新冠肺炎疫情下家庭因素对住院孕产妇抑郁情绪的影响

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摘要目的探索新冠肺炎疫情下家庭因素对孕产妇抑郁情绪的影响。方法本研究于2019年12月31日～2020年1月22日(非封闭期)与2020年10月13日～2020年11月20日(封闭期),采用问卷星对武汉市某大型三甲医院住院孕产妇进行线上问卷调查,调查员获得调查对象口头知情同意之后,调查对象采用手机微信扫码填写问卷。调查内容包括一般人口学信息、家庭因素与抑郁情绪。其中,家庭因素采用HITS配偶暴力量表、APGAR家庭功能量表及婆媳关系等因素进行测评,孕产妇抑郁情绪采用爱丁堡产后抑郁量表进行测评,采用Stepwise Logistic回归分析新冠肺炎疫情下家庭因素对孕产妇抑郁情绪的影响。结果一共获得1 233例有效问卷,抑郁检出率为33.4%。多因素逐步回归分析表明,是否经历新冠疫情封闭管理与孕产妇抑郁情绪的关联性不显著。此外,家庭功能差或一般的孕产妇比家庭功能好的孕产妇发生抑郁情绪风险显著升高(OR=3.84,95% CI:2.62～5.64)。与婆媳关系好的孕产妇相比,婆媳关系差或一般的孕产妇发生抑郁情绪的风险升高(OR=1.37,95% CI:1.02～1.84),工作与生活冲突也能显著增加孕产妇抑郁情绪的风险(OR=2.25,95% CI:1.73～2.92)。结论在封闭管理期,新冠疫情对孕产妇抑郁情绪没有显著影响,而重视家庭因素、提高家庭功能有利于降低孕产妇抑郁情绪发生风险及完善新冠疫情下孕产妇的心理管理。

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	夏微娜
	孙国强
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	张培莉
	程瑶

关键词 ：新冠肺炎, 孕产妇, 抑郁情绪, 家庭因素

Abstract：Objective To explore the effects of family factors on perinatal depressive emotion during the COVID-19 pandemic.Methods From December 31, 2019 to January 22, 2020 (the early stage of city closure) and from October 13, 2020 to November 20, 2020 (the late stage of city closure), this study used questionnaire stars to conduct an online questionnaire survey on hospitalized pregnant women in a large tertiary hospital in Wuhan. After the investigator obtained the oral consent of the subjects, the subjects filled in the questionnaire by scanning the two-dimensional code on cellphone. The survey included general demographic information, family factors, and depressive emotion. Among them, family factors were assessed by the HITS partner violence scale, APGAR family function scale, mother-in-law and daughter-in-law relationship; and perinatal depressive emotion was assessed by Edinburgh Postpartum Depression Scale. Stepwise logistic regression was applied to analyze the impact of family factors on perinatal depressive emotion under the COVID-19 pandemic.Results A total of 1 233 pregnant women participated in the survey, with the prevalence rate of perinatal depressive emotion as 33.4%. Results of multivariate stepwise regression showed that there was no significant correlation between the experience of city closure and perinatal depressive emotion. In addition, the risk of perinatal depressive emotion was significantly higher in women who reported poor or fair family function than that of women who reported good family function (OR=3.84, 95% CI:2.62~5.64). Compared with pregnant women who reported good relationship on mother-in-law and daughter-in-law, the risk of perinatal depressive emotion with poor or fair relationship was significantly increased (OR=1.37, 95% CI:1.02~1.84), and work-life conflict also significantly associated with the risk of perinatal depressive emotion (OR=2.25, 95% CI:1.73~2.92).Conclusion While there is no significant effect of the late stage of city closure on maternal depressive emotion, improving family function and family factors may contribute to decrease the risk of perinatal depressive emotion and to the psychological management of pregnant women during the COVID-19 pandemic.

Key words： COVID-19 pregnant women perinatal depressive emotion family factors

收稿日期: 2021-08-06

ZTFLH:

R17

基金资助:国家重点研发计划应急专项“新型冠状病毒传播的流行病学及防控策略评价研究(2020YFC0846300)”

通讯作者: 程瑶(chengyao2014@sina.com)

引用本文:

夏微娜, 孙国强, 赵菲霞, 张培莉, 程瑶. 新冠肺炎疫情下家庭因素对住院孕产妇抑郁情绪的影响[J]. 中国生育健康杂志, 2022, 33(6): 513-517. XIA Weina, SUN Guoqiang, ZHAO Feixia, ZHANG Peili, CHENG Yao. The effects of family factors on perinatal depressive emotion during the COVID-19 pandemic. Chinese Journal of Reproductive Health, 2022, 33(6): 513-517.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2022/V33/I6/513

1 Awano N,Oyama N,Akiyama K,et al.Comparison of Mental Health among Japanese Healthcare Workers at Two Points during the COVID-19 Pandemic.J Nippon Med Sch,2022,89:328-336.
2 Fu W,Han X,Liu Y,et al.Prevalence and Related Factors of Anxiety Among University Teachers 1 Year After the COVID-19 Pandemic Outbreak in China:A Multicenter Study.Front Psychiatry,2022,13:823480.
3 Curcio F,González CIA,Zicchi M,et al.COVID-19 Pandemic Impact on Undergraduate Nursing Students:A Cross-Sectional Study.Int J Environ Res Public Health,2022,19:8347.
4 Bataineh MF,Mohamad MN,Al Dhaheri AS,et al.Impact of coronavirus 2019 pandemic on post-traumatic stress disorder symptoms among pregnant women in Jordan.Womens Health (Lond),2022,18:17455057221112935.
5 Lee KS,Sung HK,Lee SH,et al.Factors Related to Anxiety and Depression Among Adolescents During COVID-19:A Web-Based Cross-Sectional Survey.J Korean Med Sci,2022,37:e199.
6 应对新型冠状病毒感染的肺炎疫情联防联控工作机制.关于印发新型冠状病毒感染的肺炎疫情紧急心理危机干预指导原则的通知.疾病预防控制局.[2020/1/27].http://www.nhc.gov.cn/jkj/s3577/202001/6adc08b966594253b2b791be5c3b9467.shtml [2021/5/1].
7 Iyengar U,Jaiprakash B,Haitsuka H,et al.One Year Into the Pandemic:A Systematic Review of Perinatal Mental Health Outcomes During COVID-19.Front psychiatry,2021,12:674194.
8 国务院应对新型冠状病毒感染的肺炎疫情联防联控机制.关于做好儿童和孕产妇新型冠状病毒感染的肺炎疫情防控工作的通知.中华人民共和国中央人民政府,[2020/2/2].http://www.gov.cn/xinwen/2020-02/02/content_5473939.htm[2021/5/1].
9 爨米荣,李艳红.产妇心理特征、分娩情况与家庭因素对产后抑郁的影响分析.医学理论与实践,2019,11:1781-1783.
10 Sherin KM,Sinacore JM,Li XQ,et al.HITS:A short domestic violence screening tool for use in a family practice setting.Fam Med,1998,30:508-512.
11 Chan C,Chan Y,Au A,et al.Reliability and validity of the "Extended - Hurt,Insult,Threaten,Scream" (E-HITS) screening tool in detecting intimate partner violence in hospital emergency departments in Hong Kong.Hong Kong J Emerg Me,2010,17:109-117.
12 Smilkstein G.The family APGAR:A proposal for a family function test and its use by physicians.J Fam Pract,1978,6:1231-1239.
13 Nan H,Lee PH,Ni MY,et al.Effects of depressive symptoms and family satisfaction on health related quality of life:the Hong Kong FAMILY study.PLoS One,2013,8:e58436.
14 Cox JL,Holden JM,Sagovsky R.Detection of postnatal depression.Development of the 10-item Edinburgh Postnatal Depression Scale.Br J Psychiatry,1987,150:782-786.
15 Lee DT,Yip SK,Chiu HF,et al.Detecting postnatal depression in Chinese women.Validation of the Chinese version of the Edinburgh Postnatal Depression Scale.Br J Psychiatry,1998,172:433-437.
16 张迎黎,张亚林,何影,等.几种常用家庭暴力评估工具介绍.中国临床心理学杂志,2010,18:320-322.
17 李朝阳,和爱林,王滨.新冠肺炎疫情期间居家隔离人员抑郁,焦虑,压力特点及其与人格,家庭功能的关系.河北联合大学学报(医学版),2020,22:207-213,232.
18 毋小茜.爱丁堡产后抑郁量表在产后抑郁症筛查中的应用.国际精神病学杂志,2020,47:343-346,354.
19 Gelaye B,Rondon MB,Araya R,et al.Epidemiology of maternal depression,risk factors,and child outcomes in low-income and middle-income countries.Lancet Psychiatry,2016,3:973-982.
20 林翔,郑丹,林雪凤,等.我国围产期抑郁症发生率的Meta分析.福建医药杂志,2017,39:131-133.
21 张蒙,张东颖,李依霖,等.新型冠状病毒肺炎疫情期间我国孕产妇心理健康状况调查.护理学杂志,2021,36:81-84.
22 Hasan MI.Paternal perinatal depression in LMICs and its impact on the next generation.Lancet Psychiatry,2018,5:468.
23 卢运萍,钟向真,李俊锋,等.842例高龄孕产妇心理健康影响因素及妊娠结局探讨.中国计划生育和妇产科,2019,11:51-54.
24 钱秋蝉,张丽君,黄倍倍,等.高危妊娠孕晚期孕妇抑郁状况评估及与家庭支持的相关性分析.中国妇幼保健,2020,35:1413-1415.