中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
9期
74-76
,共3页
产后抑郁症%干预%心理护理%孕产期
產後抑鬱癥%榦預%心理護理%孕產期
산후억욱증%간예%심리호리%잉산기
Postpartum depression%Intervention%Psychological care%Maternal
目的：探讨全程护理干预对降低产后抑郁症发生率的作用。方法：选取2012年8月-2013年12月在本院进行产前检查、住院分娩、无精神病史且初中以上文化程度的260例孕产妇，按照随机数字表法将其分为对照组和观察组各130例。对照组给予常规孕产期保健和护理，观察组给予产前、产时、产后1~6周的全程护理干预，由经过问卷调查培训的产科护士用抑郁量表（SDS）于产妇出院前测评，汉密顿抑郁量表（HAMD）进行复评，观察比较两组孕产妇的产后抑郁发生率。结果：两组采取护理干预措施前，孕期危险因素比较差异均无统计学意义（P>0.05），观察组产后抑郁发生率明显低于对照组，差异有统计学意义（P<0.05）。结论：实施孕产期全程护理干预可有效降低产后抑郁症的发生率，值得在临床上推广。
目的：探討全程護理榦預對降低產後抑鬱癥髮生率的作用。方法：選取2012年8月-2013年12月在本院進行產前檢查、住院分娩、無精神病史且初中以上文化程度的260例孕產婦，按照隨機數字錶法將其分為對照組和觀察組各130例。對照組給予常規孕產期保健和護理，觀察組給予產前、產時、產後1~6週的全程護理榦預，由經過問捲調查培訓的產科護士用抑鬱量錶（SDS）于產婦齣院前測評，漢密頓抑鬱量錶（HAMD）進行複評，觀察比較兩組孕產婦的產後抑鬱髮生率。結果：兩組採取護理榦預措施前，孕期危險因素比較差異均無統計學意義（P>0.05），觀察組產後抑鬱髮生率明顯低于對照組，差異有統計學意義（P<0.05）。結論：實施孕產期全程護理榦預可有效降低產後抑鬱癥的髮生率，值得在臨床上推廣。
목적：탐토전정호리간예대강저산후억욱증발생솔적작용。방법：선취2012년8월-2013년12월재본원진행산전검사、주원분면、무정신병사차초중이상문화정도적260례잉산부，안조수궤수자표법장기분위대조조화관찰조각130례。대조조급여상규잉산기보건화호리，관찰조급여산전、산시、산후1~6주적전정호리간예，유경과문권조사배훈적산과호사용억욱량표（SDS）우산부출원전측평，한밀돈억욱량표（HAMD）진행복평，관찰비교량조잉산부적산후억욱발생솔。결과：량조채취호리간예조시전，잉기위험인소비교차이균무통계학의의（P>0.05），관찰조산후억욱발생솔명현저우대조조，차이유통계학의의（P<0.05）。결론：실시잉산기전정호리간예가유효강저산후억욱증적발생솔，치득재림상상추엄。
Objective:To analyze the effect of whole course nursing intervention on decreasing incidence of postpartum depression.Method:260 parturient women who were treated with antenatal examination,delivery,no history of mental illness and the junior high school degree or above in our hospital from August 2012 to December 2013 were selected, they were randomly divided into the observation group and the control group,130 cases in each group.The control group was given routine prenatal care and nursing,the observation group was given whole course nursing intervention in the prenatal, intrapartum,postpartum 1-6 week.The obstetric nurses who had received the questionnaire investigation training were evaluated by Depression Scale(SDS)and reevaluated by the Hamilton Depression Scale(HAMD)in the maternal before discharge.The incidence rates of maternal postpartum depression between the two groups were compared.Result:The two groups before given nursing intervention measures,there was no statistical significance difference on risk factors during pregnancy(P>0.05).Incidence of postpartum depression of the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion:Whole course nursing intervention during pregnancy and puerperium can decrease incidence of postpartum depression effectively,it is worth promoting in clinical practice.
