CAJ | 학술논문

目的：探讨导乐陪伴分娩对初产妇产后抑郁症发病率及严重程度的影响。方法将358名初产妇随机分为两组：实验组179名给予导乐陪伴分娩服务模式，对照组179名采用传统分娩服务模式。两组产妇产后6周行汉米尔顿抑郁量表测评，并对抑郁症的程度进行评定。结果实验组发生产后抑郁症13例（7．26％），对照组发生产后抑郁症31例（17．32％），实验组产后抑郁症发生率显著低于对照组（χ2＝8．40，P＜0．01）。实验组中患产后抑郁症的产妇中－重度抑郁患者2例（15．38％），明显低于对照组中患产后抑郁症的产妇中－重患者15例（48．39％），差异有统计学意义（χ2＝4．21，P＜0．05）。结论导乐陪伴分娩有利于初产妇的心理健康，可有效减少产后抑郁症的发病率及产后抑郁症患者的严重程度。
목적：탐토도악배반분면대초산부산후억욱증발병솔급엄중정도적영향。방법장358명초산부수궤분위량조：실험조179명급여도악배반분면복무모식，대조조179명채용전통분면복무모식。량조산부산후6주행한미이돈억욱량표측평，병대억욱증적정도진행평정。결과실험조발생산후억욱증13례（7．26％），대조조발생산후억욱증31례（17．32％），실험조산후억욱증발생솔현저저우대조조（χ2＝8．40，P＜0．01）。실험조중환산후억욱증적산부중－중도억욱환자2례（15．38％），명현저우대조조중환산후억욱증적산부중－중환자15례（48．39％），차이유통계학의의（χ2＝4．21，P＜0．05）。결론도악배반분면유리우초산부적심리건강，가유효감소산후억욱증적발병솔급산후억욱증환자적엄중정도。
Objective To discuss the influence of Doula delivery on incidence and severity of postpartum depression of primipara. Methods A total of 358 primiparas were randomly divided into two groups, experimental group (n=179) given Doula service mode and control group (n=179) using traditional delivery mode.Hamilton Depression Scale was used to assess postpartum depression 6 months after delivery and the degree of depression was compared between two groups.Results There were 13 cases with postpartum depression in the experimental group (7.26%) and 31cases in the control group (17.32%), and the incidence of postpartum depression was significantly lower in the experimental group than in the control group (χ2 =8.40, P <0.01 ) .There were 2 cases ( 15.38%) with moderate or severe degree of postpartum depression in the experimental group, which was significantly fewer than in the control group (15, 48.39%) (χ2 =4.21,P <0.05).Conclusion Doula delivery is helpful to maternal mental health, and it can effectively reduce the incidence and severity of postpartum depression of primiparas.