本文選題：高齡經(jīng)產(chǎn)婦　切入點(diǎn)：產(chǎn)后抑郁癥　出處：《山東大學(xué)》2017年碩士論文

【摘要】：目的1.了解濟(jì)南市綜合性醫(yī)院高齡經(jīng)產(chǎn)婦產(chǎn)后抑郁現(xiàn)狀。2.分析高齡經(jīng)產(chǎn)婦產(chǎn)后抑郁的主要影響因素及其與人格特征和社會(huì)支持的相關(guān)性。3.提高臨床醫(yī)護(hù)人員重視,所得結(jié)果為產(chǎn)后抑郁預(yù)防及診斷治療提供參考依據(jù)。方法1.采用橫斷面調(diào)查性研究,運(yùn)用問(wèn)卷調(diào)查的方法,以2016年5月至2016年10月于濟(jì)南市某三級(jí)甲等綜合性醫(yī)院產(chǎn)后2～7天的高齡經(jīng)產(chǎn)婦為研究對(duì)象,樣本量為265例。填寫(xiě)《一般情況調(diào)查問(wèn)卷》、《愛(ài)丁堡產(chǎn)后抑郁量表》、《易感性人格量表》及《社會(huì)支持評(píng)定量表》對(duì)高齡經(jīng)產(chǎn)婦進(jìn)行相關(guān)信息調(diào)查。2.運(yùn)用SPSS17.0軟件處理數(shù)據(jù),采用描述性統(tǒng)計(jì)、獨(dú)立樣本t檢驗(yàn)、卡方檢驗(yàn)、單因素及Pearson相關(guān)分析對(duì)調(diào)查結(jié)果進(jìn)行分析。結(jié)果1.265例高齡經(jīng)產(chǎn)婦EPDS平均得分為9.80±3.62,其中43例產(chǎn)婦EPDS評(píng)分≥13分歸為抑郁組,產(chǎn)后抑郁的發(fā)生率為16.22%,其EPDS平均得分為15.74±3.16。222例產(chǎn)婦EPDS評(píng)分13分歸為非抑郁組,其EPDS平均得分為8.65±2.36。2.年齡、文化程度、醫(yī)療費(fèi)用支付方式、胎次、職業(yè)、參加孕婦學(xué)校次數(shù)、誰(shuí)照顧月子因素對(duì)產(chǎn)后抑郁的影響具有顯著差異(P0.05)。不同的人均月經(jīng)濟(jì)收入、居住條件和新生兒性別對(duì)產(chǎn)后抑郁的發(fā)生無(wú)明顯影響(P0.05)。3.產(chǎn)后抑郁與人格特征之間的關(guān)系EPDS評(píng)分與VPSQ、易感性和反應(yīng)性評(píng)分均具有顯著相關(guān)性(P0.05),同時(shí)抑郁組產(chǎn)婦的VPSQ量表評(píng)分與非抑郁組產(chǎn)婦存在顯著統(tǒng)計(jì)學(xué)差異(P0.05)。4.產(chǎn)后抑郁與社會(huì)支持之間的關(guān)系抑郁組高齡經(jīng)產(chǎn)婦主觀支持、支持利用度以及社會(huì)支持總分均明顯低于正常產(chǎn)婦且差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。將具有統(tǒng)計(jì)學(xué)意義的社會(huì)支持的三個(gè)項(xiàng)目與產(chǎn)后抑郁量表總分進(jìn)行相關(guān)分析結(jié)果顯示,產(chǎn)婦的產(chǎn)后抑郁與主觀支持的密切程度(r=-0.211,p=0.001)、支持利用度(r=-0.149,p=0.015)和社會(huì)支持總分(r=-0.231,p0.001)呈負(fù)相關(guān),而與客觀支持(r=-0.080,p=0.193)無(wú)顯著相關(guān)性。結(jié)論1.濟(jì)南市高齡經(jīng)產(chǎn)婦產(chǎn)后抑郁發(fā)生率較高,卡方檢驗(yàn)發(fā)現(xiàn)產(chǎn)后抑郁發(fā)生率與年齡、文化程度、醫(yī)療費(fèi)用支付方式、胎次、職業(yè)、參加孕婦學(xué)校的次數(shù)和誰(shuí)照顧月子顯著相關(guān)。2.人格特征與產(chǎn)后抑郁的發(fā)生發(fā)展有密切關(guān)系。《易感性人格量表》作為產(chǎn)后抑郁癥發(fā)生的預(yù)測(cè)工具,有助于醫(yī)護(hù)人員及時(shí)關(guān)注產(chǎn)后抑郁癥的高危人群。3.社會(huì)支持與高齡經(jīng)產(chǎn)婦產(chǎn)后抑郁癥的發(fā)生呈負(fù)相關(guān),社會(huì)支持度越高,其抑郁發(fā)生率越低,給以高齡經(jīng)產(chǎn)婦充分的社會(huì)支持是預(yù)防產(chǎn)后抑郁癥的重要措施。4.及時(shí)發(fā)現(xiàn)高危因素以便進(jìn)一步采取有針對(duì)性的干預(yù)措施,從而降低抑郁發(fā)生率,提高高齡經(jīng)產(chǎn)婦心理健康。
[Abstract]:Objective 1. To understand the present situation of postpartum depression in elderly women in Jinan General Hospital. 2. To analyze the main influencing factors of postpartum depression and its correlation with personality and social support. The results provide a reference for the prevention and treatment of postpartum depression. From May 2016 to October 2016, aged women who had been in a general hospital of Grade 3A in Jinan city for 2 days after delivery were selected as the subjects of the study. The sample size was 265 cases. The questionnaire of general situation, the Edinburgh postpartum depression scale, the susceptible personality scale and the social support rating scale were used to investigate the relevant information of the elderly women. 2. The data were processed by SPSS17.0 software. Descriptive statistics, independent sample t test, chi-square test, single factor and Pearson correlation analysis were used to analyze the results. Results the average EPDS score of 1.265 elderly women was 9.80 鹵3.62, 43 of them were classified as depression group. The incidence of postpartum depression was 16.222.The average score of EPDS was 15.74 鹵3.16.222 women with EPDS score of 13, and the average score of EPDS was 8.65 鹵2.36.2.Age, education, medical expense payment, birth order, occupation, number of times of school attendance of pregnant women. There were significant differences in the influence of the factors of caring for the children of the month on postpartum depression (P 0.05). Different per capita monthly economic income, The relationship between postpartum depression and postpartum depression was not significantly influenced by living conditions and sex of newborn (P 0.05). The relationship between postpartum depression and personality traits was significantly correlated with EPDS score, susceptibility and reactivity score (P 0.05). Meanwhile, the VPSQ of depressive women was significantly correlated with that of postpartum depressive women (P < 0.05). The relationship between postpartum depression and social support was significant (P < 0.05). The relationship between postpartum depression and social support in depression group was significantly different from that in non-depression group (P < 0.05). The utilization of social support and the total score of social support were significantly lower than those of normal women, and the difference was statistically significant (P 0.05). The results of correlation analysis between the three items of social support with statistical significance and the total score of postpartum depression scale showed that there were significant differences between the three items and the total score of postpartum depression scale. There was a negative correlation between postpartum depression and the close degree of subjective support r-0.211p0. 001, and the total score of social support r-0.231p0.001), but there was no significant correlation between postpartum depression and objective support. Conclusion 1.The incidence of postpartum depression in the elderly women in Jinan is higher than that in the elderly women in Jinan, and the incidence of postpartum depression in the elderly women in Jinan City is higher than that in the elderly women in Jinan City, and the total score of social support is 0.231% (p 0.001), but there is no significant correlation between the degree of postpartum depression and objective support. Chi square test found that the incidence of postpartum depression and age, education, medical expenses, birth order, occupation, The frequency of school attendance for pregnant women was significantly correlated with who took care of the moon. 2.Personality traits were closely related to the occurrence and development of postpartum depression. The susceptibility Personality scale was used as a predictor of postpartum depression. Social support has a negative correlation with the incidence of postpartum depression in elderly women. The higher the social support, the lower the incidence of depression. Adequate social support for elderly women is an important measure to prevent postpartum depression. (4) to find out the high risk factors in time in order to further take targeted intervention measures to reduce the incidence of depression and improve the mental health of elderly women.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.71

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