Centre for Clinical Nursing, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Queensland 4029, Australia.
Midwifery. 2011 Oct;27(5):745-9. doi: 10.1016/j.midw.2010.05.014. Epub 2010 Sep 29.
to evaluate the impact of social support on postnatal depression and health-related quality of life.
prospective cohort study. Data were collected at baseline and at six weeks post discharge using a postal survey.
between August and December 2008, 320 women from a large tertiary hospital were recruited following the birth of their infant.
Edinburgh Postnatal Depression Scale (EPDS), Maternity Social Support Scale and World Health Organization Quality of Life assessment questionnaire.
of the 320 women recruited, 222 (69.4%) returned their six-week questionnaire. Women with low social support had significantly higher scores on the EPDS than women who reported adequate support (p = 0.007). There was also a significant effect of social support on health-related quality of life. Women with low family or partner support scored lower in all domains, with the greatest mean difference in the social health domain (p = 0.000). Of those scoring >10 on the EPDS, 75.5% had sought professional help.
women with low social support are more likely to report postnatal depression and lower quality of life than well-supported women. Careful assessment of a woman's level of support following the birth, particularly from her partner and family, may provide useful information for possible interventions.
评估社会支持对产后抑郁和健康相关生活质量的影响。
前瞻性队列研究。数据于产后 6 周内通过邮寄问卷调查收集。
2008 年 8 月至 12 月，从一家大型三级医院招募了 320 名产妇。
爱丁堡产后抑郁量表（EPDS）、产妇社会支持量表和世界卫生组织生活质量评估问卷。
在招募的 320 名妇女中，有 222 名（69.4%）返回了她们的 6 周问卷。社会支持度低的妇女在 EPDS 上的得分明显高于报告有足够支持的妇女（p=0.007）。社会支持对健康相关生活质量也有显著影响。家庭或伴侣支持度低的妇女在所有领域的得分都较低，社会健康领域的平均差异最大（p=0.000）。在 EPDS 得分>10 的妇女中，75.5%寻求过专业帮助。
社会支持度低的妇女比支持度高的妇女更有可能报告产后抑郁和生活质量较低。产后对妇女的支持程度进行仔细评估，特别是来自其伴侣和家庭的支持程度，可能为可能的干预措施提供有用的信息。
