摘要
目的探讨孕期心理健康教育联合护理干预对产后抑郁的预防效果。方法选取2013年12月至2014年12月在我院分娩的180例孕妇,按照随机数表法将他们分为观察组(90例)和对照组(90例),对照组孕妇在孕期进行常规干预,观察组孕妇在此基础之上进行心理健康教育联合护理干预,对所有的孕妇在孕期中每月进行一次随访,产前产后均对孕妇进行HAMD评分和SDS评分。结果干预后,观察组汉密尔顿抑郁量表(HAMD)评分和抑郁自评量表(SDS)评分(12.67±1.89、36.19±4.09)分低于对照组(14.81±2.09、38.65±7.21)分,差异具有统计学意义(P<0.05);干预后,观察组产后14天和28天发生抑郁症情况3.33%(3/90),2.22%(2/90)小于对照组15.56%(14/90),14.44(13/90),两组比较,具有统计学意义(P<0.05);干预后,观察组产妇对护理的满意度(98.89%)也明显的高于对照组(84.44%),两组比较,具有统计学意义(P<0.05);观察组产孕妇孕期不同时间段焦虑症发生的情况与对照组相比,无统计学意义(P>0.05)。结论对孕妇孕期进行心理健康教育并且联合护理干预,能够有效减少产后抑郁症的发生。
Objective To investigate the mental health education combined with pregnancy prevention effect of nursing intervention on postpartum depression. Methods From December 2013 to December 2014 in our hospital,180 cases of pregnant women were divided into observation group（90 cases）and control group（90 cases）according to the random number table method. The patients in the control group were given routine nursing care;the patients in the intervention group were given mental health education and nursing intervention on basis of the control group. All the pregnant women were followed up every month during pregnancy. and the HAMD and SDS were used to assess the pregnant women before and after intervention. Results After the intervention,HAMD score and SDS scores of the observation group were significant（12.67±1.89,36.19±4.09）lower than that in the control group（14.81±2.09,38.65±7.21）（P〈0.05）;the occurrence of depression（3.33%,2.22%）of the observation group were significant less than that in the control group（15.56%,14.44）,two groups was statistically（P〈0.05）;maternal satisfaction of the observation group（98.89%）was significant higher than that in the control group（84.44%）（P〈0.05）;there was no significant difference between two groups on anxiety happening rate（P〉 0.05）. Conclusion The mental health education combined with nursing intervention during pregnancy can effectively reduce the occurrence of postpartum depression.
出处
《国际精神病学杂志》
2016年第3期532-535,共4页
Journal Of International Psychiatry
关键词
产后抑郁
心理教育
预防效果
护理干预
Postpartum depression
Psychological education
Preventive effect
Nursing Intervention
