CAJ | 학술논문

目的探讨陪伴分娩对不同心理状态孕妇产后抑郁干预的策略,评价干预效果.方法将148例有焦虑倾向的孕妇按照焦虑水平的高低,有中、重度焦虑症状的35例孕妇作为干预组,干预组在分娩前、中、后由有经验的助产士陪伴分娩,包括接受4～6周的心理干预、讲授康复运动知识、帮助建立良好的社会支持系统、电话随访产妇心理状态等,有轻度焦虑症状的113名孕妇作为对照组,对照组按常规方法护理.在分娩后第3,42,180天采用爱丁堡产后抑郁量表测量两组抑郁产妇抑郁发生的情况.结果干预组和对照组产妇在产后第3天的抑郁症的发生率分别为28.6%和11.5%,干预组抑郁症的发生率高于对照组,差别有统计学意义(P<0.05),第42天、第180天两组抑郁症的发生率无明显差异(P>0.05),中、重度焦虑症状者经过陪伴分娩等护理,预后与轻度焦虑症状者相近.结论陪伴分娩能有效改善产妇的抑郁情绪,阻断产后抑郁症的发生.
목적 탐토배반분면대불동심리상태잉부산후억욱간예적책략,평개간예효과.방법 장148례유초필경향적잉부안조초필수평적고저,유중、중도초필증상적35례잉부작위간예조,간예조재분면전、중、후유유경험적조산사배반분면,포괄접수4～6주적심리간예、강수강복운동지식、방조건립량호적사회지지계통、전화수방산부심리상태등,유경도초필증상적113명잉부작위대조조,대조조안상규방법호리.재분면후제3,42,180천채용애정보산후억욱량표측량량조억욱산부억욱발생적정황.결과 간예조화대조조산부재산후제3천적억욱증적발생솔분별위28.6%화11.5%,간예조억욱증적발생솔고우대조조,차별유통계학의의(P<0.05),제42천、제180천량조억욱증적발생솔무명현차이(P>0.05),중、중도초필증상자경과배반분면등호리,예후여경도초필증상자상근.결론 배반분면능유효개선산부적억욱정서,조단산후억욱증적발생.
0bjective To explore the method of accompanying-childbearing to postpartum depression (PPD) and to evaluate its effects. Methods 148 pregnant women with anxious tendency were divided into two groups by anxious levels, 35 pregnant women in the interference group who have more anxiety before childbearing were given accompanying-childbearing nursing first midst and last, including a 4~6 weeks psychological intervention, lectures on postpartum, convalescent exercises, establishment of good social supportive system, and allowing postpartum patients to get psychological consuhancy at clinic or by telephone, the other 113 patients in the contrast group with low anxiety were given general nursing. At the end of 3d, 42d and 180d, the Edinburgh Postpartum Depression Scale (EPDS) were investigated in the two groups, and the rate of PPD was compared. Results At the end of 3d, the rate of PPD in the interference group (28.6%) was significantly higher than that in the contrast group (11.5%)(P<0.05), yet, at the 42d and 180d the rate of PPD between two groups was no difference (P>0.05). Conclusions Accompanying-childbearing can effectively improve the depression motion of the postpartum patients, and interrupt the occurrence of PPD.