婴儿因素与产后抑郁症相关性探讨(1)
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[摘要] 目的 探讨婴儿因素与产后抑郁症的相关性。 方法 采用自编一般资料调查表和爱丁堡产后抑郁量表，对182名产妇进行问卷调查，所有资料采用SPSS 13.0统计软件处理，进行χ2检验和非条件Logistic多因素回归分析。 结果 婴儿夜间睡眠好、夜间睡眠一般和夜间睡眠差的产妇产后抑郁症发病率分别为16.3%、15.6%和46.2%，婴儿夜间睡眠差的产妇产后抑郁症发病率最高，差异有统计学意义(P < 0.01)；婴儿哭闹频繁、哭闹一般与婴儿哭闹不频繁的产妇产后抑郁症发病率分别为40.6%、15.1%和17.2%，婴儿频繁哭闹的产妇产后抑郁症发病率高，差异有统计学意义(P < 0.01)；母乳喂养、混合喂养和人工喂养婴儿的产妇产后抑郁症发病率分别为20.0%、21.3%和18.8%，差异无统计学意义(P > 0.05)。非条件Logistic多因素回归分析表明，婴儿夜间睡眠差和婴儿经常哭闹均为产后抑郁症的风险因子(OR = 2.012、1.827)。 结论 对婴儿夜间睡眠差和婴儿经常哭闹的产妇应加以关注，以预防和降低产后抑郁症的发生。
[关键词] 产后抑郁症；爱丁堡产后抑郁量表；产妇
[中图分类号] R749.4 [文献标识码] C [文章编号] 1673-7210(2012)01(b)-128-02
Investigation on the relativity between infant factors and postpartum depression
ZHOU Chenhui1 LIAO Shaoling1,2 LIU Qiongling1 HUANG Juanjuan1 LI Hongzan1 PANG Xiaoyan2
1.School of Nursing, Guangdong Medical College, Guangdong Province, Dongguan 523808, China; 2.The Afiliated Hospital of Guangdong Medical College, Guangdong Province, Zhanjiang 524001, China
[Abstract] Objective To investigate the relativity between infant factors and postpartum depression. Methods A total of 182 puerperas were investigated by Edinburgh postnatal depression scale (EPDS) and self-designed questionnaire. All data were analyzed by χ2 test and unconditional Logistic multiple regression analysis with SPSS 13.0 statistical software. Results The incidence rate of postpartum depression in puerperas with good sleep infant, ordinary sleep infant and bad sleep infant were 16.3%,15.6% and 46.2% respectively, and the incidence rate of postpartum depression in puerperas with bad sleep infant increased significantly (P < 0.01). The incidence rate of postpartum depression in puerperas with frequent crying infant, ordinary crying infant and seldom crying infant were 40.6%, 15.1% and 17.2% respectively, and the incidence rate of postpartum depression in puerperas with frequent crying infant increased significantly (P < 0 ......
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