Thực trạng trầm cảm sau sinh và một số yếu tố liên quan ở bà mẹ có con đang điều trị tại khoa sơ sinh Bệnh viện Phụ sản tỉnh Nam Định năm 2024=Prevalence of postpartum depression and some related factors in mothers whose children are being treated at the neonatal department, Nam Dinh Obstetrics and Gynecology hospital in 2024

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Tác giả: Thanh Hà Lê, Thanh Tùng Lê, Thị Hương Mai, Thị Thanh Tâm Nguyễn, Văn Tuấn Nguyễn, Thị Thanh Hương Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2024

Mô tả vật lý: tr.177-187

Bộ sưu tập: Báo, Tạp chí

ID: 486068

Thêm vào giỏ

Mục tiêu: Mô tả thực trạng trầm cảm sau sinh và một số yếu tố liên quan của bà mẹ có con đang điều trị tại khoa sơ sinh tại bệnh viện Phụ sản tỉnh Nam Định. Đối tượng và phương pháp nghiên cứu: Thiết kế nghiên cứu mô tả cắt ngang. Khảo sát được thực hiện cho 200 bà mẹ trực tiếp chăm sóc con đang điều trị nội trú tại Khoa Sơ sinh Bệnh viện Phụ sản tỉnh Nam Định. Sử dụng bộ công cụ EPDS là bộ công cụ đã được chuẩn hóa để đánh giá tỷ lệ trầm cảm sau sinh để thu thập số liệu trong thời gian từ tháng 04 đến tháng 06 năm 2024. Kết quả: Tỷ lệ trầm cảm sau sinh ở đối tượng phụ nữ tại địa bàn nghiên cứu là 29,5%. Bà mẹ có sức khỏe khi mang thai yếu, không hài lòng về hôn nhân, ở thành phố, có trình độ học vấn chưa tốt nghiệp PTTH, mang thai ngoài dự định với lần lượt OR là 18,939
6,685
5,712
5,283
3,756 so với những bà mẹ khác, sự khác biệt có ý nghĩa thống kê với p <
0,05. Bà mẹ có trẻ có tình trạng có cân nặng khi sinh <
2500g, tình trạng bệnh nặng, trẻ không chịu bú (chịu ăn sữa ngoài), trẻ quấy khóc nhiều, thời gian trẻ nằm viện trên 15 ngày, Bà mẹ hiện tại có 3 con trở lên có OR là 12,725
11,671
9,046
5,300
10,169
6,644)
4,330756 so với những bà mẹ có con khác, sự khác biệt có ý nghĩa thống kê với p <
0,05. Bà mẹ là người sống chung với gia đình nhà chồng, không hài lòng về cuộc sống hôn nhân, gia đình có tình trạng kinh tế khó khăn, gia đình hay mâu thuẫn đều là yếu tố gây tăng nguy cơ trầm cảm với p, OR lần lượt (p <
0,001, OR = 2,737)
(p <
0,01, OR = 4,376). Kết luận: Nguy cơ mắc trầm cảm sau sinh là một vấn đề sức khỏe đáng được quan tâm, tìm hiểu, để có hướng giải quyết cũng như điều trị, dự phòng và giáo dục tiền sản, cũng như tạo sự quan tâm của gia đình và nhân viên y tế, cộng đồngObjective: Describe the current status of postpartum depression and some related factors of mothers with children being treated at the neonatal department at Nam Dinh Provincial Obstetrics and Gynecology Hospital. Research subjects and methods: Cross-sectional descriptive research design. The survey was conducted for 200 mothers who directly cared for their children being treated as inpatients at the Neonatal Department of Nam Dinh Provincial Obstetrics and Gynecology Hospital. Using the EPDS toolkit, a standardized toolkit to assess the rate of postpartum depression, data were collected from April to June 2024. Research results: The rate of postpartum depression in women in the study area was 29.5%. Mothers had poor health during pregnancy, were dissatisfied with their marriage, lived in the city, had less than a high school education , and had an unplanned pregnancy with ORs of 18.939
6.685
5.712
5.283
3.756 compared to other mothers, the difference is statistically significant with p <
0.05. Mothers with children with birth weight <
2500g, serious illness, children refusing to breastfeed (refuse to eat formula), children crying a lot, children staying in hospital for more than 15 days, mothers with 3 or more children have ORs of 12.725
11.671
9.046
5.300
10.169
6.644)
4.330756 compared to mothers with other children, the difference is statistically significant with p <
0.05. Mothers who live with their husband’s family, are not satisfied with their married life, have a difficult economic situation, or have family conflicts are all factors that increase the risk of depression with p, OR respectively (p <
0.001, OR = 2.737)
(p <
0.01, OR = 4.376). Conclusion: The risk of postpartum depression is a health issue that deserves attention and research, in order to find solutions as well as treatment, prevention and prenatal education, as well as to attract the attention of families, medical staff and the community

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