孕产期综合护理干预预防产后抑郁研究.docVIP

孕产期综合护理干预预防产后抑郁研究 　　doi：10.3969/j.issn.1007-614x.2013.21.86 　　摘 要 目的：探讨孕产期综合护理干预对产后抑郁的影响。方法：经初筛后，将593例孕妇被随机分为对照组和干预组。对照组进行常规保健检查及护理，干预组在常规护理基础上接受综合护理干预。产后6周末，采用自评量表对两组进行测评并比较。结果：干预组产后抑郁症发病率6.9%，显著低于对照组（P0.05），其SCL-90各因子分、SDS分、负性生活事件刺激量得分也显著低于对照组（P0.05），客观支持因子分与积极应付方式因子分显著高于对照组（P0.05）。结论：孕产期综合护理干预能有效改善孕产妇抑郁情绪，减少产后抑郁症的发生。 　　关键词 孕产期 综合护理 产后抑郁 　　Abstract Objective：To explore an effect of comprehensive nursing intervention on postpartum depression.Methods：593 pregnant women were randomly divided into control group（n=289）and intervention group（n=304） after preliminary screening by Symptom Checklist 90（SCL-90） and self-Rating Depression Scale（SDS） questionnaire.The control group was given general health care，check-up and routine nursing while the intervention group was provided with comprehensive nursing interventions including psychological intervention，health education and nutrition support.At the end of the 6th week after delivery，questionnaires including SCL-90，SDS，Edinburgh Postnatal Depression Scale （EPDS），Life Event Scale （LES），Social Support Rating Scale （SSRS） and Coping Style Questionnaire （CSQ） were used to assess the depressive status.Then，results from the aforementioned investigation were used to compare to ascertain whether comprehensive nursing intervention was superior or not.Results：The incidence rate of postpartum depression was 3.95% in the intervention group which was significantly lower than that in the control group （P0.05）.Scores from SCL-90，SDS and negative life event of the intervention group were significantly lower than those of the control group （P0.05）.Scores of objective support and active coping style were significantly higher than those of the control group （P0.05）.Conclusions：Comprehensive nursing intervention in pregnancy and puerperium can availably ameliorate depressive status and decrease the incidence of postpartum depression， which should be used as one of strategies in preventing and curing postpartum depression. 　　Key words Pr