心理干预对高危儿母亲情绪及育儿行为的影响  

Effects of mental intervention on the emotion and nurture behavior 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,广东广州510180

出　　处：《中国儿童保健杂志》2006年第6期596-598,共3页Chinese Journal of Child Health Care

基　　金：广州市卫生局科技项目(2006-YB-099)

摘　　要：【目的】探讨在高危儿管理中,儿童保健医生对母亲的心理干预对母亲情绪、育儿行为及其婴儿生长发育的影响。【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“母亲心理干预方案”对母亲进行心理干预;对照组仅对高危儿进行常规保健。采用抑郁自评量表(SDS)进行母亲抑郁状态评估,对比两组母亲产后3个月抑郁自评标准分及参加保健情况、母乳喂养率、婴儿体格及智能发育情况。【结果】高危儿的母亲产后3个月内出现SDS标准分>50分者59例,占21.07%;SDS标准分>50分者,第1个月SDS标准分两组无显著差别,而干预组SDS标准分第2个月、第3个月低于对照组,差异有显著性(P<0.05);两组6个月内母乳喂养率无显著差别(P>0.05);对照组6个月内流失率高于干预组(P<0.001);6个月时,婴儿Kaup指数<15者对照组多于干预组,≥15者干预组多于对照组,差异有显著性(P<0.05)。【结论】高危儿的母亲产后3个月处在抑郁的高危状态,适当的心理干预可降低母亲的抑郁水平,提高高危儿保健质量,改善婴儿的营养状况,促进母婴身心健康发展。[Objective] To explore the effects of mental intervention conducted by children heath care doctors on mothers＇ emotion,behaviors when taking care of infants, and children＇s growth in the management of High-risk infants （HRI）. [Methods] 280 case of HRI mothers were divided into two 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 Intervention Scheme＂. Meanwhile, only standard treatment was taken for HRI in the comparing group. Self-Rating Depression Scale （SDS） was adopted to assess the HRI mothers＇ emotion. To compare the SDS standard scores of the 2 groups in the initial 3 postpartum months, and the health care participation, breast feeding rate, infants＇ physical and mental development status. [Resolts] During the initial 3 months following parturition, 59 cases of HRI mothers showed SDS standard score ≥50, taking 21.07%. There was no significant deference for SDS standard score between the 2 groups in the first month. The intervention group showed lower SDS standard score in the 2nd and 3rd month （P〈0. 05）. The difference between groups was statistically significant. There was no significant difference in breast-feeding rate between groups within 6 months （P〉0. 05）. The losing visit rate within 6 months for comparing group was higher than intervention group （P〈0. 001）. At 6th month, there were more infants in the intervention group with Kaup index ≥15 over the comparing group （P〈0.05）. The difference between groups was statistically significant. [Conclusion] HRI mothers experience a high risk period of depression status during the initial 3 months postpartum period. Mental intervention in a proper way helps releasing the depression level of HRI mothers, while improving health care quality and nutrient status for the infants, thus ultimately improve the physical and mental health

关 键 词：保健 高危儿 产后抑郁 心理干预 

分 类 号：R749.94[医药卫生—神经病学与精神病学]