目的 探讨产妇坐月子地点的现状及其对产后抑郁的影响。方法 2019年10月至11月,采用自编产妇基本情况与坐月子情况调查问卷及爱丁堡产后抑郁量表(EPDS),以纸质版与电子版问卷相结合的方式收回735份有效问卷,并采用SPSS 24.0对数据进行统计学分析。结果 产妇在自家坐月子的比例高于在婆家和娘家坐月子的比例,且坐月子地点在不同的年龄、地区、户口、受教育程度、职业、家庭月收入、胎次、分娩方式等变量上的差异均具有统计学意义。产后抑郁的多因素分析发现,在控制了其他变量影响后,坐月子地点对产后抑郁的影响仍然最大。相对于在自家坐月子,在婆家坐月子是产后抑郁的危险因素(OR=2.30,95%CI:1.51~3.48)。结论 当前产妇主要在自家坐月子,在婆家坐月子是产后抑郁的重要危险因素。
Abstract
Objective To explore the place for “sitting the month”(or known as postpartum confinement) and its impact on postnatal depression. Methods 735 valid records were collected by paper or electronic questionnaires from October to November 2019. The self-reported general information, status of “sitting the month”, and, the Edinburgh Postnatal Depression Scale were recorded by the questionnaires, and the data were statistically analyzed using SPSS 24.0. Results The proportion of women “sitting the month” at their own home was higher than that in the house of their parent or parent in-law. Place for “sitting the month” was varied by many variables, such as age, region, household, education, occupation, family monthly income, parity, delivery mode, and etc. A multivariate analysis of postpartum depression showed that the place for “sitting the month” was the most important influencing factor on postpartum depression after controlling for the effects of other covariates. “Sitting the month” in house of the parent in-law was a risk factor for postpartum depression, compared to “sitting the month” at own home(OR=2.30, 95% confidence interval:1.51-3.48). Conclusion Most women chose to “sitting the month” at their own homes. “Sitting the month” in house of parent in-laws was a risk factor for postpartum depression.
关键词
坐月子地点 /
产后抑郁 /
产妇
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Key words
“Sitting the month” /
Postpartum depression /
Pregnant women
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中图分类号：
R17
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脚注
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基金
中央级公益性科研院所基本科研业务费专项资金项目(2019GJZ06)
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