不同时期心理干预对改善孕产妇抑郁症状的作用研究  

Study on alleviation of psychological intervention in different periods on depressive symptoms for pregnant women

作　　者：顾水琴 崔菊芬[1] 邹建英[1] 林玉萍[1] 

机构地区：[1]嘉兴市妇幼保健院,浙江嘉兴314051

出　　处：《护理与康复》2013年第6期511-513,共3页Journal of Nursing and Rehabilitation

基　　金：嘉兴市科技计划项目;编号:2009AY2052

摘　　要：目的探讨不同时期心理干预对改善孕产妇抑郁症状的作用。方法将900例孕16周至24周的孕妇,用随机等样本分配至A组、B组、C组,每组300例。3组均予常规医疗、护理和健康教育,B组在孕24周、28周、32周、36周增加心理干预,C组在孕37周、临产前、产后第1～2天、出院前进行心理干预。使用爱丁堡产后抑郁量表对3组孕产妇进行抑郁症状评估。结果 3组爱丁堡产后抑郁量表评分比较,F=46.531,P<0.01;B组和C组在孕37周后抑郁症状发生率低于A组;B组在孕37周评分降低明显,C组在产后第42天评分降低明显。结论不同时期心理干预均能有效缓解孕产妇的抑郁症状,但孕中期心理干预效果持续更久。Objective To study the effect of psychological intervention in different periods on depressive symptoms for Divide 900 pregnant women in 16--24 weeks of pregnancy into Group A, B and C equally by random sample. All patients receive routine medical care and health education. Patiems in group ]5 receive enhanced psycho- logical intervention in the 24th, 28th, 32nd and 36th of pregnancy. Patients in group C receive psychological intervention in 37th week, before labor, 1--2 days after labor and before discharge. Assess depressive symptoms for pregnant women in 3 groups by Edingburgh Postnatal Depression Scale. Result Comparison on scores of Edingburgh Postnatal Depression Scale for 3 groups,F=46. 531, P〈0. 01. Depression rate of Group B and C after 37th week of pregnancy is lower than Group A. Score of Group I3 reduces obviously in 37th week of pregnancy. Score of Group B reduces obviously in 42nd day after labor. Cortelusion Psychological intervention in different periods can relieve depressive symptoms for pregnant women. Psycholog- ical intervention in second trimester has longer effect.

关 键 词：孕产妇 抑郁 心理干预 

分 类 号：R473.71[医药卫生—护理学]