| 曹珊,徐佳军,康玉坤,王鹏,金敏.中国传统产后实践与产后抑郁的关系[J].四川精神卫生杂志,2025,(4):321-326.Cao Shan,Xu Jiajun,Kang Yukun,Wang Peng,Jin Min,Relationship between traditional Chinese postpartum practices and postpartum depression[J].SICHUAN MENTAL HEALTH,2025,(4):321-326 |
| 中国传统产后实践与产后抑郁的关系 |
| Relationship between traditional Chinese postpartum practices and postpartum depression |
| 投稿时间：2024-08-05 |
| DOI：10.11886/scjsws20240805001 |
| 中文关键词: 中国传统产后实践 坐月子 产后抑郁 |
| 英文关键词:Traditional Chinese postpartum practices Doing the month Postpartum depression |
| 基金项目: |
|
| 摘要点击次数: |
| 全文下载次数: |
| 中文摘要: |
| 背景 产后抑郁会影响产妇身心健康及育儿质量，多数中国产妇会在产后进行中国传统产后实践（俗称“坐月子”），中国传统产后实践可能减轻或加重产后抑郁，研究结果不一致。目的 探索中国传统产后实践与产后抑郁的关系，为降低产妇产后抑郁的发生风险提供参考。方法 连续选取2024年1月—5月在绵阳市中心医院和绵阳市第三人民医院产科生产的240名产妇。采用自编问卷收集产妇的基本资料，采用中文版爱丁堡产后抑郁量表（EPDS）、社会支持评定量表（SSRS）、患者健康问卷躯体症状群量表（PHQ-15）、坐月子一般依从性问卷（ADP）、自编坐月子行为认可度问卷分别评定产后抑郁情绪、社会支持程度、躯体症状严重程度、对坐月子行为的依从性及认可度。计算ADP与坐月子行为认可度问卷评分差值的绝对值（A值）以反应产妇坐月子的认知行为冲突程度。采用Pearson相关分析考查产妇中文版EPDS评分与SSRS评分、PHQ-15评分、ADP各维度评分、认可度各维度评分以及A值的相关性。采用Logistic回归分析考查产妇产后抑郁的影响因素。结果 产妇产后抑郁检出率为22.50%，产妇中文版EPDS评分为（6.21±5.00）分，ADP总评分为（70.05±20.57）分，SSRS评分为（41.96±6.96）分，PHQ-15评分为（4.63±3.77）分，坐月子行为认可度问卷总评分为（40.30±10.13）分，A值为（0.65±0.58）。相关分析结果显示，产妇中文版EPDS评分与ADP总评分及社交限制、饮食禁忌、避免劳动、卫生维度评分均呈负相关（r=-0.228、-0.146、-0.184、-0.275、-0.168，P<0.05或0.01），与A值呈正相关（r=0.161，P<0.05）。Logistic回归分析结果显示，ADP避免劳动维度进入模型（OR=0.930，95% CI：0.885 ~0.978）。结论 中国传统产后实践的避免劳动维度可能是产后抑郁的保护性因素。 |
| 英文摘要: |
| Background Postpartum depression can affect the physical and mental health of mothers and the quality of parenting. Most Chinese women perform traditional postpartum practices （commonly known as "doing the month"） after giving birth， while the existing findings are inconsistent and inconclusive regarding the potential of traditional Chinese postpartum practices to alleviate or exacerbate postpartum depression.Objective To explore the relationship between traditional Chinese postpartum practices and postpartum depression， so as to provide references for reducing the risk of postpartum depression.Methods A total of 240 consecutive women who gave birth in the obstetrics department of the Mianyang Central Hospital and the Third Hospital of Mianyang from January to May 2024 were selected. Data were collected using Self-designed General Information Questionnaire， Chinese version of the Edinburgh Postnatal Depression Scale （EPDS）， the Social Support Rating Scale （SSRS）， the Patient Health Questionnaire-15 （PHQ-15）， the Adherence to Doing-the-Month Practices questionnaire （ADP）， and the Self-compiled Questionnaire on the Cognition of Doing-the-Month. The absolute value （A value） of the difference between scores of ADP and Cognition of Doing-the-Month Questionnaire was calculated to evaluate the degree of cognitive behavioral conflict of postpartum women. Pearson correlation analysis was performed to examine the correlations of EPDS score with SSRS score， PHQ-15 score， ADP total and dimensional scores， Cognition of Doing-the-Month Questionnaire total and dimensional scores， and A value. Logistic regression analysis was conducted to identify the protective and risk factors for developing postpartum depression.Results The postpartum depression was detected in 22.50% of women. The postpartum women had a EPDS score of （6.21±5.00）， ADP score of （70.05±20.57）， SSRS score of （41.96±6.96）， PHQ-15 score of （4.63±3.77）， and Cognition of Doing-the-Month questionnaire score of （40.30±10.13）. The A value was （0.65±0.58）. Correlation analysis revealed that EPDS score was negatively correlated with the total ADP score and the four dimensional scores of the restrictions on social activities， diet， housework， and personal hygiene （r=-0.228， -0.146， -0.184， -0.275， -0.168， P<0.05 or 0.01）， and positively correlated with the A value （r=0.161， P<0.05）. Logistic regression analysis indicated that restriction on housework dimension in ADP was entered into the model （OR=0.930， 95% CI： 0.885~0.978）.Conclusion The restriction on housework dimension in traditional Chinese postpartum practices may be a protective factor against postpartum depression. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |