论文部分内容阅读
[目的]调查芦山地震后震中区域孕妇产前抑郁发生情况及应对情况,为孕妇地震后短期内的干预措施设计提供参考。[方法]采用横断面调查方式,在2013年芦山地震后2周~6周,对方便抽样抽取的128例孕妇的抑郁及应对情况进行调查。[结果]地震后2周~6周震中区域孕妇抑郁发生率为35.2%;方差分析结果显示,不同职业、不同小孩数量、地震时不同孕周及有亲戚在地震中受伤或死亡的孕妇,其中文版爱丁堡产后抑郁量表(EPDS)评分差异有统计学意义;相关分析结果显示:EPDS得分与孕周及负性应对方式评分呈正相关,与正性应对方式评分呈负相关;回归分析显示,小孩数量、家庭收入、是否有亲人在地震中受伤、正性及负性应对方式5个因素进入回归方程。[结论]地震后影响产前抑郁发生的高危因素包括务农人员、有2个及以上的小孩、有亲人在地震中受伤或死亡、高水平的负性应对方式及低水平的正性应对方式。
[Objective] To investigate the occurrence and treatment of prenatal depression among pregnant women in epicenter area after Lushan earthquake and provide references for the design of intervention measures in pregnant women short-term after earthquakes. [Methods] By means of cross-sectional survey, the depression and coping situation of 128 pregnant women sampled by convenient sampling were investigated after 2 weeks to 6 weeks after Lushan Earthquake in 2013. The results showed that: [Results] The incidence of depression in pregnant women in the epicenter ranged from 2 weeks to 6 weeks after the earthquake was 35.2%. The results of ANOVA showed that pregnant women with different occupations, different numbers of children, different gestation weeks and relatives who were injured or died in the earthquake The EPDS score of Chinese version of Edinburgh was statistically significant. The correlation analysis showed that EPDS score was positively correlated with gestational age and negative coping style scores, and positively correlated with positive coping style score. Regression analysis showed that, The number of children, family income, whether there is a loved one injured in the earthquake, positive and negative coping styles five factors into the regression equation. [Conclusion] The high risk factors affecting the prenatal depression after the earthquake include farm workers, two or more children, relatives who were injured or died in the earthquake, a high level of negative coping styles and a low level of positive coping styles.