| 刘 佳,刘小玮,林祎楠,雷亚楠,张 娜.妊娠期高血压患者产后抑郁的影响因素探讨及其生命质量调查[J].,2022,(8):1450-1455 |
| 妊娠期高血压患者产后抑郁的影响因素探讨及其生命质量调查 |
| Study on Influencing Factors of Postpartum Depression in Hypertensive Patients during Pregnancy and Investigation on Quality of Life |
| 投稿时间：2021-10-22 修订日期：2021-11-18 |
| DOI：10.13241/j.cnki.pmb.2022.08.010 |
| 中文关键词: 妊娠期高血压 产后抑郁 影响因素 生命质量 |
| 英文关键词: Gestational hypertension Postpartum depression Influence factor Quality of life |
| 基金项目:北京市自然科学基金项目(7172116) |
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| 中文摘要: |
| 摘要 目的：探讨妊娠期高血压患者产后抑郁的影响因素，调查其生命质量。方法：选择2016年6月至2021年6月于我院产科分娩的312例妊娠期高血压患者，采用爱丁堡产后抑郁量表（EPDS）评估患者产后抑郁发生率。收集临床资料，采用多因素Logistic回归分析影响妊娠期高血压患者发生产后抑郁的危险因素。采用中文版36项简明健康状况调查表（SF-36）评估患者生命质量。结果：312例妊娠期高血压患者中有66例发生产后抑郁，发生率为21.15%。单因素分析结果显示，抑郁组年龄≥35岁、受教育程度在高中（中专）及以下、无经济收入、婚姻状况为未婚/离异/丧偶、有妊娠并发症、分娩孕周＜36周、无导乐陪产、新生儿疾病、伤口剧烈疼痛、产后出血、产褥感染、产后血压控制差的比例高于无抑郁组（P＜0.05）。多因素Logistic回归分析显示，新生儿疾病、分娩孕周＜36周、产后血压控制差、无经济收入、受教育程度低是妊娠期高血压患者发生产后抑郁的危险因素（P＜0.05）。抑郁组SF-36躯体功能、生理职能、躯体疼痛、总体健康、生命活力、社会功能、情感功能、精神健康评分均低于无抑郁组（P＜0.05）。结论：新生儿疾病、分娩孕周＜36周、产后血压控制差、无经济收入、受教育程度低是妊娠期高血压患者产后抑郁的危险因素，产后抑郁患者生命质量较低，临床应加强产后心理干预，改善患者生命质量。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the influencing factors of postpartum depression in hypertensive patients during pregnancy, and to investigate their quality of life. Methods: A total of 312 case of hypertensive patients during pregnancy who delivered in obstetrics of our hospital from June 2016 to June 2021 were selected, the incidence of postpartum depression was assessed by the Edinburgh Postpartum Depression Scale (EPDS). Clinical data were collected, and multivariate Logistic regression was used to analyze the risk factors of postpartum depression in hypertensive patients during pregnancy. The Chinese version of the Mos 36-item short form health survey (SF-36) was used to assess patients' quality of life. Results: Among 312 patients with hypertension during pregnancy, 66 patients developed postpartum depression, the incidence was 21.15%. Univariate analysis showed that proportion of age ≥35 years old, education level of senior high school (technical secondary school) or below, no economic income, marital status was unmarried/divorced/widowed, with pregnancy complications, gestational weeks of delivery < 36 weeks, no doula delivery, neonatal diseases, severe wound pain, postpartum bleeding, puerperal infection and poor postpartum blood pressure control in the depression group were higher than those in the non-depression group(P＜0.05). Multivariate Logistic regression analysis showed that neonatal disease, gestational weeks of delivery < 36 weeks, poor postpartum blood pressure control, no economic income and low education level were the risk factors for postpartum depression in patients with gestational hypertension(P＜0.05). The SF-36 scores of Somatic function, physical function, physical pain, general health, vitality, social function, emotional function and mental health in the depression group were lower than those in the non-depression group(P＜0.05). Conclusion: Neonatal disease, gestational weeks of delivery < 36 weeks, poor postpartum blood pressure control, no economic income, low education level are the risk factors of postpartum depression in patients with gestational hypertension. The quality of life of patients with postpartum depression is low. Postpartum psychological intervention should be strengthened to improve the quality of life of patients. |
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