学术论文

      产妇产后抑郁与社会支持期望落差的关系研究

      Analysis of the relationship between postpartum depression and expectation gap of postpartum support

      摘要:
      目的 探讨产后社会支持期望落差与产后抑郁的关系,分析产后抑郁影响因素.方法 运用中文版产后社会支持量表及爱丁堡产后抑郁量表,采用便利抽样的方法对上海市第一妇婴保健院产后42~56 d复查的411名产妇进行问卷调查.结果 产后抑郁阳性率为17.03%(70/411).产后社会支持实际情况分量表得分及各维度得分与爱丁堡产后抑郁量表得分的相关系数为0.157~0.247 (P<0.01),产妇产后社会支持期望落差与爱丁堡产后抑郁量表得分的相关系数为0.173 ~ 0.230(P< 0.01).多元回归分析结果显示,产后抑郁得分与情感支持落差、哺乳方式、户口所在地以及对宝宝性别期望有关.结论 产后抑郁阳性率较高,情感支持期望落差对产后抑郁影响最大,人工喂养、户口在农村以及婴儿性别不符合全家期望的产妇产后抑郁情况最为严重.
      Abstract:
      Objective To explore the relationship between expected drop and postpartum depression,analysis of influence factors of postpartum depression.Methods Chinese version of Postpartum Support Questionnaire and Edinburgh Postnatal Depression Scale were used to investigate 411 puerpera of 42-56 days postpartum by the convenience sampling method.Results The incidence rate of postpartum depression was 17.03% (70/411).The correlation coefficient r between the actual situation of postpartum social support and the score of each dimension and the score of Edinburgh Postpartum Depression Scale was 0.157 to 0.247 (P < 0.01).The correlation coefficient r between the postpartum social support expectation drop and the Edinburgh Postpartum Depression Scale score was 0.173 to 0.230 (P < 0.01).Regression analysis showed postpartum depression was related to emotional support,nursing mode,registered permanent residence and gender expectations for baby.Conclusions The positive rate of postpartum depression is still higher.How to reduce the incidence of postpartum depression is still a problem to be solved.According to the characteristics of social support and maternal postpartum to evaluate the importance of targeted social support can reduce the incidence of postpartum depression.
      作者: 周静静 [1] 高钰琳 [2] 邹芳亮 [1] 赵敏慧 [3]
      Author: Zhou Jingjing [1] Gao Yulin [2] Zou Fangliang [1] Zhao Minhui [3]
      作者单位: 南方医科大学护理学院, 广州,510515 南方医科大学社区卫生护理学教研室, 广州,510515 同济大学附属第一妇婴保健院上海市第一妇婴保健院护理部
      刊 名: 中国实用护理杂志 ISTICPKU
      年,卷(期): 2016, 32(9)
      在线出版日期: 2016年7月29日