郑州市产妇产后抑郁症流行现状及其影响因素模型构建
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毛彦珂,女,主管护师,主要研究方向是产科重症护理。

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R 749.4+ 1;R 714.46

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河南省医学科技攻关计划项目(LHGJ20220082)


The Epidemic Status of Postpartum Depression and Its Influencing Factors Model Construction in Zhengzhou
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    摘要:

    摘 要目的:对郑州市产妇产后抑郁症(PPD)流行现状进行分析,并构建与验证其影响因素模型。 方法:选取河 南省人民医院于 2020 年 5 月至 2022 年 6 月收治的 600 例产妇作为研究对象。根据爱丁堡产后抑郁量表(EPDS)评分将 其分为正常组(493 例)和抑郁组(107 例),比较两组的一般资料和孕产期情况。通过 logistic 回归分析产妇发生 PPD 的 影响因素并建立模型,以受试者工作特征曲线(ROC)评估模型诊断效能。 结果:经多因素 logistic 回归分析,年龄小、 家庭人均月收入< 4000 元、文化程度低、居住地乡村、家庭关系不融洽、喂养方式不是母乳喂养、有新生儿疾病是产妇 发生 PPD 的独立危险因素(P < 0.05);经 ROC 曲线分析,本研究构建风险评估模型曲线下面积(AUC)值为 0.940,均 高于单一风险因素,灵敏度为 96.26 %、特异度为 85.98 %。 结论:产妇发生 PPD 的概率不可忽视。年龄小、家庭人均月 收入< 4000 元、文化程度低、居住地乡村、家庭关系不融洽、喂养方式不是母乳喂养、有新生儿疾病是产妇发生 PPD 的 独立危险因素,且以此构建产妇 PPD 风险预测模型的预测效能较好。

    Abstract:

    AbstractObjective To analyze the epidemic status of postpartum depression (PPD) in Zhengzhou, and establish and verify its influencing factor model. Methods Six hundred cases of parturience treated in Henan Provincial People's Hospital from May 2020 to June 2022 were selected as the study objects. They were divided into normal group (493 cases) and depressed group (107 cases) according to the Edinburgh postpartum depression scale (EPDS) score, and the general information and pregnancy conditions of the two groups were compared. The influencing factors of maternal PPD were analyzed by logistic regression and the model was established. The diagnostic efficiency of the model was evaluated by receiver operating characteristic curve (ROC). Results Multivariate logistic regression analysis showed that young age, per capita monthly family income < 4000 yuan, low education level, rural residence, disharmonious family relationship, feeding method other than breast-feeding and newborn disease were independent risk factors for PPD (P < 0.05). According to ROC curve analysis, the area under the curve (AUC) value of the risk assessment model established in this study was 0.940, both higher than that of a single risk factor, with sensitivity of 96.26% and specificity of 85.98%. Conclusion The probability of PPD in parturients cannot be ignored. Young age, per capita family income < 4000 yuan, low education level, rural residence, disharmonious family relationship, non-breast-feeding, and neonatal diseases were independent risk factors for PPD, and the prediction efficiency of maternal PPD risk prediction model was better.

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  • 收稿日期:2023-10-09
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  • 在线发布日期: 2024-04-10
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