CAJ | 학술논문

目的：探讨社区护理对产后抑郁患者生活质量的影响及相关因素分析。方法：选取2012年1月-2013年12月期间我院收治的产妇164例，根据症状自评量表和汉密尔顿抑郁量表检测结果，抑郁患者有106例。将抑郁患者按数字随机法分为A组和B组，每组53例。A组在B组的基础上进行社区康复护理，B组采取常规护理。比较A组和B组患者护理前、后的生活质量以及汉密尔顿抑郁量表和汉密尔顿焦虑量表评分，分析患者的产后抑郁影响因素。结果：护理后A、B两组患者的生活质量显著提高（P＜0．05）。与B组相比，A组患者的夫妻关系和婆媳关系和谐的患者例数明显增加，同时患者满意度和幸福感增加，差异具有统计学意义（P＜0．05）。年龄较小、经济状况较好、夫妻关系和婆媳关系和谐、性格外向、顺产、婴儿为男婴且婴儿身体健康、文化程度在高中以上和非初次生产的产妇的产后抑郁发生率显著降低，差异具有统计学意义（P＜0．05）。A组护理前较护理50d后的 HAMD和 HAMA得分显著下降，同时，B组患者护理前较护理50d后的HAMD和 HAMA得分也降低（P＜0．05）。A组患者较B组患者护理50d后的 HAMD和HAMA得分显著降低（P＜0．05）。结论：社区护理可有效提高产后抑郁患者的生活治疗并降低患者的抑郁和焦虑情绪，产后抑郁的相关因素主要有年龄、夫妻关系、婆媳关系、性格、生产情况、婴儿健康程度、文化程度和生育情况等。
목적：탐토사구호리대산후억욱환자생활질량적영향급상관인소분석。방법：선취2012년1월-2013년12월기간아원수치적산부164례，근거증상자평량표화한밀이돈억욱량표검측결과，억욱환자유106례。장억욱환자안수자수궤법분위A조화B조，매조53례。A조재B조적기출상진행사구강복호리，B조채취상규호리。비교A조화B조환자호리전、후적생활질량이급한밀이돈억욱량표화한밀이돈초필량표평분，분석환자적산후억욱영향인소。결과：호리후A、B량조환자적생활질량현저제고（P＜0．05）。여B조상비，A조환자적부처관계화파식관계화해적환자례수명현증가，동시환자만의도화행복감증가，차이구유통계학의의（P＜0．05）。년령교소、경제상황교호、부처관계화파식관계화해、성격외향、순산、영인위남영차영인신체건강、문화정도재고중이상화비초차생산적산부적산후억욱발생솔현저강저，차이구유통계학의의（P＜0．05）。A조호리전교호리50d후적 HAMD화 HAMA득분현저하강，동시，B조환자호리전교호리50d후적HAMD화 HAMA득분야강저（P＜0．05）。A조환자교B조환자호리50d후적 HAMD화HAMA득분현저강저（P＜0．05）。결론：사구호리가유효제고산후억욱환자적생활치료병강저환자적억욱화초필정서，산후억욱적상관인소주요유년령、부처관계、파식관계、성격、생산정황、영인건강정도、문화정도화생육정황등。
Objective :To investigate the effect on quality of life of community care in postnatal depression patients and the risk factor of postnatal depression .Methods :we selected 164 parturients in our hospital from January 2012 to De-cember 2013 .The patients were tested with symptom checklist and Hamilton’s depression scale and the result shows that there are 106 patients with postnatal depression .The patients with depression were randomly divided into A group and B group according to digital randomized method and the patients number of A group and B group both were 53patients .The patients in A group were nursed with community care besides regular care .The Patients in B group were nursed with regular care .We compared the quality of life and the score of Hamilton’s depression scale and Hamil-ton’s anxiety scaleof A group and B group before and after nursing and analyzed the risk factor of postnatal depression . Results :The quality of life of A group and B group are significantly increased(P<0 .05) .Compared with B group ,the patients number of patients has good relationship with husband and mother in law is much more higher and the satisfied and happy feeling patients also increased .The difference is statistically significant (P<0 .05) .The patients with young age ,rich ,having good relationship with husband and mother in law ,extroversion ,nature labor ,having male and health-y infant ,having high education and non-primary education in the high school production of postpartum depression were significantly lower .The difference is statistically significant (P< 0 .05) .A group representing nursing care before 50 days after the HAMD and HAMA score decreased significantly ,while patients in group B compared with nursing care 50 days before the HAMD and HAMA score also reduced (P<0 .05) .Patients in group A than in group B after 50 days of patient care HAMD and HAMA score was significantly lower (P<0 .05) .Conclusion:Community care can ef-fectively improve the lives of patients with postpartum depression and reduce the patient ’s treatment of depression and anxiety ,postpartum depression is mainly related factors were age ,marital relations ,law relationship ,character ,pro-duction ,the health of infants ,education and fertility conditions and other factors .