摘要
目的：探讨产后早期心理疏导联合新式助吸乳贴对产妇心理健康及母乳喂养率的影响。方法：2015年1月-2017年3月间在本院进行剖宫产分娩的初产妇120例,按照随机数表法分为对照组、观察组各60例。对照组产妇接受新式助吸乳贴干预,观察组产妇接受产后早期心理疏导联合新式助吸乳贴干预。对比两组产妇的抑郁评分、幸福感评分及母乳喂养情况差异。结果：干预前,两组产妇的爱丁堡产后抑郁量表（EPDS）评分、抑郁自评量表（SDS）评分及心理幸福感量表（PWBS）各个维度评分值差异无统计学意义。干预后,观察组产妇的EPDS评分、SDS评分水平均低于对照组患者（t=-16.52,-11.43;P〈0.05）;观察组产妇心理幸福感量表（PWBS）中独立自主、环境控制、个人成长、自我接纳、良好关系、生活目标各因子评分高于对照组（t=-7.58,-7.61,-8.30,-7.14,-7.24,-7.74;P〈0.05）。观察组产妇的初始泌乳时间短于对照组产妇（t=15.27,P〈0.05）,且产后72h母乳喂养率显著高于对照组产妇（χ^2=10.21,P〈0.05）。结论：剖宫产初产妇接受产后早期心理疏导联合新式助吸乳贴干预,有助于减轻抑郁情绪并增加主观幸福感,提升母乳喂养率。
Objective：To study the influence of early postpartum psychological counseling combined with new suction aid pads on mental health and breast feeding rate in delivery woman.Methods：A total of 120 cases of cesarean section primipara in our hospital during January 2015 to March 2017 were chosen as research subject,all women were randomly divided into control group and observation group each with 60 cases.Women in control group were treated with new suction aid pads intervention,those in observation group were treated with early postpartum psychological counseling combined with new suction aid pads intervention.The scores of depression,well-being and breastfeeding situation were compared between two groups.Results：Before intervention,there were no significant difference in EPDS scores,SDS scores and PWBS scores between two groups（P〈0.05）.After intervention,EPDS score and SDS score in observation group were lower than those in control group（t=-16.52,-11.43,P〈0.05）,independent,environmental control,personal growth,self acceptance,good relationship and life goal scores in PWBS were higher in observation group than those in control group（t=-7.58,-7.61,-8.30,-7.14,-7.24,-7.74,P〈0.05）.Initial time of lactation in observation group was shorter than that in control group,72 hpostpartum breastfeeding rate was higher than that in control group（t=15.27,χ^2=12.18,P〈0.05）.Conclusion：Cesarean section primiparas receive early postpartum psychological counseling combines with new suction pads help intervention,can help relieve depression and increase subjective well-being,improve the breastfeeding rate.
作者
刘俊华
LIU Junhua(Department of Obstetrics and Gynecology,Zhengzhou Traditional Chinese Medicine Hospital, Zhengzhou 450000, Chin)
出处
《中国健康心理学杂志》
2018年第5期679-682,共4页
China Journal of Health Psychology
基金
河南省中医药科学研究专项课题(编号:2016ZY3028)
关键词
产后早期心理疏导
新式助吸乳贴
心理健康
母乳喂养率
Early postpartum psychological counseling
New suction aid pads
Mental health
Breast feeding rate
