Department of Maternity (Maternity Department), Northwest Women's and Children's Hospital, Xi'an, Shaanxi, China.
Department of Pulmonary and Critical Care Medicine (PCCM), Shaanxi Provincial Hospital of Chinese Medicine, Xi'an, Shaanxi, China.
Medicine (Baltimore). 2024 Apr 5;103(14):e37658. doi: 10.1097/MD.0000000000037658.
To investigate the status quo and influencing factors of general postpartum well-being in primiparas, analyze its correlation with postpartum depression, and provide a theoretical foundation for enhancing the postpartum well-being of primiparas. From the start of November 2021 to the end of December 2021, the General Information Questionnaire, General Well-Being Scale, and the Edinburgh Postpartum Depression Scale were used to survey primiparas in a tertiary hospital, and the correlation between general well-being and postpartum depression was analyzed. We surveyed a total of 225 primiparas. The average score for general well-being in primiparas was 77.84 ± 6.83, and the total score for postpartum depression was 9.11 ± 2.51. Confinement location, planned pregnancy, pregnancy complications, neonatal sex, medical expenses, etc, had statistically significant effects on the general well-being scores (P < .05), whereas per capita monthly income, pregnancy complications, maternal and infant care skills, and medical expenses had statistically significant effects on postpartum depression scores (P < .05). Postpartum depression scores were negatively correlated with general well-being, health anxiety, energy, sad or happy mood, relaxation, and tension. There is a negative correlation between the general well-being of primiparas and postpartum depression, suggesting that in clinical care, the focus should be on primiparas with pregnancy complications, and psychological counseling should be provided in advance to prevent postpartum depression and the resulting decrease in well-being.
为了调查初产妇一般产后幸福感的现状和影响因素，分析其与产后抑郁的相关性，为提高初产妇产后幸福感提供理论依据。本研究采用一般资料问卷、总体幸福感量表和爱丁堡产后抑郁量表，于 2021 年 11 月初至 12 月底对某三级甲等医院的初产妇进行调查，分析一般幸福感与产后抑郁的相关性。共调查初产妇 225 名，初产妇一般幸福感总分为（77.84±6.83）分，产后抑郁总分为（9.11±2.51）分。居住地、是否计划妊娠、妊娠合并症、新生儿性别、医疗费用等对初产妇一般幸福感得分有统计学意义（P＜0.05），人均月收入、妊娠合并症、母婴照顾技巧、医疗费用等对产后抑郁得分有统计学意义（P＜0.05）。产后抑郁得分与一般幸福感呈负相关，与健康焦虑、精力、悲伤或快乐情绪、放松、紧张等维度呈负相关。初产妇一般幸福感与产后抑郁呈负相关，提示临床护理中应关注有妊娠合并症的初产妇，提前进行心理疏导，预防产后抑郁及幸福感降低。
