Analysis of the impact factors of postpartum depression for older pregnant women
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摘要: 目的探讨高龄产妇产后抑郁的发生情况和影响因素。方法选取某三甲医院妇产科中正常分娩的240名高龄初产孕妇，采用一般情况调查表、焦虑自评量表、爱丁堡产后抑郁量表和产褥期抑郁症的诊断标准问卷进行问卷调查。结果高龄产妇出现产后抑郁的比例达38.46%，且高龄产妇产后正常组和抑郁组在年龄、学历、职业、家庭年收入、居住条件等方面的差异具有统计学意义（P<0.05）。高龄产妇产后抑郁的非条件logistic单因素分析显示，年龄、学历、职业、家庭年收入、分娩方式、产前焦虑和社会支持是高龄产妇产后抑郁的影响因素（P<0.05）。高龄产妇产后抑郁的logistic多因素回归分析中，年龄、产前焦虑是高龄产妇产后抑郁的危险因素（P<0.05），学历、家庭年收入和社会支持是产后抑郁的保护因素（P<0.05）。结论高龄产妇产后抑郁的发病率较高，是多种因素作用下的结果，可根据高龄产妇的具体情况实行针对性干预措施，减少高龄产妇产后抑郁的比例，提高高龄产妇产后的生活质量。Abstract: ObjectiveTo explore the factors influencing postpartum depression for older pregnant women. MethodsA total of 240 older primiparas after normal delivery in a comprehensive hospital were selected. Then, investigation was conducted using the general information questionnaire, the self-rating anxiety scale (SAS), Edinburgh postnatal depression scale (EPDS) and the postpartum depression standard diagnosis questionnaire. ResultsThe rate of postpartum depression was 38.46% for older pregnant women. There were statistical differences in age, education background, occupation, annual family income, living conditions between the depression and normal groups of older pregnant woman (P<0.05). Furthermore, age, education background, occupation, annual household income, delivery mode, prenatal anxiety and social support were the influencing factors for older pregnant women with postpartum depression according to non-conditional logistic single factor analysis (P<0.05). In multi-factor logistic regression analysis, age and prenatal anxiety were the risk factors for postpartum depression in older pregnant women (P<0.05), while education background, annual family income and social support were the protective factors (P<0.05). ConclusionsThe incidence of postpartum depression is relatively high in old pregnant women, which can be attribute to multiple factors. Targeted interventions can be employed according to the specific circumstances, which can reduce the percentage of postpartum depression and improve the quality of life.
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Keywords:
- older pregnant women /
- postpartum /
- depression /
- influencing factors
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