产后抑郁症的发生率和影响因素及干预措施
发表时间:2014-01-15 浏览次数:610次
余梦虹.产后抑郁症的发生率和影响因素及干预措施[J].吉林医学,2013,34(32):6743-6744.
产后抑郁症;发生率;影响因素;防范;干预
余梦虹
四川省崇州市妇幼保健院,四川崇州611230
2013
6743-6744
万方
目的:调查产后抑郁症的发病情况,分析影响因素,探讨干预措施。方法:采用问卷调查方法于产后42天对927名产妇进行跟踪调查,问卷采用修订后的爱丁堡产后抑郁量表(EPDS)和自编的一般孕产妇调查表。结果:927名产妇中有产后抑郁症103例(11.11%),好发年龄段为年龄≤24岁和年龄≥35岁,影响因素以产前心理因素、产科抢救、新生儿抢救和产后家庭关怀为主。结论:产后抑郁症发病率较高,发病大多较为隐蔽,应当从产前保健及产时、产后全方位、多方面进行关注和防范、干预。 Incidence rate and influencing factors of postpartum depression and its interventions YU Meng-hong (Maternal and Child Health Hospital of Chongzhou,Chongzhou Sichuan 611230,China) Abstract:ObjectiveTo investigate the pathogenic situations of postpartum depression, to analyze the influencing factors, and to study the interventions. MethodsEPDS modified by Guo Xiujing as well as an ordinary questionarire for pregnant women and puerperas are used for the survey on 927 puerperas in 42 days after parturition. Results103 puerperas had postpartum depression among 927 puerperas (11.11%); puerperas who were ≤24 years old and who were ≥35 years old may got postpartum depression easier. The influencing factors were mainly antepartum psychology, obstetric rescue, neonatal rescue and postpartum care at home. ConclusionThe incidence rate of postpartum depression is high, and the depression occurs mostly in an enshrouded way. Therefore, preventions and interventions should be done in omni-directionally aspects at antepartum, intrapartum and postpartum duration.