心理干预对高危儿母亲情绪的影响  

The effects of mentality intervention to the emotion of high-risk infants’ mothers

作　　者：刘倩筠[1] 杨约约[1] 苏怀远[1] 朱丽莎[1] 刘芸[1] 

机构地区：[1]广州市妇婴医院儿童保健科,广州市510180

出　　处：《中国行为医学科学》2006年第10期890-892,共3页Chinese Journal of Behavioral Medical Science

基　　金：广州市卫生局科技项目(2005-YB-081)

摘　　要：目的探讨心理干预对高危儿母亲不良情绪的影响。方法把280例高危儿的母亲随机分为干预组(140例)和对照组(140例),干预组在对高危儿常规保健的同时,按“母亲情绪管理方案”对母亲进行干预;对照组仅对高危儿进行常规保健。采用抑郁自评量表(SDS)和焦虑自评量表(SAS)进行母亲情绪状态评估。结果高危儿的母亲产后3个月内SDS标准分≥50分者59例,占21.07%;母亲产后抑郁自评标准分:1个月(44.75±9.94)分,2个月(42.22±10.55)分,3个月(40.57±10.68)分;产后3个月母亲各月抑郁标准分呈逐月下降趋势(P<0.01);SDS标准分≥50分者,第1个月SDS标准分干预组和对照组分别为(55.50±3.90)分,(52.88±9.05)分;SAS标准分干预组和对照组分别为(46.81±6.82)分,(42.80±8.38)分,2组无显著差别,而干预组SDS标准分第2个月(44.53±7.56)分、第3个月(41.35±7.56)分低于对照组(51.63±10.23)分,(52.46±10.55)分(P<0.01),SAS第3个月标准分(38.45±6.68)分低于对照组(45.53±9.65)分,差异有显著性(P<0.05)。结论高危儿的母亲产后3个月处在情绪障碍的高危状态,在高危儿保健过程中实施母亲情绪干预有效。Objective To investigate the necessity and feasibility of mentality intervention to high-risk infant （HRI） mothers against unhealthy emotion in children health care clinic. Methods 280 cases of HRI mothers were divided into 2 groups randomly - 140 for intervention group, while the rest 140 for comparing group. In the intervention group, further to the standard treatment for HRI, emotion intervention was conducted to mothers in compliance with ＂Mother Emotion Management Scheme＂. Meanwhile, only standard treatment was taken for HRI in the comparing group. Self-Rating Depression Scale （SDS） and Self-Rating Anxiety Scale （SAS） were adopted for mothers＇ emotion assessment. Results During the initial 3 months postpartum period, 59 cases of HRI mothers showed SDS standard score ≥50, taking 21.07%. Mothers＇ SDS standard scores are： 44.75 ± 9.94, 42.22 ± 10.55 and 40.57 ± 10.68 during the 1st, 2nd and 3rd month of postpartum. Across the initial 3 months, SDS standard score dropped month by month （ P 〈 0.01 ）. For those mothers that SDS standard scores ≥50, in the first month, SDS and SAS standard scores are 55.50 ±3.90 and 46.81 ±6.82 in the intervention group. On the other hand, the scores are 52.88 ± 9.05 and 42.80 ± 8.38 in the comparing group. There was no significant deference for SDS/SAS standard score between the 2 groups. The intervention group showed lower SDS standard score in the 2nd（44.53 ±7.56） and 3rd month（41.35 ±7.56） than the comparing group（51.63 ± 10.23, 52.46 ± 10.55） （ P〈0.01）, and lower SAS standard score in the 3rd month （38.45 ±6.68 vs. 45.53 ±9.65）. The difference between groups was statistically significant （ P 〈 0.05）. Conclusion HRI mothers experience a highrisk period of emotional disorder status during the initial 3 months postpartum period. Emotion intervention is feasible and effective to HRI mothers in normal HRI treatment. Mother emotion management should be involved into HRI treatment system. This will help to impro

关 键 词：保健 高危儿 产后抑郁 早期干预 

分 类 号：R395.5[哲学宗教—心理学]