首页> 中文期刊> 《中华现代护理杂志》 >城市核心家庭妇女产后抑郁与社会支持及应对方式的关系分析

城市核心家庭妇女产后抑郁与社会支持及应对方式的关系分析

摘要

Objective To understand the relation among postnatal depression , social support and coping style among women in urban nuclear family .Methods One hundred and fifty lying-in women in urban nuclear family were surveyed by the social support rating scale ( SSRS ) , simplified coping style questionnaire (SCSQ) and Edinburgh postnatal depression scale ( EPDS), and the data were analyzed by the Pearson correlation and logistic regression .Results One hundred and fifty questionnaires were issued and 132 questionnaires were responsive with an effective response rate of 88.0%.The scores of objective support , subjective support, utilization of social support and total SSRS were respectively (10.00 ±2.99), (26.32 ± 4.72), (8.11 ±1.73), and (44.31 ±7.02).The scores of positive and negative coping style were respectively (26.80 ±4.65), (10.61 ±3.65).The score of EPDS was (8.33 ±1.87), and the incidence rate of postnatal depression was 22.73%.The scores of total SSRS and each dimension , positive coping style were negatively related to the score of EPDS (P<0.01), and the score of negative coping style was positively related to the score of EPDS (P<0.01).Multiple linear regression analysis revealed that subjective support , positive and negative coping style were influence in the postnatal depression (P<0.05).Conclusions The incidence rate of postnatal depression among women in urban nuclear family is at high level , and the social support and coping style are important influence factors of postpartum depression .We should develop the positive coping skills in lying-in women, and establish the perfect social support system so as to reduce the incidence of postnatal depression .%目的:了解中国城市核心家庭妇女产后抑郁现状及其与社会支持、应对方式的相关性。方法对150名城市核心家庭产妇施测社会支持评定量表(SSRS)、简易应对方式问卷(SCSQ)和爱丁堡产后抑郁量表( EPDS),对调查结果进行相关和回归分析。结果共发放问卷150份,回收有效问卷132份,有效回收率为88.0%。城市核心家庭产妇客观支持、主观支持、支持利用度得分分别为(10.00±2.99),(26.32±4.72),(8.11±1.73)分,SSRS总分为(44.31±7.02)分;积极应对和消极应对得分分别为(26.80±4.65),(10.61±3.65)分;EPDS得分(8.33±1.87)分,抑郁发生率为22.73%。 SSRS总分及各维度得分及积极应对均与EPDS得分呈负相关(P<0.01),而消极应对与EPDS得分呈正相关(P<0.01)。多元线性逐步回归分析结果显示,主观支持、积极应对和消极应对是产后抑郁的影响因素。结论中国城市核心家庭妇女产后抑郁发生率仍然较高,社会支持和应对方式是产后抑郁的重要影响因素,应培养产妇积极的应对技巧,构建完善的社会支持体系,以减少产后抑郁的发生。

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