早产儿母亲产后抑郁患病率及影响因素的Meta分析

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Doi：10.3969/j.issn.1673—5293.2025.08.011

[中图分类号]R173 [文献标识码]A [文章编号]1673—5293（2025）08-0067-09

Prevalence and influencing factors of postpartum depression among mothers of preterminfants：ameta-analysis

U Jiaming1，GUO Xin1 ，DU Jiajia1 ，HU Xue²，ZHANG Shuowei1 ，PENG Junjiel，LI Yunchuan1 ，WU Yuanfang' （1.School of Nursing，Yunnan University of Traditional Chinese Medicine，Yunnan Kunming， 650500，China;2.DepartmentofNeonatology，The Affiliated Yan'an Hospital of KunmingMedicalUniversit，YunnanKunming65OO5l，China）

[Abstract]ObjetiveToinvestigatecurrentstatusand influencingfactorsofpostpartumdepressoninmothers whohadpreterm infantsby meta-analysis.MethodsPubMed，CochraneLibrary，WebofScience，Embase，Medine，Zhi.com，Wipo，China Biomedical Literature，and Wanfang databasesweresystematicallysearchedThesearchaimed toretrievecro-sectionalstudiesonsrenngor influencingfactorsofpostpartumdepresioninmothersofpreterminfantsfrombeginningofthedatabases’constructiontoApril 10，2024.Literaturesreening，dataextractionandualityassessmentsereperforedindependentlybytwoesearhersdmeta analysis was performedusing Stata14Osoftware.Results Therewere29 studiesincluded，involving4669studysubjectsand 26 influencing factors.Meta-analysis resultsshowed thatprevalenceof postpartumdepressoninmothersofpreterminfantswas 34.9% .Adverse mental health history OR=1.81，95%CI ：1.34-2.28），severity of preterm infant’scondition OR=3.33，95%CI ： 2.18-4.49），maternal stress level （OR=1.15，95%CI：1.04-1.26） ，negative maternal mood ⟨OR=3.23，95%CI：1.90–4.57⟩ ，use of invasive mechanical ventilation for preterm infant （OR=1.62，95%CI：1.03-2.54） ，worrying about prognosis of the preterm infant OR=2.48，95%CI ：1.58-3.39），worrying about development of preterm infant's intelligence （OR=5.43，95%CI：2.04-8.82） and lack of family support （OR=2.35，95%CI：1.32–3.38） were all influential factors for postpartum depression in mothers of preterm infants（all P<0.05 ）.Conclusion The prevalence of postpartum depression in mothers of preterm infants is high，and there are manyinfluencingfactors.Clinicalstaffshouldstrengthenscreeningandinterventionofpostpartudepresioninmothersof preter infants，ayatentiontomentalealthoftisgoupfopulationprovidpsyhoogicalareorpsyhologicalcounselingico as to improve quality of life in postpartum period of these mothers.

[Key words] postpartum depression;prevalence;influencing factor;preterm infant;mother;meta-analysis

产后抑郁（postpartum depression，PPD）作为一种普遍存在的心理健康挑战，是全球女性分娩后最常见的情绪障碍之一，症状可能包括但不局限于沮丧、悲伤、应付能力差等，严重者甚至会出现幻觉、杀婴或自杀等精神性障碍[1]。（剩余14578字）