首页|高龄初产妇产后抑郁与育儿胜任感的相关性研究

高龄初产妇产后抑郁与育儿胜任感的相关性研究

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目的 探讨高龄初产妇产后抑郁与育儿胜任感的相关性.方法 采用简单随机抽样法选择 2016 年 1 月至2021年12月江苏省如皋市人民医院接收的高龄初产妇 800名作为研究对象.采用自拟产妇基础信息调查表、中文版产后抑郁筛查量表(C-PDSS)、中文版育儿胜任感量表(C-PSOC)对其基线资料、产后抑郁情况、育儿胜任感情况进行调查.根据高龄初产妇C-PDSS评分将其分为抑郁组(C-PDSS评分≥76 分)和非抑郁组(C-PDSS评分<76分).比较两组C-PSOC评分;分析高龄初产妇产后抑郁与育儿胜任感的相关性.结果 本研究实际发放问卷 800份,回收有效问卷 778份.778例高龄初产妇C-PDSS评分为(58.08±13.61)分,C-PDSS总分≥76 分的高龄初产妇89例,产后抑郁发生率为11.44%.抑郁组效能、满意度评分及C-PSOC总分低于非抑郁组(P<0.05).高龄初产妇C-PDSS各因子评分及总分与C-PSOC各分量表评分及总分呈负相关(r<0,P<0.01).结论 高龄初产妇产后抑郁形势较为严峻,临床可根据高龄初产妇个人情况和具体需求,为其提供个性化产后服务,预防产后抑郁.
Study on the correlation between postpartum depression and parenting sense of competence in elderly primipara
Objective To explore the correlation between postpartum depression and parenting sense of competence in elderly primipara.Methods A total of 800 elderly primiparas were selected from Rugao People's Hospital of Jiangsu Province from January 2016 to December 2021 by simple random sampling method.The baseline data,postpartum depression,and parenting sense of competence were investigated by self-made maternal basic information questionnaire,Chinese version of the postpartum depression screening scale(C-PDSS),and Chinese version of parenting sense of competence scale(C-PSOC).According to the score of C-PDSS of elderly primiparas,they were divided into depression group(C-PDSS score≥76 points)and non-depression group(C-PDSS score<76 points).The scores of C-PSOC of two groups were compared;and the correlation between postpartum depression and parenting sense of competence in elderly primipara was analyzed.Results In this study,800 questionnaires were actually issued,and 778 valid questionnaires were recovered.Among 778 elderly primiparas,the score of C-PDSS was(58.08±13.61)points,and the total C-PDSS score was≥76 points in 89 elderly primipara,and the incidence of postpartum depression was 11.44%.The scores of efficacy,satisfaction,and C-PSOC total score in depression group were lower than those in non-depression group(P<0.05).The scores of each factor and C-PDSS total score in elderly primiparas were negatively correlated with the scores of each subscale and C-PSOC total score(r<0,P<0.05).Conclusion The situation of postpartum depression in elderly primipara is more serious.According to the personal situation and specific needs of elderly primiparas,personalized postpartum services can be provided to prevent postpartum depression.

Elderly primiparaPostpartum depressionParenting sense of competenseCorrelation analysis

刘文娟、李静静、金杏

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江苏省如皋市人民医院产科,江苏如皋 226500

江苏省如皋市人民医院普外科,江苏如皋 226500

高龄初产妇 产后抑郁 育儿胜任感 相关性分析

江苏省妇幼健康科研项目

F201814

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(9)
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