CAJ | 학술논문

目的：探讨认知行为干预对初产妇产后负面情绪及社会支持的影响。方法将200例产妇随机分为观察组与对照组各100例，对照组给予常规健康教育，观察组在健康教育的基础上实施认知行为干预，比较两组产妇干预前和出院前的负面情绪及社会支持水平。结果两组产妇出院前焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均较干预前降低，差异有统计学意义(P<0.05)；观察组SAS及SDS评分均低于对照组，差异有统计学意义(P<0.05)。出院前两组产妇社会支持(SSRS)总分及各维度评分均较干预前升高，差异有统计学意义(P<0.05)；其中观察组SSRS总分、主观支持、客观支持、支持利用度评分均高于对照组，差异有统计学意义(P<0.05)。结论在健康教育的基础上给予认知行为干预可以减轻初产妇产后的负面情绪，提高社会支持水平和利用程度。
목적：탐토인지행위간예대초산부산후부면정서급사회지지적영향。방법장200례산부수궤분위관찰조여대조조각100례，대조조급여상규건강교육，관찰조재건강교육적기출상실시인지행위간예，비교량조산부간예전화출원전적부면정서급사회지지수평。결과량조산부출원전초필자평량표(SAS)급억욱자평량표(SDS)평분균교간예전강저，차이유통계학의의(P<0.05)；관찰조SAS급SDS평분균저우대조조，차이유통계학의의(P<0.05)。출원전량조산부사회지지(SSRS)총분급각유도평분균교간예전승고，차이유통계학의의(P<0.05)；기중관찰조SSRS총분、주관지지、객관지지、지지이용도평분균고우대조조，차이유통계학의의(P<0.05)。결론재건강교육적기출상급여인지행위간예가이감경초산부산후적부면정서，제고사회지지수평화이용정도。
Objective To analyze the effect of cognitive behavior intervention on negative emotion and social support rate in primiparas. Methods Two hundred cases were randomly divided into observation group and control group with 100 cases in each group. The control group received routine health education, and the ob-servation group received cognitive behavior intervention. Negative emotions and social support were compared between the two groups. Results The Self-rating Anxiety Scale (SAS) and self-rating Depression Scale (SDS) scores in two groups were statistically significant lower before the intervention (P<0.05). The SAS and SDS score in the observation group were statistically significant lower than those in the control group (P<0.05). Before discharge, the Social Support Scores (SSRS) in two groups were statistically significant higher than those before treatment (P<0.05). The SSRS, subjective support, objective support and the utilization of support in the observation group were sta-tistically significant higher than those in the control group (P<0.05). Conclusion Prenatal cognitive behavior inter-vention can prevent negative mood in primiparas, and improve the level of social support.