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影响沙特女性产后抑郁的因素:一项横断面描述性研究。

Factors influencing postpartum depression in Saudi women: a cross-sectional descriptive study.

机构信息

Community Nursing Department, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

Womens Health Nurs. 2024 Jun;30(2):164-173. doi: 10.4069/whn.2024.06.18. Epub 2024 Jun 28.

Abstract

PURPOSE

This study aimed to investigate the prevalence of postpartum depression (PPD) and stress, as well as factors influencing PPD, among women in Saudi Arabia.

METHODS

This study employed a cross-sectional online survey and recruited participants during postpartum visits to the Clinic of Gynecology and Obstetrics in Al-Khobar, Saudi Arabia. Data collection was done using Arabic versions of the Edinburgh Postnatal Depression Scale, Perceived Stress Scale, and a sociodemographics and obstetric history questionnaire. Descriptive and inferential analyses were conducted, including multiple linear regression using a stepwise method.

RESULTS

Data from the 270 participants showed low levels of postpartum depressive symptoms with a mean score of 2.54±4.5 and low levels of perceived stress with a mean score of 2.49±6.2. While 94.4% of the participants reported low levels of stress and PPD, 5.6% reported elevated levels (≥10 for PPD, ≥14 for stress). The stepwise regression analysis showed significant results (p<.001), accounting for 34% of the variance in PPD. The factors significantly influencing PPD included the type of family, stress, number of abortions, disease during pregnancy, and family income. Importantly, perceived stress emerged as a factor influencing PPD.

CONCLUSION

Although the majority of participants exhibited low levels of PPD, about 1 in 18 showed elevated levels. The identification of significant influencing factors highlights the need for targeted interventions to effectively address mental health concerns in postpartum women.

摘要

目的

本研究旨在调查沙特阿拉伯女性产后抑郁(PPD)和压力的流行情况,以及影响 PPD 的因素。

方法

本研究采用横断面在线调查,在沙特阿拉伯阿尔科巴尔妇科和产科诊所的产后访视期间招募参与者。使用阿拉伯语版的爱丁堡产后抑郁量表、感知压力量表和社会人口学及产科史问卷收集数据。进行描述性和推断性分析,包括使用逐步法的多元线性回归。

结果

来自 270 名参与者的数据显示,产后抑郁症状水平较低,平均得分为 2.54±4.5,感知压力水平较低,平均得分为 2.49±6.2。虽然 94.4%的参与者报告压力和 PPD 水平较低,但 5.6%的参与者报告压力和 PPD 水平升高(PPD≥10,压力≥14)。逐步回归分析显示有显著结果(p<.001),可解释 PPD 变异的 34%。显著影响 PPD 的因素包括家庭类型、压力、堕胎次数、妊娠期间的疾病和家庭收入。重要的是,感知压力是影响 PPD 的一个因素。

结论

尽管大多数参与者表现出较低水平的 PPD,但约 1/18 表现出较高水平。确定显著影响因素突出了需要针对产后妇女的心理健康问题进行有针对性的干预。

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