【摘要】 目的:探讨不同分娩方式与产妇产后发生抑郁情绪的相关性。方法:对314例产妇(自然分娩组152例,自愿剖宫产组86例,指征剖宫产组76例)进行问卷调查。结果:术后3 d自然分娩组抑郁发生率为19.7%,自愿剖宫产组为51.1%,指征剖宫产组为48.7%。术后3 d自然分娩组抑郁发生率均低于自愿剖宫产组和指征剖宫产组(P<0.01);术后1周自然分娩组抑郁发生率为23.0%,自愿剖宫产组为34.9%,指征剖宫产组为44.7%,术后1周自然分娩组产后抑郁发生率也低于自愿剖宫产组和指征剖宫产组(P<0.01);自愿剖宫产组及指征剖宫产组术后3 d的抑郁自评问卷得分较术前均显著升高(P<0.01),而自然分娩组抑郁自评问卷得分无显著变化(P>0.05);自愿剖宫产组术后1周的抑郁自评问卷得分较术后3 d显著降低(P<0.01),而自然分娩组和指征剖宫产组无显著变化(P>0.05)。结论:自愿剖宫产组及指征剖宫产组产妇抑郁发生率均高于自然分娩组,自愿剖宫产组产妇术后1周抑郁情况显著缓解。指征剖宫产组产妇术后1周抑郁情况维持在术后3 d的高水平,是今后护理工作的重点人群。更多还原

【Abstract】 Objective:To discuss the different between postpartum depression and delivery modes.Methods:314 parturient(natural delivery group 152 case,unnecessary cesarean section group 86 cases and necessary cesarean section group 76 cases) were investigated by questionnaires.Results: The occur rate of depression in natural delivery group was19.7%,23.0%,while 51.1%,34.9% for unnecessary cesarean section group and 48.7%,44.7% for necessary cesarean section group after 3 days and 1 week postpartum.The occur rate of depression in natural delivery group was lower than that in unnecessary cesarean section group and necessary cesarean section group(P<0.01).The BDI score of necessary and unnecessary cesarean section group enhanced after 3 days and the BDI score of unnecessary cesarean section group decreased significantly1 week while the natural delivery without significant changes(P>0.05).Conclusion: Postpartum depression rate of necessary and unnecessary cesarean section parturient were higher than natural delivery parturient and the depression after 1 week of unnecessary cesarean section parturient relieved.The depression of necessary cesarean section parturient after 1 week maintained as the third day level and is the focus of the nursing health education in future.更多还原