本文已被:浏览 5294次 下载 0次
中文摘要: 摘 要:目的:了解广州某社区产妇产后抑郁现状及影响因素,旨在早期识别有高危因素的孕产妇,并尽早对其进行 心理健康指导与干预。方法:选取2023年7月—2025年1月分娩,居住在广州市某社区并在广州妇幼保健信息系统建立 档案的284名产妇。通过问卷调查的方式收集数据,并对数据进行统计分析。结果:该社区284名产妇产后抑郁检出率为 17.61%。单因素分析结果显示,年龄、对居住环境满意度、是否有妊娠并发症、泌乳量、孩子是否有新生儿疾病、新生儿喂养 方式、产后睡眠状况、压力感知水平对产妇产后抑郁检出率的影响,差异均有统计学意义(x² 值分别为4.569、55.843、4.781、 19.624 、6.342 、74.137 、66.944 、134.360,P<0.05) 。 多因素分析结果显示,混合喂养、对居住环境不满意、产后睡眠差是 产妇产后抑郁的危险因素,而压力感知水平在0~13分是产妇产后抑郁的保护因素。结论:广州市某社区孕产妇产后抑郁发 生率处于中等水平,提示应对具有产后抑郁危险因素的孕产妇尽早进行心理评估与诊断,并对其进行心理健康宣教和有效干 预,以降低产妇产后抑郁发生率。
Abstract:Abstract: OBJECTIVE To investigate the prevalence and influencing factors of postpartum depression among puerperant in a community in Guangzhou,aiming toidentify high-risk individuals early and provide timely mental health guidance and intervention. METHODS Data were collected via questionnaire surveys from 284 puerperant who gave birth between July 2023 and January 2025, resided in the community of Guangzhou,and had established records in the Guangzhou Maternal and Child Health Information System. Statistical analysis was performed on the collected data.RESULTS The detection rate of postpartum depression among 284 puerperant in this community was 17.61%.Univariate analysis revealed statistically significant associations between maternal age,living environment, presence of pregnancy complications,lactation volume,infant neonatal diseases,infant feeding practices,postpartum sleep quality, and perceived stress levels with postpartum depression detection rate(x²=4.569,55.843,4.781,19.624,6.342,74.137,66.944, 134.360;P<0.05).Multivariate analysis identified mixed feeding,unsatisfied living environment,and poor postpartum sleep as risk factors for postpartum depression,while perceived stress levels between 0-13 points served as a protective factor.CONCLUSION The incidence of postpartum depression among puerperant in a Guangzhou community is at a moderate level.This suggests that psychological assessment and diagnosis should be conducted early for those with risk factors for postpartum depression,accompanied by mental health education and effective interventions to reduce the incidence of postpartum depression of puerperant.
文章编号:3202410012 中图分类号:R749.4 文献标志码:
基金项目:
| 作者 | 单位 |
| 杨文静 |
| Author Name | Affiliation |
引用文本:
