国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2013, Vol. 32 ›› Issue (2): 98-99.

• 论著 • 上一篇    下一篇

324例产后抑郁症患者的发病因素分析及社区医疗干预效果

胡成珍, 陈志萍   

  1. 725000 陕西省安康市，安康疗养院（胡成珍）；汉滨区第一人民医院（陈志萍）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-03-15 发布日期:2013-03-15

Etiology Analysis of Postpartum Depression and Community Health Care: Retrospective Analysis of 324 Cases

HU Cheng-zhen，CHEN Zhi-ping   

  1. Ankang Well-being of Nursing Home，Ankang 725000，Shaanxi Province，China（HU Cheng-zhen）；First People's Hospital of Hanbin，Ankang 725000，Shaanxi Province，China（CHEN Zhi-ping）
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-03-15 Online:2013-03-15

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摘要： 目的：探讨产后抑郁症的相关发病因素，为社区干预性治疗提供理论依据。方法：对324例产妇采用Edinburgh产后抑郁量表（EPDS） 及自行设计的调查表进行回顾性调查分析。结果：产后抑郁症的发生率为11.42%（37例），夫妻感情、家庭条件和亲人关怀是产后抑郁症发生的重要影响因素（P＜0.05）；分娩年龄、分娩方式和妊娠妇女的文化程度可能是产后抑郁症发病的相关因素，但无统计学意义；社区干预治疗28例患者（75.7%）抑郁症状明显改善。结论：社区医疗工作者为妊娠妇女提供产前产后的医疗干预以及有效的社会支持是预防和降低妊娠妇女产后抑郁发病率的重要手段。

关键词: 抑郁症, 产后, 产后保健, 社区精神卫生服务

Abstract: Objective： To investigate the related risk factors of postpartum depression， and provide a theoretical basis for community health care. Methods：The retrospective analysis of 324 cases，with the maternal Edinburgh Postnatal Depression Scale（EPDS） and self-designed questionnaire, was done. Results：The occurrence of postpartum depression was 11.42%. The marital relations，family condition and care were important factors of postpartum depression（P＜0.05），while the birth age，mode of delivery and maternal education level may be those relevant factors of postpartum depression（but P＞0.05）. The depressive symptoms were significantly improved in 28 patients with the community intervention therapy（the improved rate，75.7%）. Conclusions：Community health workers can provide prenatal and postnatal care for pregnant women，as well as medical intervention and effective social support， which is important to prevent postpartum depression and reduce its incidence.

Key words: Depression, postpartum, Postnatal care, Community mental health services