摘要
目的探讨循证护理模式对自然分娩产妇产后抑郁的影响。方法选取产科足月自然分娩的产褥期产妇100例,随机分为循证护理组(P组)和常规护理组(N组),各50例。N组仅进行常规护理和健康教育,P组在N组的基础上实施循证护理干预。观察2组产妇产后第1、3天和第1、3、6周爱丁堡产后抑郁量表(EPDS)评分及产后抑郁症的发生情况。结果 2组产后EPDS评分均呈升高趋势,均于产后第1周EPDS评分达到最大值,之后降低,2组间比较,在产后第3天、第1周、第3周,P组EPDS评分显著低于N组,差异有统计学意义(P<0.01)。P组产后第1周产后抑郁发生率低于N组,差异有统计学意义(P<0.05)。结论对自然分娩产妇采用循证护理模式进行护理,能够改善产妇产后不良的心理状态,降低产后抑郁的发生。
Objective To investigate the influence of evidence-based nursing on postpartum depression of puerperal women after spontaneous labor. Methods A total of 100 puerperal women with spontaneous labor were selected and randomly divided in to an evidence-based nursing group （ Group P , = 50） and a routine nursing group （ Group N, n = 50 ） . Both of two groups were givenroutine nursing and health education, and the group P received the evidence-based nursing intervention. The Edinburgh postnatal depression scale （EPDS） was used to measure the level of depression at 1d ,3 d , lw ,3 w and 6 w after postpartum . The score of EPDS and the occurrence of postpartum depression were compared between two groups. Results Both two groups had an increased EPDS score, which reached its maximum level at 1 week after postpartum. The EPDS score in group P was lower than that of group N at day 3 , 1 week, 3 week after postpartum （P 〈0. 01 ） . the incidence of postpartum depression was lower in group P than that of group at first week after postpartum （ P 〈 0. 05） . Conclusion The evidence-based nursing is effective in improving the adverse psychological state of puerperal women and reducing the occurrence of postpartum depression.
出处
《中西医结合护理（中英文）》
2016年第7期103-105,共3页
Journal of Clinical Nursing in Practice
关键词
循证护理
产后抑郁
自然分娩
心理护理
evidence-based nursing
postpartum depression
spontaneous labor
psychological nursing
