孕妇情绪与产后抑郁症相关因素的研究

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。     

西安地区孕妇产后抑郁症发生及相关因素分析

目的:调查2020年西安地区孕妇产后抑郁症(PPD)发生情况,分析相关影响因素指导临床防治.方法:采用随机抽样方式选取2020年1-6月本地区住院分娩的孕妇680例.采用自制心理量表、爱丁堡产后抑郁量表(EPDS)评分对孕妇临床特征及PPD患病情况进行评估.结果:受调查孕妇680例均接受抑郁量表评分,其中阳性组86例(...     

产后抑郁症相关因素的临床研究

为了探索孕妇产后发生抑郁症相关因素,随机抽取1997年1～11月产前门诊中决定在本院分娩的孕妇1052例进行情绪测定（HAD）,以产后抑郁量表（EPDS）跟踪调查至产后7天866例。调查结果表明：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％7Z4．37％。分析了影响EPDS和A、D值的相关因素,提出相应的社区护理措施,把孕妇心理护理工作延伸到社区,进入家庭,以适应新的医学模式的转变,以利母婴身心健康。     

产后抑郁症相关因素分析及护理

目的通过各种有效途径来改善和消除产后抑郁症带来的种种负面效应。方法从＂整体护理＂的角度就进行产后抑郁症的护理策略进行相关的探讨。结果通过分析产后抑郁症产生的相关因素并进行有效的护理干预是预防和减少产后抑郁症的有效手段。结论在产前、产时和产后给予产妇良好的护理及支持,完全可以预防和减少产后抑郁症的发生。     

城市孕妇产后抑郁症的影响因素分析

目的了解城市孕妇产后抑郁症的影响因素,以便采取相应的预防干预措施。方法随机抽取2012年6月至2013年5月,在杭州市第一人民医院产科门诊进行产前检查的孕晚期(孕34周)984例初产妇,完成一般资料、病人一般健康问卷(PHQ-9)、一般自我效能问卷(GSES)、功能失调性态度问卷(DAS)和社会支持量表(SSRS)评估;产后第42天电话随访,完成分娩方式、婴儿性别、照顾方式、喂养方式以及爱丁堡产后抑郁问卷(EPDS)评估。结果共随访960例产妇;其中162例(16.6%)产妇EPDS≥9分。多因素logistic线性回归分析结果表明,年龄越大、受教育程度越低、SSRS分值越低、GSES分值越低、PHQ-9分值越高、DAS分值越高产后抑郁症的发生率越高。结论加强对孕晚期妇女的情绪管理和认知调整,增加社会支持,也许能有效的降低产后抑郁症的发生率。     

浅谈农村孕产妇产后抑郁症的预防及护理

目的探讨农村产妇产后抑郁症的发病原因及影响因素,为产后抑郁症患者进行心理疏导提供理论指导。方法充分重视围产期及产褥期保健,对孕产妇及其家属进行宣教,对抑郁患者及时进行心理疏导和社会支持。结果农村产妇产后抑郁症的发生经护理干预后明显减少。结论加强围产期保健及产后抑郁症宣传教育,及时进行护理干预心理疏导,可有效预防和控制农村产妇产后抑郁症的发生。     

产后抑郁症的相关因素及护理对策

产后抑郁症的发生与神经内分泌因素、产科因素、遗传因素有关。随着医学模式的转变,社会心理因素对该病的影响日益受到重视。为此,我们对一阶段生产的产妇进行调查,旨在探讨与产后抑郁症相关的社会心理因素,为早期识别、合理有效防治该病的发生以及如何为孕产妇实施健康教育。     

初产妇产后抑郁症相关因素调查

目的探讨产后抑郁症(postparturm depression,PPD)的相关影响因素。方法采用随机抽样法选取银川市三所医院自2010年3月—2010年5月入院分娩的95例初产妇,利用自制调查问卷和抑郁自评量表进行调查分析。结果 95例初产妇PPD 29例,发病率为30.5%。调查显示初产妇的文化程度、产后健康状况及新生儿性别、健康状况等因素与PPD的发生密切相关。结论了解PPD的相关影响因素,对降低PPD的发病率、提高母婴身心健康水平具有积极意义。     

产后抑郁症患者发病因素分析及护理干预

目的 研究产后抑郁症患者发病因素分析及护理干预的临床效果。方法 选取本院产科接诊的产妇104例(纳入时间：2021年1月-2022年1月),所有产妇均有抑郁症症状。随机列表法将产妇分成一般、护理两组,每组均52例。一般组行常规护理,护理组行人性化护理,对比两组产妇的生活质量、心理情况、睡眠状况及护理满意度。结果 护理组的睡眠质量(1.07±0.11)分、入睡时间(0.99±0.18)分、睡眠时间(1.02±0.12)分、睡眠障碍(0.87±0.05)分均低于一般组(P<0.05);干预前两组产妇SAS(焦虑自评量表,self-rating anxiety scale)、SDS(抑郁自评量表,Self—Rating Depression Scale)评分无明显差别,干预后护理组的SAS(49.27±4.98)分,SDS(48.45±4.66)分均低于一般组(P<0.05);护理组产妇生理功能(96.72±1.45)分、社会功能(96.88±1.75)分、精神健康(97.14±1.78)分均高于一般组(P<0.05);护理组满意31例(59.61%),一般19例(3...     

城市、农村产后抑郁症相关因素对照研究

目的：探讨城市、农村产后抑郁症发生率及其相关因素的差别。方法： 随机抽取城市、农村产前检查的孕妇942例，进行医院焦虑及抑郁自评量表（HAD）调查，筛出A值、D值≥8分的孕妇132例，进行产后艾氏抑郁量表（EPDS）跟踪调查至产后7d；并把孕期情绪正常，产后情绪异常主动回访的46例一起加入分析研究。结果：城市EPDS阳性率为15．0％（82／546）、农村为14．7％（58／396），P＞0．05；当A值、D值≥8分时，EPDS阳性率城市（83．3％）高于农村（56．6％），P＜0．01；当A值、D值＜8分，城市（4．64％）和农村（7．14％）的EPDS阳性率相近P＞0．05。结论：孕妇情绪正常时城市、农村EPDS阳性率无明显差别，情绪异常时差别有极显著性。     

Depression Screening Patterns for Women in Rural Health Clinics

Context: Rates and types of screening for depression in rural primary care practices are unknown.
Purpose: To identify rates of depression screening among rural women in a sample of rural health clinics (RHCs).
Methods: A chart review of 759 women's charts in 19 randomly selected RHCs across the nation. Data were collected from charts of female patients of rural primary care providers, using trained data collectors (inter-rater reliability .88 to .93). The Women's Primary Care Screening Form, designed by the authors, was used to collect demographic, health, and screening data. Data describing the characteristics of the clinics were collected using the National Rural Health Clinic Survey. Data regarding formal screening (validated instrument used) or informal (documentation of specific questions and answers regarding depression) in the previous 5 years were recorded.
Findings: Characteristics of participating clinics and demographics of the women were similar to published data. Formal screening was documented in 2.4% of patients' charts. Informal screening was documented in 33.2% of charts. Patients with a history of anxiety were more likely to be screened ( P < .001), and younger women were more likely to be screened than older women ( P < .001).
Conclusions: Primary care providers in RHCs use more informal than formal depression screening with their female patients. Providers are more likely to screen younger patients or patients with a diagnosis of anxiety.     

新时期农村贫困地区预防艾滋病健康教育适宜技术及应用

目的观察共情护理联合放松训练对先兆早产孕妇抑郁等负性情绪及妊娠结局的影响。方法选取2016年6月-2018年6月平凉市第二人民医院接受保胎治疗先兆早产孕妇200例,随机分为对照组和观察组,每组各100例。对照组接受常规治疗、护理及放松训练,观察组在对照组基础上增加共情护理,两组均干预至出院。观察两组干预期间负性情绪、心理韧性变化,比较两组妊娠结局及对护理工作满意度。结果观察组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分较干预前下降,且明显低于对照组(P<0.05);同时观察组干预后心理弹性量表(CD-RISC)评分较干预前上升,且明显高于对照组(P<0.05);两组新生儿窒息率比较无明显差异(P>0.05),观察组早产率、胎膜早破率、产后出血率、感染率和低出生体重儿发生率均低于对照组(P<0.05);观察组满意度评分明显高于对照组(P<0.05)。结论共情护理联合放松训练干预先兆早产临床效果良好,可有效改善患者心理及情绪,减少妊娠不良反应发生率,提高患者满意度。     

产褥期妇女抑郁状态及其家庭与心理学影响因素的LOGISTIC回归分析

目的:研究产褥期妇女抑郁状态的影响因素。方法:采用单因素Logistic及多因素Logistic分析,将潍坊市5家不同级别的医院作为调查点:从2003年7~11月期间在以上医院分娩的妇女用单纯随机抽样方法抽取调查对象;在产妇分娩6周内对调查对象进行访谈,获取现状资料。结果:调查的513例产褥期妇女中,抑郁发生率为8.19%。在α=0.25水准上有统计学意义的家庭与心理学因素进入多因素分析,最后筛选出"家庭年均收入""照顾类型""夫妻感情""与丈夫的家庭地位"因素对产褥期抑郁的发生有影响作用。结论:家庭年均收入越低越易于发生抑郁;照顾类型中"丈夫及其家人"组的产妇发生抑郁的概率是"丈夫及双方家人"组产妇的2.282倍;夫妻感情"较好及以下"组的产妇是"很好"组的16.918倍;与丈夫的家庭地位"不平等"组的产妇发生抑郁的危险性是"平等"组的7.901倍。     

介入治疗晚期产后出血的护理

晚期产后出血是产科的重要并发症之一,严重者危及患者生命,血管介入术的使用为部分患者提供了一个安全有效的方法,但术前需做好患者的心理护理,病情观察和术前准备,术后继续观察生命体征,观察穿刺部位有无血肿,监测下肢血循环,并加强基础护理。     

Postpartum Depression Among Rural Women From Developed and Developing Countries: A Systematic Review

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.     

Depression and Anxiety in Women During Pregnancy in Slovenia

Objective

The aim of the study was to evaluate the prevalence of elevated depression and anxiety among pregnant women and to examine its correlation with medical complications and socio-demographic characteristics.

Methods

The study is based on a cross-sectional design of a sample of 348 women in three trimesters of pregnancy who received routine obstetrical care at the University Medical Centre Ljubljana, Department of Obstetrics and Gynaecology. The responding women filled out a questionnaire on socio-demographic variables, the Centre for Epidemiologic Studies Depression Scale CES-D and the State Trait Anxiety Inventory STAI.

Results

21.7% of pregnant women were identified as suffering from elevated depression symptomatology, 15.7% reported high state anxiety and 12.5% had high trait anxiety. No significant differences in depression and anxiety across pregnancy trimesters were found. The women who have suffered from health complications during previous pregnancies showed higher state anxiety; those experiencing complications during their current pregnancy reported more intense symptoms of depression and of state and trait anxiety than women free of complications. Less educated, lower income and mothers of many children in the third pregnancy trimester reported more intensive symptoms of depression and trait anxiety.

Conclusions

Elevated depression and anxiety are frequent among pregnant women. The results draw attention to the need for early detection and treatment of depression and anxiety during pregnancy.     

The Quality of Life in Pregnant Women Conceiving Through in Vitro Fertilization

Objective

The aim was to determine whether pregnant women conceiving through in vitro fertilization (IVF) differ from those conceiving spontaneously in terms of psychological well-being and the quality of life.

Methods

In a prospective study we included 75 women conceived after IVF and 78 who conceived spontaneously in the same time period (control group). All the women were sent a self-report questionnaire about demographic and reproductive history, health, pregnancy concerns, containing Subjective Quality of Life Scale (QLS), Positive and Negative Affect Schedule (PANAS), the Psychological Well-Being Scale (PWB), Beck Depression Inventory (BDI), and Zung Self-Assessment Anxiety Scale (SAS); obstetric and newborn’s data were obtained from medical records. Response rate was 66.6% in the IVF and 83.3% in control group.

Results

The mean women’s age was 33.8 years in the IVF, and 32.5 years in the control group (NS). There were no significant differences between groups on the most of the outcome measures assessing psychological status. IVF mothers were just less satisfied in “friend/acquaintances” (P=0.03), a higher percentage had sexual problems prior to conception (P=0.03); the length of hospitalization during pregnancy was longer (P=0.02), and the preterm delivery rate was higher (P=0.01). Withingroup changes over gestation time indicated that IVF women, not controls, showed an increase in positive affect (P=0.04) and purpose in life (P=0.05).

Conclusions

IVF women are inclined to social isolation. Despite more medical problems during pregnancy, they reported improved positive emotions and purpose in life as the pregnancy progressed.     

城乡老年慢性病患者抑郁状况及影响因素分析

目的：探究老年慢性病患者的抑郁现状及影响因素的城乡差异比较,为实施早期预防和干预措施提供理论依据。方法：选取2018年中国健康与养老追踪调查数据库中共4 547名老年慢性病患者作为研究对象,采用简版流调中心抑郁量表(CESD-10)进行评分。结果：城乡老年慢性病患者抑郁状况的差异有统计学意义(χ²=78.119,P<0.05),其中农村组抑郁发生率为44.0%,城镇组为29.5%。回归分析显示,城乡老年慢性病患者抑郁共有的危险因素是女性、西部、睡眠时间较短、自评健康状况较差、躯体生活自理能力受损、工具性日常生活活动能力受损;城镇组特有的保护因素是受教育程度初中、高中及以上,城镇组特有的危险因素是共患3种及以上慢性病;农村组特有的保护因素是有配偶、家庭月生活支出1 000～5 000元,农村组特有的危险因素是共患2种慢性病。结论：农村老年慢性病患者与城镇相比,抑郁发生率更高,应重点关注高危群体的心理健康,开展有针对性的心理疏导工作,以改善其抑郁状况。     

影响经济欠发达地区农村孕妇初检孕周因素

目的：探讨影响经济欠发达地区农村孕妇初检孕周因素。资料与方法：问卷调查了安徽省定远县21个乡镇1328个产妇的产前保健及产妇所在乡镇的有关情况，用回归树统计模型加以分析。结果：最重要的影响因素是乡镇的人均收入。在人均收入较低的乡镇，对初检孕周影响最大的是产妇所在乡镇是否开展系统的产前保健，而个体水平变量如夫妇的受教育年限等所起作用非常小。结论：模型挑出的孕妇所在乡镇是否开展孕产妇系统保健等是可改变因素，说明在经济欠发达地区农村．只要领导重视．开展产前保健是可行的．