摘要
目的本文探讨综合护理干预对高危妊娠孕妇产后抑郁的效果。方法选取2016年2月-2018年2月在蚌埠医学院第一附属医院住院的高危妊娠孕妇,分娩后2~5 d内诊断为产后抑郁者80例,按随机数字表法将其分为研究组和对照组,每组40例。对照组患者采用常规护理干预,研究组患者采用综合护理干预,比较2组患者护理质量、抑郁评分、焦虑评分以及护理前后的生活质量。结果研究组护理满意度高于对照组(P<0.05);研究组护理业务水平、护理态度、心理干预、健康宣教显著高于对照组(均P<0.05);护理干预后,2组患者抑郁和焦虑评分都有所降低,但是对照组结果不显著,研究组评分情况优于对照组(P<0.05);研究组患者生活质量高于对照组(P<0.05);研究组患者护理后社会功能、躯体功能、角色功能、认知功能显著高于对照组(均P<0.05)。结论高危妊娠孕妇产后抑郁发生率更高,对产妇身心健康和新生儿成长的影响更为严重,对高危妊娠产后抑郁患者进行综合护理干预,能有效降低患者的抑郁及焦虑评分,进一步提高患者的护理满意度及生活质量。
Objective To investigate the effect of comprehensive nursing intervention on postpartum depression in pregnant women with high risk of pregnancy.Methods Eighty-eight patients with postpartum depression diagnosed within 2-5 days after delivery from February 2016 to February 2018 in the first affiliated hospital of Bengbu medical college were randomly divided into study group and control group,with 40 cases in each group.Patients in the control group were treated with routine nursing intervention.The patients in the study group were treated with comprehensive nursing intervention.The quality of care,depression score,anxiety score and quality of life before and after treatment were compared.Results The nursing satisfaction of the study group was higher than that of the control group(P<0.05).The nursing service level,nursing attitude,psychological intervention,and health education of the study group were significantly higher than those of the control group,the differences were statistically significant(all P<0.05).After the nursing intervention,both groups of patients had depression and anxiety scores,but there were no significant.The score of the study group was better than that of the control group(P<0.05).The quality of life of the study group was higher than that of the control group(P<0.05).The social function,physical function,the functional and cognitive functions were significantly higher than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion The incidence of postpartum depression in high-risk pregnant women is higher,and the impact on maternal physical and mental health and neonatal growth is more serious.Adequate attention and nursing intervention should be given.Comprehensive nursing intervention for high-risk pregnancy patients with postpartum depression can effectively reduce the depression and anxiety scores of patients,and further improve the patients’nursing satisfaction and quality of life,which is worthy of further clinical promotion and applicati
作者
曹娟
王兰云
刘林
叶国柳
CAO Juan;WANG Lan-yun;LIU Lin(Department of Obstetrics and Gynecology,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui 233004,China)
出处
《中华全科医学》
2019年第11期1948-1950,1972,共4页
Chinese Journal of General Practice
基金
安徽省高校自然科学研究项目(KJ2016A482)
关键词
高危妊娠孕妇
产后抑郁
危险因素
综合护理
High-risk pregnant women
Postpartum depression
Risk factors
Comprehensive nursing care
