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目的了解湖南省妇幼保健机构产后抑郁症的防治能力和需求状况,为下一步有针对性地开展产后抑郁症防治,制定适合三级妇幼保健网络的孕产期心理保健方案奠定基础。方法采取多阶段随机整群抽样的方法抽取湖南省16家妇幼保健机构和179位医务人员,采用问卷调查机构的基本情况、医务人员对产后抑郁症干预的认知情况。结果在16所调查的妇幼保健机构中,开展了产后抑郁症筛查的机构7所,占43.8%,开展了心理咨询门诊的4所,占25.0%,配备了心理疏导、心理治疗设施设备的2所,占12.5%。179名被调查的医务人员中,有68.7%的认为所在机构对产后抑郁症的防治不能满足孕产妇的需求。结论全省妇幼保健机构对产后抑郁症的识别和干预机制不健全,网络覆盖不全面,医务人员的服务能力不强,下一步应逐步完善防治网络和强化能力建设。
Objective To understand the prevention and treatment of postpartum depression and its demand status in MCH institutions in Hunan Province and lay a foundation for further prevention and treatment of postpartum depression and the formulation of maternal and psychological health care programs suitable for MCHCS. Methods A total of 16 maternal and child health care institutions and 179 medical staff in Hunan Province were sampled by multistage randomized cluster sampling. The basic situation of the questionnaire investigation agency and the cognition of medical staff on postpartum depression intervention were investigated. Results Of the 16 maternal and child health institutions surveyed, 7 were postpartum depression screening institutions (43.8%), 4 were psychological counseling clinics (25.0%), and were equipped with psychological counseling and psychotherapy facilities 2, accounting for 12.5%. Of the 179 medical staff surveyed, 68.7% believed that their institution’s prevention and treatment of postpartum depression can not meet the needs of pregnant women. Conclusion The MCH institutions in the province do not have a sound mechanism for identifying and intervening postpartum depression. The coverage of the network is not comprehensive and the medical staff’s service ability is not strong. The next step should be to gradually improve the prevention and control network and strengthen the capacity building.