CAJ | 학술논문

目的：探讨导乐分娩联合康复按摩对产妇产后抑郁症的影响。方法：随机抽取来我院产检并足月顺产分娩的产妇1OO例，分为观察组和对照组各5O 例，观察组采用全程导乐陪伴分娩联合产后康复按摩分娩护理服务模式，对照组采用传统分娩护理服务模式。记录两组产妇分娩情况，于产后6周进行爱丁保产后抑郁量表测试，比较两组产妇产后抑郁症情况。结果：观察组产时焦虑、恐惧程度、难产率、产后24 h 出血量均明显低于对照组（P ＜ O. O5），产后睡眠质量明显好于对照组（P ＜ O. O5），产后抑郁症的发生率明显低于对照组（P ＜ O. O5）。结论：导乐分娩联合产后康复按摩能提高产时质量，缓解产妇生理和心理应激反应，促进身心康复，有效预防抑郁症的发生。
목적：탐토도악분면연합강복안마대산부산후억욱증적영향。방법：수궤추취래아원산검병족월순산분면적산부1OO례，분위관찰조화대조조각5O 례，관찰조채용전정도악배반분면연합산후강복안마분면호리복무모식，대조조채용전통분면호리복무모식。기록량조산부분면정황，우산후6주진행애정보산후억욱량표측시，비교량조산부산후억욱증정황。결과：관찰조산시초필、공구정도、난산솔、산후24 h 출혈량균명현저우대조조（P ＜ O. O5），산후수면질량명현호우대조조（P ＜ O. O5），산후억욱증적발생솔명현저우대조조（P ＜ O. O5）。결론：도악분면연합산후강복안마능제고산시질량，완해산부생리화심리응격반응，촉진신심강복，유효예방억욱증적발생。
Objective:To investigate the effect of Doula delivery combined With rehabilitation massage on postpartum depression in puer_perae. Methods:1OO puerperae Who had full — term normal delivery in our hospital Were randomly divided into the observation group and the control group(5O puerperae in each group). The Doula delivery combined With postpartum rehabilitation massage Was adopted in the ob_servation group and the traditional nursing service model Was used in the control group. The process of delivery Was recorded in the tWo groups and the puerperae Were tested by using Edinburgh Postnatal Depression Scale(EPDS)in 6 WeeKs after delivery,the postpartum de_pression of puerperae Was compared betWeen the tWo groups. Results:The degree of intrapartum anxiety and fear of puerperae,the rate of dystocia and the volume of 24 h postpartum bleeding Was significantly loWer and less in the observation group than the control group(P <O. O5);postpartum sleep quality Was significantly better in the observation group than the control group(P < O. O5);the incidence of post_partum depression Was significantly loWer in the observation group than the control group(P < O. O5). Conclusion:Doula Delivery com_bined With postpartum rehabilitation massage can improve the quality of delivery,relieve physical and psychological stress reaction and ef_fectively prevent the occurrence of depression.