摘要
目的探讨助产士主导的护理模式在产后抑郁产妇中的效果。方法选取2021年1月至2022年1月诸暨市人民医院收治的产后抑郁患者400例,采用随机数字表法将其分为观察组(n=200)和对照组(n=200)。两组患者均接受相同的治疗,对照组接受常规心理护理,观察组接受助产士主导的护理模式。比较两组患者护理前及护理4周后爱丁堡产后抑郁量表(Edinburgh postnatal depression scale,EPDS)得分、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)得分、抑郁自评量表(self-rating depression sale,SDS)得分及世界卫生组织生活质量测定简表(World Health Organization quality of life-brief,WHOQOL-BREF)得分,以及护理4周后的疗效。结果护理前,两组EPDS、HAMD-17及SDS得分比较,差异均无统计学意义(P>0.05);护理4周后,两组EPDS、HAMD-17及SDS得分均低于护理前,且观察组的EPDS、HAMD-17及SDS得分均低于对照组,差异均有统计学意义(P<0.05)。护理前,两组的WHOQOL-BREF总分以及各维度得分比较,差异均无统计学意义(P>0.05);护理4周后,两组WHOQOL-BREF总分及各维度得分均高于护理前,且观察组的WHOQOL-BREF总分及各维度得分均高于对照组,差异均有统计学意义(P<0.05)。观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论助产士主导的护理模式可以有效降低产妇产后抑郁的发生率,提高产后的生活质量,对促进产妇心理健康方面具有积极的意义。
Objective To explore the effect of midwifery-led nursing mode in postpartum depression.Methods A total of 400 patients with postpartum depression admitted to Zhuji People's Hospital from January 2021 to January 2022 were divided into observation group(n=200)and control group(n=200)according to random number table method.All patients were received the same treatment,patients in the control group were received conventional nursing method,and patients in the observation group were received midwifery-led nursing method.The Edinburgh postpartum depression scale(EPDS)score,Hamilton depression scale(HAMD)score,self-rating depression scale(SDS)score and the World Health Organization quality of life-bref(WHOQOL-BREF)score were compared between the two groups before and after 4 weeks of nursing.The curative effect was compared between the two groups after 4 weeks of nursing.Results Before nursing,there were no significant difference in EPDS,HAMD and SDS scores between the two groups(P>0.05).After 4 weeks of nursing,EPDS,HAMD and SDS scores of the two groups were lower than those before the nursing period,and EPDS,HAMD and SDS scores of the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in WHOQOL-BREF total scores and scores in various dimensions between the two groups(P>0.05).After 4 weeks of nursing,the total WHOQOL-BREF scores and the scores of each dimension were higher in the two groups than before nursing,and the total WHOQOL-BREF scores and the scores of each dimension in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The overall response rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The midwife-led nursing model can effectively reduce the incidence of postpartum depression and improve the quality of life after
作者
宣文
周婷
寿丹红
XUAN Wen;ZHOU Ting;SHOU Danhong(Department of Obstetrics,Zhuji People's Hospital,Zhuji 311800,Zhejiang,China)
出处
《中国现代医生》
2023年第11期91-94,共4页
China Modern Doctor
关键词
助产士
产后抑郁
护理
疗效
心理健康
Midwifery
Postpartum depression
Nursing
Curative effect
Mental health
