香薰按摩在产后抑郁患者中应用的效果评价  

Application of aromatherapy massage in postpartum depression and effect evaluation

作　　者：黄丽燕 余凤仙 廖拾零 

机构地区：[1]广东省深圳市光明新区人民医院护理部,518106

出　　处：《中国实用护理杂志》2012年第21期50-52,共3页Chinese Journal of Practical Nursing

基　　金：2010年深圳市科技计划项目（201003471）

摘　　要：目的探讨植物精华香薰按摩在产后抑郁患者中的实施效果及影响其实施的因素。方法选择《爱丁堡产后抑郁量表》（EPDs）评定总分在10～20分的产妇94例，产后24h实施香薰按摩，把持续实施按摩至产褥期结束的49例产妇作为观察组，出院后因各种因素影响，使按摩实施不能持续进行的45例作为对照组。比较2组产妇产后7、14、28、42d的EPDS评分和婴儿出生28d时的各项生长发育指标。结果产后28d、42d观察组产妇EPDS评分明显低于对照组，其婴儿发育相关指标明显好于对照组。家庭相关因素是直接影响按摩连续实施的主要因素。结论在整个产褥期对产后抑郁患者连续实施植物精华香薰按摩，配合护士的心理疏导，能调节产妇情绪，缓解抑郁症状；EPDS评分持续较高的产妇不能较好地照顾婴儿，对婴儿发育有一定程度的影响。Objective To understand the application effect of aromatherapy massage by using plant extracts and its impact factors. Methods 94 pregnancy women whose Edinburgh Postnatal Depression Scale （EPDS）assessment score ranged between 10-20 points were selected in this study. They were im- plemented the aromatherapy massage 24 hours after delivery. 49 cases treated with implementa-tion of the aromatherapy massage from maternal to puerperium were set as the observation group, 45 cases whose aromatherapy massage was interrupted by various reasons after discharge were named as the con- trol group. The EPDS score and growth and development indexes were compared 7, 14, 28, 42 days post- partum. Results The EPDS scores in the observation group were lower than those in the control group 28, 42 days postpartum. The growth and development indexes if infants were better than in the control group. Family- related factor was a direct impact on continuous implementation of aromatherapy massage postpartum. Conclusions Continuous implementation of aromatherapy massage by using plant extracts in the whole puerperium combined with psychological counseling by the massage nurses can regulate the ma- tenlal emotion, alleviate depression of these women. The puerpera with higher EPDS scores can＇t take good care of the infants, and can affect the development of the infants.

关 键 词：产后抑郁 香薰按摩 爱丁堡产后抑郁量表 效果 影响因素 

分 类 号：R473.71[医药卫生—护理学]