广州市产妇产后抑郁症发生情况及影响因素的调查

摘要

Objective To explore the incidences of postpartum depression as well as the influencing factors in Guangzhou.Method Nine hundred and seventy women participated in the investigation with the Edinburgh postnatal depression scale(EPDS)to analyze the influenceing factors.Results The incidence rate was 38.87%(377/970). The influencing factors included age,feeding mode,delivery mode and education level.Conclusions The incidence of postpartum depression is at a higher level.The feeding mode,delivery mode and education level are the influencing factors.%目的：了解广州市产妇产后抑郁症（postpartum depression, PPD）发生情况及影响因素。方法应用艾丁堡产后抑郁量表（the edinburgh postnatal depression scale ，EPDS）和一般情况调查表对970例于分娩后42 d的广州市产妇进行调查，采用Logistic逐步回归分析探讨其影响因素。结果970例产妇中，产后抑郁症总发生率为38.87%（377/970）。年龄、喂养方式、分娩方式、文化程度是影响产后抑郁症发生的主要因素。结论广州市产妇产后抑郁症发生率较高。开展多途径、分阶段、综合性的预防措施，加强产前教育辅导对预防和降低产妇产后抑郁症发生具有重要意义。