[1]刘文婷,陈瑜,陶艳玲,等.初产妇和经产妇产前抑郁情绪的影响因素研究[J].军事护理,2022,39(07):1-4.[doi:10.3969/j.issn.2097-1826.2022.07.001]
　LIU Wenting,CHEN Yu,TAO Yanling,et al.Study on the Influencing Factors of Prenatal Depression Among Primiparas and Multiparas[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(07):1-4.[doi:10.3969/j.issn.2097-1826.2022.07.001]
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初产妇和经产妇产前抑郁情绪的影响因素研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年07期
页码:
1-4
栏目:
母婴护理专栏
出版日期:
2022-07-15

文章信息/Info

Title:
Study on the Influencing Factors of Prenatal Depression Among Primiparas and Multiparas
文章编号:
2097-1826(2022)07-0001-04
作者:
刘文婷1; 陈瑜1; 陶艳玲2; 曾琴3; 王钰莹1; 黄凡艳1
(1.南方医科大学 护理学院,广东 广州 510515; 2.深圳市龙岗中心医院 护理部,广东 深圳 518116; 3.广东省妇幼保健院 新生儿外科,广东 广州 511400)
Author(s):
LIU Wenting1; CHEN Yu1; TAO Yanling2; ZENG Qin3; WANG Yuying1; HUANG Fanyan1
(1.School of Nursing,Southern Medical University,Guangzhou 510515,Guangdong Province,China; 2.Department of Nursing,Shenzhen Longgang Central Hospital,Shenzhen 518116,Guangdong Province,China; 3.Department of Neonatal Surgery,Guangdong Maternal and Child Health Hospital,Guangzhou 511400,Guangdong Province,China)
关键词:
初产妇;  经产妇;  产前抑郁;  影响因素;  情绪管理
Keywords:
primipara;  multipara;  prenatal depression;  influencing factor;  emotional management
分类号:
R473.71; R828.2
DOI:
10.3969/j.issn.2097-1826.2022.07.001
文献标志码:
A
摘要:
目的 调查初产妇与经产妇产前抑郁现状及其影响因素。方法 便利抽样法选取2021年1-3月深圳市某三级甲等医院门诊产检孕妇410名,采用一般资料调查表、爱丁堡产后抑郁量表、易感性人格量表和压力知觉量表进行问卷调查。结果 410名孕妇(初产妇189名、经产妇221名)产前抑郁情绪总检出率为23.41%。初产妇与经产妇抑郁检出率分别为28.57%、18.55%,差异无统计学意义[OR=1.68,95%CI(0.93,3.02)]。两组孕妇产前抑郁保护因素同为孕期睡眠质量,危险因素有差异,初产妇主要为产检出疾病、危机知觉维度,经产妇主要为胎儿性别期待、孕期疲劳、婚姻满意度及易感人格。结论 临床应重视区分不同孕妇人群开展情绪健康精准护理。
Abstract:
Objective To investigate the status and influencing factors of prenatal depression among primiparas and multiparas.Methods Convenience sampling method was used to select 410 pregnant women who underwent outpatient examinations in a tertiary hospital in Shenzhen City from January to March,2021.The general information questionnaire,Edinburgh Postnatal Depression Scale,Vulnerable Personality Style Questionnaire,Perceived Stress Scale-10 were used for investigation.Results The total detection rate of prenatal depression among 410 pregnant women(189 primiparas and 221 multiparas)was 23.41%; the detection rates among primiparas and multiparas were 28.57% and 18.55%,respectively,with no statistical difference reported between the two groups [OR=1.68,95%CI(0.93,3.02)].The common protective factor of prenatal depression in both groups was sleep quality during pregnancy.The risk factors among primiparas were diseases detected in examination and crisis perception dimension of perceived stress; those among multiparas mainly included expectation on fetal gender,pregnancy fatigue,marital satisfaction and susceptible personality.Conclusions Clinical attention should be paid to different groups of pregnant women,so as to implement precise nursing care for emotional health.

参考文献/References:

[1] 杨业环,黄星,孙梦云,等.中国孕产妇不同时点抑郁状态转归及持续抑郁状态影响因素分析[J].中华流行病学杂志,2022,43(1):58-64.
[2] 杨文娇,陈瑜,肖超群,等.妊娠期女性抑郁和自杀意念的关系及其危险因素研究[J].中国全科医学,2020,23(3):305-311,318.
[3] 郑映雪,张娟.初产妇及经产妇抑郁调查及相关因素分析[J].中国妇幼保健,2019,34(13):3076-3079.
[4] COX J L,HOLDEN J M,SAGOVSKY R.Detection of postnatal depression.development of the 10-item Edinburgh postnatal depression scale[J].Br J Psychiatry,1987,150(6):782-786.
[5] LEE D T,YIP S K,CHIU H F,et al.Detecting postnatal depression in Chinese women.validation of the Chinese version of the Edinburgh postnatal depression scale[J].Br J Psychiatry, 1998, 172(5):433-437.
[6] 刘颖,张兰,郭娜菲,等.爱丁堡产后抑郁量表应用于围产期抑郁筛查的研究进展[J].中华现代护理杂志,2021,27(36):5026-5031.
[7] BOYEE P,HIEKEY A,GILCHRIST J,et al.The development of a brief personality scale to measure vulnerability to postnatal depression[J].Arch Womens Ment Healt,2001(3):147-153.
[8] 金三丽,李明子.易感性人格类型量表预测产后抑郁症的效果研究[J].中华护理杂志,2006,41(9):781-784.
[9] COHEN S, KAMARCK T, MERMELESHEIN R.A global measure of perceived stress[J].J Health Soc Behav,1983,24(4):385-396.
[10]杨廷忠,黄汉腾.社会转型中城市居民心理压力的流行病学研究[J].中华流行病学杂志,2003(9):11-15.
[11]郭橄榄,汪银,郭宇雯.初产妇产前抑郁与分娩方式、产时并发症及胎儿结局的关系[J].解放军医学院学报,2020,41(8):781-784,804.
[12]颜凤.生育舞蹈干预对高龄经产妇围产期抑郁的影响研究[D].广州:南方医科大学,2019.
[13]刘朝霞,郑凯莉,储珺,等.心理弹性与神经质中介压力知觉与抑郁症状的关系:基于路径分析[J].中国临床心理学杂志,2021,29(2):352-356.
[14]CHENG C Y,PICKLER R H.Perinatal stress,fatigue,depressive symptoms,and immune modulation in late pregnancy and one month multiparous[J/OL].[2022-01-14].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3920647/.DOI:10.1155/2014/652630.
[15]马语晗.人格特质在婚姻质量与孕产妇焦虑、抑郁关系中的调节作用[D].昆明:昆明医科大学,2020.
[16]肖菊兰,高源敏,陈瑜,等.孕产妇围生期抑郁情绪及影响因素的纵向研究[J].护理学杂志,2021,36(7):90-93.
[17]张笑童,刘珏,刘民,等.妇女孕期睡眠障碍与焦虑及抑郁状态关系的研究[J].中国预防医学杂志,2021,22(1):17-22.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-11-25 【 修回日期 】 2022-06-12
【 基金项目 】 国家自然科学基金面上项目(71874075); 教育部人文社会科学研究规划基金项目(18YJAZH008); 广东省本科教学质量工程建设项目(粤教高函[2020]19号)
【 作者简介 】 刘文婷,硕士在读,从事精神心理健康研究
【 通信作者 】 陈瑜,电话:020-61648747
更新日期/Last Update: 2022-07-15