment of depression was administered to rural mothers within the first year postpartum. Data on PPD were extracted from 19 articles, of which 17 provided data for meta‐analyses. Findings: The overall prevalence of PPD among rural women was 27.0% (95% CI, 18.8%‐37.2%). Prevalence was somewhat higher among women in developing countries (31.3%; 95% CI, 21.3%‐43.5%) than among women in developed countries (21.5%; 95% CI, 10.9%‐38.0%), although there was significant heterogeneity among both groups of studies. Comparisons between rural and urban women yielded conflicting results. Although established PPD risk factors were associated with depression in rural women, additional risk factors were reported for rural women from developing countries, such as having 2 or more young children. Conclusions: Longitudinal studies with clearly defined “rural” and “comparison” groups are needed to determine whether rural residence is associated with increased risk for PPD. The results can inform prevention and treatment programs tailored to serve rural women.  相似文献   

20.
目的观察对低龄产妇实施全程陪护的临床效果,并分析其对产后抑郁症的影响。方法选取我院2012年10月至2013年10月产科分娩的低龄产妇96例作为研究对象,使用计算机分组法将其随机分为两组(对照组与实验组),每组各48例产妇。实验组产妇入院后实施全程陪护鼓励干预,对照组产妇入院后实施常规产科临床护理,对比观察两组产妇产后抑郁情况及临床效果。结果实验组产妇产后抑郁症发生率相比对照组明显较低,其产后抑郁评分明显低于对照组,对护理工作满意度较对照组显著增高,差异有统计学意义(P<0.05)。结论对低龄产妇在住院期间实施全程陪护,能够有效降低产妇抑郁心理,并减少产后抑郁症的发生,提高患者对护理工作满意度,具有理想的临床应用效果及作用。  相似文献   

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