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深圳市某社区产后抑郁流行情况及危险因素

Prevalence and risk factors of postpartum depression in a community in Shenzhen City
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摘要 目的探索和分析产后抑郁的流行情况及危险因素,为早期发现、早期干预提供依据。方法以2015年1月—2017年6月,分娩后回到深圳市某社区居住,产后2~3周接受社区健康服务中心医护人员上门随访的1 205名产妇作为研究对象,采用自编的相关因素调查表和爱丁堡产后抑郁量表(EPDS)进行筛查,以总分≥13分为阳性,即提示很可能存在产后抑郁,且对阳性影响因素进行二分类非条件logistic回归分析。结果 1 205名产妇中,收回1 166份调查表,产后抑郁筛查完成率96.8%。产后抑郁筛查阳性率为4.2%。孕期有抑郁情绪、孕期有焦虑情绪、人工喂养方式、新生儿疾病为产后抑郁的危险因素(均P〈0.05)。结论影响产后抑郁的危险因素不可忽视,社区医护人员及家庭成员应该及时关注妇女孕期和产后的心理卫生保健,预防危险因素,实施干预措施,提高母婴的生活质量。 [Objective]To explore and analyze the prevalence and risk factors of postpartum depression,provide basis for early detection and early intervention. [Methods] A total of 1 205 women who lived in a community in Shenzhen City after delivery from January 2015 to June 2017 and received the door-to-door follow-up of the community health workers 2-3 weeks after delivery were recruited in the study. The self-designed relevant factors questionnaire and the Edinburgh Postpartum Depression Scale(EPDS) were applied in the screening. The women with total score ≥13 points were positive cases,indicating the postpartum depression. The positive influencing factors were analyzed by the bivariate non-conditional logistic regression. [Results] Among1 205 delivery women,1 166 questionnaires were retrieved,and the completion rate of postpartum depression screening was96.8%. The positive rate of postpartum depression screening was 4.2%. Depression during pregnancy,anxiety during pregnancy,artificial feeding methods and neonatal disease were the risk factors(all P〈0.05).[Conclusion] The risk factors affecting postpartum depression cannot be ignored. Community health workers and family members should pay attention to women's mental health care during pregnancy and postpartum,prevent risk factors,and implement intervention measures to improve the quality of life of the mother and child.
作者 陈丽珊 王家骥 杨辉 CHEN Li-shan1,2,WANG Jia-ji1,YANG Hui1(1.School of Public Health, Guangzhou Medical University, Guangzhou Guangdong, 510182, China; 2.Guiyuan Community Health Center, Shenzhen Prevention and Treatment Center for Occupational Diseases ,Shenzhen Guangdong, 518001, China)
出处 《职业与健康》 CAS 2018年第21期2991-2994,共4页 Occupation and Health
基金 国家职业病临床重点专科建设项目(WY2011873)
关键词 社区 产后抑郁 爱丁堡产后抑郁量表 危险因素 Community Postpartum depression Edinburgh Postnatal Depression Scale Risk factors
作者简介 陈丽珊,女,在读硕士研究生,全科主治医师,主要从事社区妇幼保健工作。;通讯作者:王家骥,教授,E-mail:wjiaji@163.com
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