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初产妇产后抑郁发生情况及其影响因素

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目的 探究初产妇产后抑郁发生情况及影响因素分析.方法 选取我院2022年1月~2023年1月期间在我院分娩的384例初产妇,在产后6~8周时利用爱丁堡产后抑郁量表(Edinburgh postnatal depression scale,EPDS)对其进行产后抑郁症状评估,并使用Logistic回归分析影响初产妇产后抑郁的危险因素.结果 经EPDS量表统计得出,384例初产妇中有109例(28.39%)存在产后抑郁;单因素分析结果显示,新生儿喂养方式、新生儿体质量、睡眠障碍、社会支持度方面存在差异(P<0.05).经多因素logistic回归分析得出,新生儿喂养方式、新生儿体质量、睡眠障碍、社会支持度是初产妇产后抑郁症的危险因素(P<0.05).结论 新生儿混合喂养方式、新生儿体质量、睡眠障碍、社会支持度是初产妇发生产后抑郁的危险影响因素,应给予针对性的措施加以治疗来降低产后抑郁发生率.
The occurrence and influencing factors of postpartum depression in primipara
Objective To explore the occurrence and influencing factors of postpartum depression in primipara.Methods 384 cases of primiparas who gave birth in our hospital from January 2022 to January 2023 were selected and analyzed with Edinburgh postnatal depression scale(EPDS)at 6-8 weeks postpartum.Logistic regression was used to analyze the risk factors of postpartum depression in primipara.Results According to EPDS,109 cases(28.39%)of 384 primipara had postpartum depression.Univariate analysis showed that there were differences in feeding pattern,body weight,sleep disorder and social support(P<0.05).Multivariate logistic regression analysis showed that new-born feeding pattern,newborn body weight,sleep disorder and social support were risk factors for postpartum depres-sion in primiparas(P<0.05).Conclusion Mixed feeding,newborn body weight,sleep disorder and social support are the risk factors of postpartum depression in primipara.Targeted measures should be taken to reduce the incidence of postpartum depression.

PrimiparaPostpartum depression

毋小茜、陈难、安培玉

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郑州市妇幼保健院内科(郑州,450000)

杭州市富阳区第三人民医院精神三科

初产妇 产后抑郁

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(6)