摘要
目的探讨高龄产妇围生期抑郁的多因素Logistic回归分析及预防措施。方法选择2019年6月至2021年12月进行分娩的高龄产妇20例作为观察组,同期进行分娩的适龄产妇40例作为对照组。通过对两组的自编问卷、焦虑自评量表、抑郁自评量表调查,对围生期发生抑郁的高龄产妇的资料进行多因素Logistic回归分析,并针对相关因素进行干预。结果(1)单因素结果表明:高龄产妇发生抑郁的因素与文化程度、月收入情况、受孕方式、产前焦虑、流产次数、计划内妊娠以及家人对产妇关心情况具有统计意义(P<0.05);多因素Logistic回归分析结果表明:文化程度(OR=3.587,95%CI=2.487~6.323)、受孕方式(OR=6.425,95%CI=5.691~8.464)、产前焦虑(OR=4.092,95%CI=3.237~4.565)、家人对产妇关心情况(OR=1.035,95%CI=0.283~4.342)是影响高龄产妇围生期抑郁发生的危险因素(P<0.05);(2)观察组患者焦虑(SAS)以及抑郁(SDS)评分低于对照组(P<0.05)。结论高龄产妇的焦虑、抑郁水平较适龄产妇明显增高,影响因素较多,应结合不同患者的特点,根据可能的影响因素进行干预,改善高龄产妇围生期的焦虑、抑郁不良心理,促进高龄产妇的正常分娩,提高产后生活质量。
Objective To explore the influence of perinatal depression in elderly women by multivariate Logistic regression analysis and preventive measures.Methods 20 elderly parturients who delivered from June 2019 to December 2021 were selected as the observation group,and 40 eligible parturients who delivered during the same period were selected as the control group.Multivariate Logistic regression analysis was conducted on the data of the elderly women with perinatal depression by self-compiled questionnaire,self-rating anxiety scale and self-rating depression scale in the two groups,and intervention was conducted for related factors.Results(1)Univariate results showed that the factors of depression in elderly parturients were statistically significant(P<0.05),including education level,monthly income,conception mode,prenatal anxiety,number of abortion,planned pregnancy and family's concern for parturients.Multivariate Logistic regression analysis showed that:Education level(OR=3.587,95%CI=2.487-6.323),conception mode(OR=6.425,95%CI=5.691-8.464),prenatal anxiety(OR=4.092,95%CI=3.237-4.565)and family's concern for puerpera(OR=1.035,95%CI=0.283-4.342)were the risk factors for perinatal depression(P<0.05).(2)The scores of anxiety(SAS)and depression(SDS)in observation group were higher than those in control group(P<0.05).Conclusion The level of anxiety and depression of senile parturient women is significantly lower than that of senile parturient women,and there are many influencing factors.Therefore,intervention should be carried out according to the characteristics of different patients,so as to improve the anxiety and depression of senile parturient women in perinatal period,promote the normal delivery of senile parturient women,and improve the quality of postpartum life.
作者
王锋英
WANG Fengying(Longshe Health Hospital,Jiading Town,Xinfeng County,Jiangxi Province,Xinfeng 341600,China)
出处
《中国医药指南》
2022年第25期85-87,共3页
Guide of China Medicine
