产褥期产妇配偶产后抑郁的发生率及相关性因素分析

摘要

Objective:To explore the occurrence rate of postpartum depression and correlation factors for spouse of puerpera in stegmonth .Methods: To se-lect 210 cases of spouses of puerperas delivery in our obstetrics department from January 2015 to December 2016,spouses without psychiatric history, char-acter disorder or complications of internal disease .Apply general information survey schedule for newborn father postpartum 2 days,care situation survey sheet for father postpartum 42 days and Edinburgh postpartum depression scale ( EPDS) to make questionnaire survey for the 210 spouses.Give out 210 copies of questionnaire, and take back 200 copies of effective questionnaire.Results:There were 44 puerperas'spouses had postpartum depression postpar-tum 2 days in 200 puerperas,and occurrence rate was 22.00% and score of postpartum depression scale was (12.70 ±2.59).There were 33 puerperas'spouses had postpartum depression postpartum 44 days, and occurrence rate was 16.50%and score of postpartum depression scale was ( 12.24 ±2.32). For postpartum 2 days,apply multi-factors logistic regression to analyze and it indicated that old age , high education degree, low income and small average living space per person were the most important factors for postpartum depression .For postpartum 44 days,apply multi-factors logistic regression to analyze and it indicated that children crying, short sleeping time and artificial feeding were the most important factors for postpartum depression .Conclusion:The occurrence rate of postpartum depression of puerpera'spouse is high, and the influence factors are various,so it is necessary to provide social supports and mental supports for puerpera'spouse to reduce the occurrence rate of postpartum depression.%目的:探讨产褥期产妇配偶产后抑郁的发生率及相关因素.方法:选择2015年1月~2016年12月在我院产科分娩的既往无精神病史、无性格障碍、无内科合并症的产妇配偶210名.采用产后2天新生儿父亲一般资料调查表、产后42 d父亲照顾情况调查表及爱丁堡产后抑郁量表(EPDS)对210名产妇配偶进行问卷调查,分别发放问卷210份,分别回收有效问卷200份.结果:200名产妇配偶在产后2 d有44名发生产后抑郁,发生率为22.00%,产后抑郁量表得分为(12.70±2.59)分;在产后42 d有33名发生产后抑郁,发生率为16.50%,产后抑郁量表得分为(12.24±2.32)分.产后2 d采用多因素非条件logistic回归分析显示,年龄大、文化程度高、经济收入低、人均居住面积小是影响配偶抑郁的最主要因素.产后42 d采用多因素非条件logistic回归分析显示,孩子经常哭闹、孩子出生后您每天的睡眠时间短、人工喂养是影响配偶抑郁的最主要因素.结论:产妇配偶产后抑郁症发生率较高,影响因素是多方面的,应给产妇配偶良好的社会支持与心理支持,以降低产妇配偶产后抑郁发生率.