產婦及其配偶之產後憂鬱與壓力

Depression and Stress of Women and Their Spouses During the Postpartum Period

本研究為探討產婦及其配偶於產後期間憂鬱與壓力之變化，以及夫妻間憂鬱與壓力之相關性。參與者為來自東部某區域醫院之產後婦女及其配偶，共116對夫妻參與。以臺灣版愛丁堡產後憂鬱量表和壓力知覺量表來評估產婦及其配偶於產後住院期間、產後1個月和2個月之憂鬱症狀與壓力程度。結果顯示，在產後住院期間到產後1個月，為婦女產後憂鬱症狀和配偶壓力程度的高峰期，於產後2個月時，婦女的憂鬱程度顯著下降，配偶則是在壓力程度有顯著下降。產後期間，相較於產婦無憂鬱症狀之配偶，產婦有憂鬱症狀的配偶，其憂鬱平均分數明顯較高，且產婦及其配偶之憂鬱程度呈正相關；在產後1個月和2個月，產婦及其配偶之壓力程度亦呈正相關。此結果可做為健康照護者在提供婦女產後期照護時，能同時關注其配偶之心理健康狀態與照護需求，在以家庭為中心之概念下，提供家庭所需的照護服務。

This study aims to examine changes and relationships between depressive symptoms and stress level in women and their spouses during the postpartum period. For this purpose, 116 postpartum women from a regional hospital in eastern Taiwan and their spouses were recruited in the study. The Taiwanese versions of the Edinburgh Postnatal Depression Scale and Perceived Stress Scale were used to assess the depressive symptoms and stress levels of the women and their spouses during the postpartum hospitalization period and at one and two months postpartum, respectively. Results indicated that the women's depressive symptoms and their spouses' stress level were the highest from postpartum hospitalization period to one month postpartum and decreased significantly at two months postpartum. During the postpartum period, the mean depression score of the spouses of postpartum women with depressive symptoms was significantly higher than that of the spouses of postpartum women without depressive symptoms, and the depression levels of the women and their spouses were positively correlated;, their stress levels were also positively correlated at one and two months postpartum. These results remind healthcare providers to pay attention to the mental health and needs of spouses while administering postpartum care to women, and to provide the services required by families under the family-centered care concept.