A survey of postpartum depression and health care needs among Chinese postpartum women during the pandemic of COVID-19.
A survey of postpartum depression and health care needs among Chinese postpartum women during the pandemic of COVID-19.
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DOI：
10.1016/j.apnu.2021.02.001
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发表时间：
2021-04
影响因子：
2.3
通讯作者：
Guo H
中科院分区：
文献类型：
--
作者：
An R;Chen X;Wu Y;Liu J;Deng C;Liu Y;Guo H
新冠肺炎疫情严重危害公众心理健康，特别是孕妇和产后妇女的心理健康。但人们对中国产后妇女的产后抑郁症和保健需求知之甚少。目的了解新冠肺炎大流行期间我国产后妇女产后抑郁状况、危险因素及卫生保健需求。本研究采用方便抽样的方法，于2020年5月至7月招募209名中国产后妇女，采用自行设计的产妇一般信息问卷、爱丁堡产后抑郁量表（EPDS）和中文版压力感知量表（CPSS）进行在线评估。数据分析采用描述性统计、卡方检验、独立样本t检验、单因素方差分析、Pearson相关和多元线性回归。EPDS截断值为10时，产后抑郁症状的发生率为56.9%。年龄、流产史、应激感知是产后抑郁的影响因素（调整后R2 = 0.432, F = 23.611, p < 0.001）。排在前三位的保健需求分别是婴儿养育指导（78.0%）、母婴保护指导（60.3%）和饮食指导（45.0%）。抑郁组心理康复指导需求比例显著高于非抑郁组（34.5%比20.0%,p < 0.05）。新冠肺炎大流行期间，中国孕产妇产后抑郁处于高水平。年龄在25-34岁之间、有流产史、压力大的女性患产后抑郁症的风险更高。产后妇女急需及时的心理咨询、干预和与新冠肺炎相关的健康教育。
The COVID-19 pandemic seriously endangers the public's mental health, especially to pregnant and postpartum women. But little is known about postpartum depression and health care needs among Chinese postpartum women. To investigate the status and risk factors of postpartum depression and health care needs among Chinese postpartum women during the COVID-19 pandemic. In this cross-sectional study, 209 Chinese postpartum women were recruited from May to July 2020 by convenience sampling and assessed online with self-designed Maternal General Information Questionnaire, Edinburgh Postpartum Depression Scale (EPDS) and Chinese Version of the Perceived Stress Scale (CPSS). Descriptive statistics, chi-square test, independent samples t-test, one-way ANOVA, Pearson correlation and multiple linear regression were used for data analysis. With the EPDS cut-off value of 10, the incidence of postpartum depressive symptoms was 56.9%. Age, history of abortion and perceived stress were the influencing factors of postpartum depression (adjusted R2 = 0.432, F = 23.611, p < .001). The top three health care needs were infant rearing guidance (78.0%), maternal and infant protection guidance (60.3%) and dietary guidance (45.0%). The proportion of psychological rehabilitation guidance needs in the depressed group was significantly higher than that in the non-depressed group (34.5% vs. 20.0%, p < .05). Maternal postpartum depression in China was at a high level during the COVID-19 pandemic. Women aged 25–34, with a history of abortion and high stress levels were at higher risk for postpartum depression. Timely psychological counselling, intervention and COVID-19-related health education are in great need for postpartum women.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
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作者：
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影响因子：
4.4
作者：
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1111/1471-0528.16381
发表时间：
2020-08-02
影响因子：
5.8
作者：
Liu, X.;Chen, M.;Qi, H.
通讯作者：
Qi, H.