原生家庭亲密度与适应性对产妇产后抑郁的影响

目的：调查产妇产后3年内产后抑郁（PPD）的现状，并探讨原生家庭亲密度与适应性对产妇PPD的影响。方法：采用便利抽样法于2020年7月至8月利用爱丁堡产后抑郁量表、家庭亲密度与适应性量表对211例产后0～3年的产妇进行线上调查。结果：34.1%的产妇在产后3年内存在PPD。原生家庭的家庭亲密度为松散型、家庭适应性为僵硬型以及家庭类型为极端型的产妇其PPD的得分较高。在控制人口学变量后，多元线性回归分析发现原生家庭亲密度可负向预测产妇PPD程度（β=-0.175，P=0.013），而极端型原生家庭可正向预测PPD程度（β=0.178，P=0.033）。结论：产后3年内产妇PPD的患病率较高，原生家庭亲密度及原生家庭类型是PPD的重要影响因素，临床医护人员可从原生家庭角度开展PPD的预防和干预。

The influence of original family cohesion and adaptability on the puerperant postpartum depression

Objective: To investigate the puerperant postpartum depression (PPD) within 3 years after childbirth, and to explore the impact of original family cohesion and adaptability on PPD. Methods: From July to August 2020, a convenient sample of 211 puerperants within 0-3 years postpartum were investigated online using the Edinburgh postnatal depression scale and Family Adaption and Cohesion Evaluation Scale-Chinese Version. Results: PPD within 3 years after childbirth was found in 34.1% puerperants. Puerperants from families with loose family cohesion, rigid family adaptability and extreme family type had higher scores of postpartum depression. After controlling for the demographic variables, the multiple linear regression analysis revealed that original family cohesion could negatively predict the degree of postpartum depression (β=-0.175, P=0.013), while the extreme type of family could positively predict the degree of postpartum depression (β=0.178, P=0.033). Conclusion: The prevalence of postpartum depression is relatively high within 3 years after childbirth. Original family cohesion and family type are important influencing factors of postpartum depression. Clinical medical staff might as well carry out postpartum depression prevention and intervention program from the perspective of the original family.