产褥期抑郁症的发生率及其相关因素的分析

目的 探讨产褥期抑郁症的发生率及其相关影响因素.方法 使用自编产褥期1～5天、产后42天调查表和爱丁堡产褥期抑郁表,对535例产妇分别于产后1～5天及产后42天进行调查分析.结果 产褥期抑郁症产褥期1～5天发生率为11.96%,产后42天为14.77%,两者无显著性差异.产妇的年龄、学历、居住条件、家庭关系(与丈夫、与家庭其它成员)等因素与产褥期抑郁症的发生有显著性差异(P＜0.05).产妇的性格倾向、职业、家庭收入、分娩方式、及新生儿性别等因素与产褥期抑郁症的发生无显著性差异(P＞0.05).结论 充分重视围产期及产褥期的心理保健和心理护理,营造良好的家庭氛围,加强孕产妇及其家属的产前、产时宣教,积极预防产褥期抑郁症的发生.

Analysis of morbidity rate and its correlative factors of postpartum depression

Objective To investigate morbidity rate of postpartum depression(PD) and its correlative factors.Methods 535 women were investigated in our hospital by using self-made parturient's questionnaires and Edinburgh Postnatal Depression Scale(EPDS) at the first day to the 5th days and the 42th days after delivery.Results The morbidity rate of PD within the first 5 days after delivery was 11.96%,and that at the 42th days after delivery was 14.77%,there's no significant difference between them.But significant difference was observed in such factors as parturient's age,educational level,living condition,her relations with family members(husband,and other family members)(P<0.05).No significant difference was observed in propensity,occupation,family economic condition,delivery pattern of the parturient and sex of the newborn(P>0.05).Conclusion Psychological health and psychological care in perinatal period and puerperium should be emphasized.It is necessary to build a good family atmosphere and to educate the pregnant women and their family members during pregnancy and at delivery in order to prevent development of postpartum depression.