导乐分娩对预防初产妇产后抑郁发生的影响  

A role of prevention of doula care on postpartum depression in primiparae

作　　者：陆丽[1] 代莉[1] 刘岚[1] 钟丽红[1] 

机构地区：[1]广东省深圳市宝安区人民医院妇产科,518101

出　　处：《护理实践与研究》2013年第6期23-25,共3页Nursing Practice and Research

摘　　要：目的:分析初产妇产后抑郁发生的社会和产科因素,探讨导乐护理分娩对预防初产妇产后抑郁发生的影响。方法:采用分层整群抽样法抽取2011年5～8月在本院住院分娩的390例初产妇,随机分为导乐护理分娩组(130例)和常规护理分娩组(260例),导乐护理分娩组由固定助产士为初产妇提供一对一的产前、产时和产后护理。采用产妇围产期一般情况调查表和Edinburgh产后抑郁量表筛查产后抑郁患者,分析产后抑郁发生的社会和产科因素。结果:常规护理分娩组初产妇产后抑郁发生率为19.62%,产后抑郁发生的因素包括无职业、教育程度低、新生儿性别为女、妊娠合并疾病及计划外妊娠。导乐护理分娩组初产妇产后抑郁发生率为14.62%,产后抑郁发生的因素包括无职业、新生儿性别为女及妊娠合并疾病。结论:采用导乐护理分娩可降低初产妇产后抑郁的发生率,对教育程度低和计划外妊娠的初产妇效果更显著。Objective ：To analyze social and obstetricS, factors causing postpartum depression in primiparae, and to explore the role of prevention of Doula care on postpartum depression in pfimiparae. Metheds：Thteee hundred and ninety inpatient primiparae were collected by stratified cluster sampling in 2011. Primiparec were divided into two groups as Doula caregreup （ 130 cases） and routine care group （260 eases）. Pfimipara in Doula care group was offered pre- natal ,birth and postnatal doula care by a special nurse. Social and obstetrics factors causing postpartum depression were screened with pefinatal general con- dition surveys and Edinburgh posmatal depression scale. Results：The rate of postpartum depression in primiparae was 19.62% ,inoccupation,low education- al level, female baby birth, pregnancy complication, and unintended pregnancy were the main depression causes for routine care group. The rate of postpartum depression in pfimlparae was 14.62% ,inoccupatlan,female baby birth, and pregnancy complication were three main depression causes for Doula care Stoup. Conclusion：Doula care can prevent postpartum depression in primiparae,especially for women who receive low educational level, and who have unintended pregnancy.

关 键 词：导乐分娩 产后抑郁 初产妇 

分 类 号：R473.71[医药卫生—护理学]