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题名	初产妇与二胎产妇产后抑郁比较研究
作者	王兰兰
答辩日期	2020-01
文献子类	硕士
授予单位	中国科学院心理研究所
授予地点	中国科学院心理研究所
其他责任者	韩布新
关键词	产后抑郁 初产妇 二胎产妇
学位名称	理学硕士（同等学力硕士）
其他题名	The comparative study of postpartum depression between primiparas and biparas
学位专业	健康心理学
中文摘要	Objective: To compare the occurences, influencing factors, cognition and needs of postpartum depression for primiparas and second birth parturients. Methods : Research objects were the puerperae delivered in a grade 3 and first-class hospital in Kunming. Postpartum Depression was assessed using the Edinburgh Postpartum Depression Scale, and maternal general data, social support, perceptions of the knowledge and needs about Postpartum Depression were also collected. We used “Wenjuanxing” software to collect and export data.Results: 1. The Edinburgh Postpartum Depression Scale scores are 9.74±4.73of primiparas and 9.76±4.63 of second birth parturients, and the difference was not statistically significant (p > 0.05). The incidence of postpartum depression was 29.39% in second birth parturient, slightly higher than 25.46% in primipara, and the difference was not statistically significant (p > 0.05). 2. Cesarean section, newborn being a boy, less subjective support, and the hope of medical staff to provide knowledge of postpartum depression were risk factors for postpartum depression in primiparous women (p < 0.05); family income < 100,000, family dissatisfaction with gender of the newborn, neonatal conversion to pediatrics, history of poor motherhood, less objective support, less subjective support, and the hope of medical staff to provide knowledge of postpartum depression were risk factors for postpartum depression in second birth parturients(p < 0.05). 3. 265 (69.55%) primiparas and 176 (67.18%) second birth parturients were largely unware of postpartum depression(never heard of or known a little), and the difference was not statistically significant (p > 0.05). The demand for attention and advice on mental health from medical staff in primiparas （90.03%）was higher than that of the second birth parturients（83.21%） (p < 0.05). The demand for postpartum depression knowledge of primiparas （75.59%）was higher than that of the second birth parturients（68.32%）(p < 0.05), and the attention rate of medical staff to the psychological status of primiparas（75.59%）was higher than that of the second birth parturients（66.41%）, and the difference was statistically significant (p < 0.05). Conclusion: The incidence rate of postpartum depression is more than 20% in both primiparas and second birth parturients. Puerperae (poor cognition of postpartum depression) ，families(less support) and obstetric factors were influence factors. Mental health education should be given to both puerperae and their families. puerperae have poor cognition of postpartum depression and high desire for knowledge. Medical staffs pay more attention to the mental state of the primiparas than to the second birth parturients. The effectiveness of mental health guidance for maternal women by medical staff is not good.
英文摘要	目的：比较初产妇与二胎产妇产后抑郁症状检出率、影响因素、认知及需求，为进一步制定有效干预措施，保障产妇心理健康提供依据。方法：2018年7月至2018年12月在昆明医科大学第一附属医院产科住院分娩的产妇中筛选出符合入选条件者面对面问卷调查。问卷包括自制一般情况调查表、爱丁堡产后抑郁量表（EPDS）、社会支持评定量表(SSRS)、自制产妇产后抑郁认知及需求调查表。利用“问卷星”收集资料并导出数据，用SPSS23.0软件包分析数据。结果：1、381例初产妇EPDS得分9.74±4.73分，262例二胎产妇EPDS得分9.76±4.63分，无显著差异（p＞0.05）。产后抑郁症状检出率二胎产妇29.39%，略高于初产妇25.46%，无显著差异（p＞0.05）。2、剖宫产、新生男孩、主观支持低、希望医务人员提供产后抑郁知识是初产妇产后抑郁危险因素；家庭年收入＜10万、家人不满意新生儿性别、新生儿转儿科、不良孕产史、希望医务人员提供产后抑郁知识、客观支持得分低、主观支持得分低是二胎产妇产后抑郁危险因素。3、265例初产妇（69.55%）和176例(67.18%)二胎产妇基本不了解（没听说过/知道一点）产后抑郁，无显著差异（p＞0.05）。初产妇（90.03%）比二胎产妇（83.21%）更希望被医务人员关心心理状态并给指导性建议，差异显著（p＜0.05）。初产妇（75.59%）比二胎产妇（68.32%）更希望医务人员提供产后抑郁知识，差异显著（p＜0.05）。医务人员关心初产妇（75.59%）心理状态多于关心二胎产妇（66.41%），差异显著（p＜0.05）。结论：初产妇与二胎产妇产后抑郁症状检出率均超过20%，受其自身（认知不足）、家庭（支持不足）及产科因素共同影响，产妇个人与亲属皆需心理健康指导。二者对产后抑郁知之甚少，求知欲高。医务人员对初产妇心理状态的关心多于对二胎产妇且给孕产妇的心理健康指导有效性欠佳。
语种	中文
内容类型	学位论文
源URL	[http://ir.psych.ac.cn/handle/311026/41688]
专题	心理研究所_健康与遗传心理学研究室
推荐引用方式 GB/T 7714	王兰兰. 初产妇与二胎产妇产后抑郁比较研究[D]. 中国科学院心理研究所. 中国科学院心理研究所. 2020.

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