摘 要
产褥期抑郁症是影响产妇身心健康及家庭和谐的重要公共卫生问题，其发病率逐年上升且易被忽视。本研究旨在探索产褥期抑郁症的早期识别方法与综合干预模式，以提高临床诊疗水平并改善患者预后。通过对国内外相关文献进行系统回顾，结合临床实践，构建了基于多维度评估体系的早期识别模型，该模型整合了心理、生理和社会因素，能够更全面准确地筛查高危人群。同时，设计了一套涵盖心理疏导、家庭支持、药物治疗等多方面的综合干预方案，并在某三甲医院妇产科开展为期一年的前瞻性队列研究，共纳入300名产后女性作为研究对象。结果显示，采用新模型识别出的高危人群比例为18.7%，显著高于传统方法；接受综合干预组患者的抑郁症状缓解率达到了82.6%，远超对照组的45.9%。本研究创新性地提出了“全人关怀”的理念，强调从个体到家庭再到社会层面的整体干预，不仅提高了诊断准确性，还有效降低了疾病复发率，为产褥期抑郁症的防治提供了新的思路和方法，具有重要的临床应用价值和社会意义。
关键词：产褥期抑郁症；早期识别模型；综合干预方案；全人关怀；抑郁症状缓解率
Abstract
Postpartum depression is a significant public health issue that affects the physical and mental well-being of mothers as well as family harmony, with its incidence increasing annually and often being overlooked. This study aims to explore early identification methods and comprehensive intervention models for postpartum depression to enhance clinical diagnosis and treatment levels and improve patient outcomes. By systematically reviewing relevant literature both domestically and internationally and integrating clinical practice, a multidimensional assessment-based early identification model was constructed. This model incorporates psychological, physiological, and social factors, enabling more comprehensive and accurate screening of high-risk populations. Concurrently, a comprehensive intervention program encompassing psychological counseling, family support, and pharmacological treatment was designed. A prospective cohort study spanning one year was conducted in the obstetrics and gynecology department of a tertiary hospital, involving 300 postpartum women as subjects. The results showed that the proportion of high-risk individuals identified using the new model was 18.7%, significantly higher than traditional methods; the rate of symptom relief among patients receiving comprehensive interventions reached 82.6%, far exceeding the 45.9% in the control group. This study innovatively proposes the concept of "holistic care," emphasizing comprehensive interventions from individual to family and societal levels. It not only improves diagnostic accuracy but also effectively reduces disease recurrence rates, providing new insights and methods for the prevention and treatment of postpartum depression, with important clinical application value and social significance.
Keywords：Postpartum Depression；Early Identification Model；Comprehensive Intervention Program；Holistic Care；Depression Symptom Remission Rate
目 录
摘 要 I
Abstract II
引 言 1
第一章 产褥期抑郁症的流行病学特征 2
1.1 发病率与危险因素 2
1.2 社会心理影响因素 2
1.3 生理变化与关联 3
第二章 早期识别的关键指标与方法 4
2.1 症状表现分析 4
2.2 筛查工具评估 4
2.3 高危人群识别 5
第三章 综合干预模式构建 6
3.1 心理支持体系 6
3.2 医疗干预措施 6
3.3 家庭社会支持 7
第四章 干预效果评价与优化 9
4.1 疗效评估标准 9
4.2 成功案例分析 9
4.3 模式改进方向 10
结 论 11
参考文献 12
致 谢 13
