了解武汉地区妇幼保健机构的医师和护士对产妇产后抑郁(postpartum depression, PPD)的识别情况。

2009年3月至5月，采用分层整群随机抽样方法，对武汉市21家妇幼保健机构(综合性医院妇产科16家，妇幼保健院5家)产科的208位医护人员(样本1，n＝208，其中医师为106位，护士为102位)和精神医学专科机构(武汉市精神卫生中心)的116位精神卫生专业人员(样本2，n＝116，其中医师为57位，护士为59位)，分别让其完成《产妇产后抑郁症测试问卷》中有关产后抑郁症患者(患者1)的识别项目，阴性症状为主的精神分裂症患者(患者2)的识别项目。采用χ²检验对样本1和样本2的问卷结果进行比较分析(本研究遵循的程序符合武汉市精神卫生中心伦理委员会制定的伦理学标准，得到该委员会批准，并与研究对象签署知情同意书)。

样本1对患者1、患者2的分析正确率低于样本2的分析正确率(对患者1的分析结果正确率：医师为17.9% vs.75.4%，护士为0.0 vs.67.8%；对患者2：医师为10.4% vs.73.7%，护士为6.86% vs.69.5%)，样本1和样本2的分析结果正确率比较，差异有显著意义(P<0.001，P<0.001)。

妇幼保健机构医师和护士对产妇产后抑郁识别处理能力不足，有必要加强医护人员的精神医学知识培训。

To investigate the recognition of postpartum depression (PPD) among clinicians and nurses serving in the maternal and child care centers in Wuhan.

From March to May 2009, using stratified cluster randomization method, 106 clinicians and 102 nurses (sample 1, n=208) from 21 maternal and child care centers, and 57 clinicians and 59 nurses of mental health center (sample 2, n=116)were randomly selected and administered with Postpartum Depression Test Questionnaire (case 1: postpartum depression, case 2: Schizophrenia with predominantly negative symptoms). Comparative analysis on the answers of the test questionnaire of postpartum depression were made between sample 1 and sample 2 by χ² test. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Wuhan Mental Health Center. Informed consent was obtained from all participants.

The correct rates of the answers of postpartum depression test questionnaire from sample 1 were statistically lower than those of sample 2 between case 1 and case 2(P<0.001, P<0.001) (Case 1: The correct rates were 17.9% vs.75.4% and 0.0 vs.67.8% for clinicians and nurses respectively; Case 2: The correct rates were 10.4% vs.73.7% and 6.86%vs.69.5% for clinicians and nurses respectively).

The clinicians and nurses in maternal and child care centers were not fully capable of recognizing and treatment postpartum depression. It's necessary to strengthen the education of clinicians and nurses in psychiatry filed.