妇幼保健机构医护人员对孕产妇产后抑郁症的识别现况调查

目的:对妇幼保健机构的医护人员正确识别孕产妇产后抑郁症的现况进行调查。方法:采用分层典型抽样方法选取河北保定市12家妇幼保健机构(5家妇幼保健院和7家综合性医院妇产科)的医生和护士共267人;采用卫生部《精神卫生工作指标调查问卷》中孕产妇常见心理行为问题病例分析(问卷6)对医护人员进行自填式问卷调查。结果:260名被调查的医护人员完成调查,对孕产妇产后抑郁症正确识别率为85%;其中市级医院医护人员的正确识别率(92.4%)高于区县级医院(89.2%)及省级医院(68.7%)(χ2=19.27,P=0.000);对问题2(识别后该病例目前最需要补充资料)的正确率为65%;问题3(该病例目前最合适处理)的正确率为10.8%;其中市级医院妇产科医护人员的正确率(17.6%)高于区县级(7.8%)及省级医院(6.0%)(χ2=6.91,P0.05)。结论:妇幼保健机构的医护人员对孕产妇产后抑郁症有一定的识别能力,但对于识别后的处理能力尚显不足。

Investigation of PostPartum dePression among medical staff from maternal and child care centers:a cross-sectional survey

Objective:To investigate the distinguishing rate and treatment of postpartum depression a-mong clinicians and nurses serving in the maternal and child care service center. Method:From Mar to Apr 2011,using typical sampling method,267 medical personnel from 12 maternal and child treatment institutions in Baoding,were administered with maternal psycho-behavior problems analysis questionnaire about postpartum de-pression. Mental health indicator survey questionnaire recommended by the ministry of health,were assessment tools. Results:Two hundred and sixty people completed the assessment. The correct rates of recognition of postpartum depression of the maternal and child care service center were 85% . The correct rates of recognition of postpartum depression of maternal and child health care staff in municipal hospitals were higher than that in county district hospitals and in provincial hospitals(92. 4% vs. 89. 2% ,68. 7% ;χ2 = 19. 27,P = 0. 000). The correct rates of the cases of the most additional materials at present were 65% ;The correct rates of the cases of the most appropriate treatment at present were 10. 8% . The correct rates of the cases of the most appropriate treatment at present of medical personnel of maternal and child health care staff in municipal hospitals were higher than that in county district hospitals and in provincial hospitals(17. 6% vs. 7. 8% ,6. 0% ;χ2 = 6. 91, P < 0. 05). Conclusion:Maternal and child health care staff to postpartum depression have certain recognition ability,but they were not fully capable of the treatment with postpartum depression.