护理干预对剖宫产产妇产后抑郁症的影响  

The influence of caesarean section puerpera postpartum postpartum depressive disorder by mental nursing intervention

作　　者：李彩华 缪节慧 周婉靖 温海燕[1] 陈聪智 刘俊梅[1] 

机构地区：[1]浙江省瑞安市人民医院妇产科分院,浙江瑞安325200

出　　处：《中国现代医生》2014年第34期99-102,共4页China Modern Doctor

基　　金：浙江省瑞安市科技计划项目(YY2014019)

摘　　要：目的探讨护理干预对剖宫产产妇产后抑郁症的影响。方法选择我院2013年9月～2014年3月实行剖宫产的初产妇218例,依据护理措施不同进行临床分组,心理护理干预组（观察组）109例和常规护理干预组（对照组）109例。观察两组产妇平均年龄和平均孕周情况,观察两组产妇产前产后抑郁、焦虑情绪评分情况,观察两组产妇PF、RP、RE、VT、SF、BP、MH、GH评分。结果两组产妇平均年龄和平均孕周情况无明显差异（t=1.64、1.34,P〉0.05）,两组产妇产前抑郁、焦虑情绪评分无明显差异（t=0.71、0.97,P〉0.05）;观察组产妇产后抑郁、焦虑情绪评分明显优于对照组（t=22.01、8.14,P〈0.05）,观察组产妇PF、RP、RE、VT、SF、BP、MH、GH评分明显优于对照组（t=20.62、47.87、67.06、27.68、33.19、24.67、21.87、24.33,P〈0.05）,观察组剖宫产产妇产后24 h、72 h泌乳情况均优于对照组,差异均有统计学意义（χ2=19.48、19.49,P〈0.05）。结论针对性的护理干预可明显降低剖宫产产妇产后抑郁症的发生,改善不良心理情绪,提高生活质量,值得临床推广应用。Objective To approach the influence of caesarean section puerpera postpartum postpartum depressive disorder by mental nursing intervention. Methods Analyzed 218 cases clinical data of caesarean section puerpera postpartum in our hospital from 2013.9 to 2014.3,were divided into two groups,mental nursing group（detection group）109cases and routine nursing intervention（control group）109 cases. The average age and average gestational age were detected,depression,anxiety score of two group puerpera in antenatal and postpartum were detected,the PF, RP, RE, VT,SF, BP, MH, GH score of two group puerpera were detected. The 24 h, 72 h lactation of two group puerpera were detected.Results The average age and average gestational age of two group puerpera had no difference（t=1.64,1.34,P0.05）,The depression, anxiety score of two group＇s puerpera had no difference（t=0.71,0.97,P0.05）. The depressed, anxiety score of detection group puerpera were better than control group in postpartum（t =22.01,8.14,P 0.05）,the PF,RP, RE, VT, SF, BP, MH, GH score of detection group puerpera were better than control group in postpartum（t=20.62,47.87,67.06,27.68,33.19,24.67,21.87,24.33,P 0.05）,the 24 h、72 h lactation of detection group caesarean section puerpera were better than control group in postpartum,the differences were statistical significance（χ^2=19.48,19.49,P0.05）. Conclusion The caesarean section puerpera postpartum postpartum depressive disorder rate by mental nursing intervention is decreased,bad psychological emotions is improved,living quality are increased,which is to be used.

关 键 词：护理干预 剖宫产 产妇 产后 抑郁症 

分 类 号：R473.71[医药卫生—护理学]