不同分娩方式及护理策略对产后抑郁发生影响研究  

Effect of different delivery methods and nursing strategy on postpartum depression

作　　者：金素萍[1] 

机构地区：[1]浙江省台州市黄岩区中医院妇产科,浙江台州318020

出　　处：《中国农村卫生事业管理》2015年第8期1045-1047,共3页Chinese Rural Health Service Administration

摘　　要：目的:研究产后抑郁症可能的危险因素,为选择科学有效的护理方式和护理策略提供依据。方法:选取台州市黄岩区中医院妇产科分娩的产妇335例,其中顺产102例,会阴侧切113例,剖宫产120例。采用SDS抑郁自评量表对产妇进行评价,比较实施产前心理疏导产妇的产后抑郁患病情况,同时测量其身高、体重,调查其术后感染情况,分析其对产后抑郁发生的影响。结果:结果显示,剖宫产可明显增加术后感染的几率,发生几率为20%(χ2=7.920,P=0.005),会阴侧切术与可能存在此类风险,但未观察到显著差异。术后感染的产妇发生产后抑郁症的几率高达50%,明显高于未发生术后感染者(18.8%)。未接受产前心理疏导的产妇发生产后抑郁可能性较高,为37.9%,而接受产前心理疏导的产妇发生产后抑郁仅为13.2%,明显低于未接受心理疏导的产妇。结论:不同分娩方式发生感染的风险不同,术后感染可能是产后抑郁的一个重要危险因素,因此预防产后抑郁一个有效措施是严格消毒护理,减少产后感染的发生,提前向孕妇说明生产的健康风险,可以有效地减少产后抑郁的发生率。Objective To explore the potential risk factors of postpartum depression, to provide the evidences for the choice of the effective and reasonable measures and strategies of nursing. Methods Totally 335 parturients in Juangyan Hospital of TCM were selected and investigated including 102 cases of eutocia, 113 cases of lateral episiotomy and 120 cases of caesarean section. Self-- rating depression scale was employed as the tool to evaluate the parturients. The height, weight, the rate of infection, and the prevalence of postpartum depression were compared among the parturients with or without taking the antenatal psychological counseling. Results The results showed that the caesarean section caused a high risk of infection by 20 % （X2= 7. 920, P〈 0. 005）. The parturients with lateral episiotomy also had a risk of infection, yet no significant difference was found. Parturients with infection had a higher rate of postpartum depression （50 %） than those without infection （18.8% ）. The parturients without getting antenatal psychological counseling also had a higher risk of postpartum depression （37.9%） than those got the counseling （13.2%）. Conclusions The risks of infection due to eutocia, lateral episiotomy and caesarean section are different. Caesarean section may cause a higher risk of infection which can increase the prevalence of postpartum depression. So nursing should he carried out strictly to decrease the rate of infection, meanwhile, the antenatal psychological counseling also needs to be spread a mong parturients to prevent the postpartum depression.

关 键 词：心理疏导 产后抑郁 生产方式 术后感染 护理 

分 类 号：R473.71[医药卫生—护理学]