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目的了解广州市老城区正常初产妇产后抑郁心境的发生情况,分析相关的影响因素。方法使用流调用抑郁自评量表(CES-D)和自制的社会人口学调查表,对广州市4个老城区32个街道的999名产后3月内的产妇进行调查。结果广州市老城区正常初产妇产后抑郁心境的检出率为17.52%(175/999);居住地近郊区、居住条件困难、孕次、有流引产史、本次剖宫产和生活事件是产后抑郁心境发生的危险因素,B型血、社会支持、产后居住条件优越、2人居住的家庭结构是减少产后抑郁心境的因素。结论产后抑郁心境的发生率较高,应重视相关心理社会因素的影响。
Objective To understand the occurrence of postpartum depression mood in normal primiparous women in the old city of Guangzhou and analyze the related factors. Methods A total of 999 maternal mothers within 3 months postpartum in 32 streets in 4 old districts of Guangzhou were surveyed by using Self-rating Depression Scale (CES-D) and self-made social demographic questionnaire. Results The prevalence rate of postpartum depression was 17.52% (175/999) in normal primiparous women in Guangzhou Old City. In the suburbs where residences were located, the living conditions were difficult, pregnant times and there was a history of induced labor. The current cesarean section and life events were The risk factors for postpartum depression mood, type B blood, social support, superior postpartum living conditions, and family structure of 2 people were the factors to reduce postpartum depression mood. Conclusions The incidence of postpartum depression mood is high, and the influence of relevant psychosocial factors should be emphasized.