个性化健康教育对改善产后抑郁症的影响  

Influence of Individual Health Education on the Improvement of Postnatal Depression

作　　者：陈翠辉[1] 李世玉[1] 白淑秋[1] 叶磊[1] 黄丽[1] 

机构地区：[1]广东省湛江中心人民医院产科,广东湛江524037

出　　处：《沈阳医学院学报》2015年第4期234-236,共3页Journal of Shenyang Medical College

摘　　要：目的:探讨个性化健康教育对改善产后抑郁症的影响。方法:选择2014年4月1日至2015年3月30日在我院产科分娩的产妇96例,采用等组实验法设计,将2014年4月1日至2014年9月30日分娩的产妇48例设为对照组,2014年10月1日至2015年3月30日分娩的产妇48例设为试验组。对照组采用常规的健康教育,如产前知识宣教、合理使用心理疗法、待产及产后相互沟通和解释、促进家属亲友间的亲密合作、提供医疗信息、建立良好护患关系,解答患者及家属提问等,试验组根据产妇个人不同情况制定针对性的健康教育计划并实施。3个月后对2组患者采用爱丁堡产后抑郁量表(EPDS)进行评定。结果:干预后试验组患者的EPDS得分明显低于对照组,差异有统计学意义(P<0.01)。结论:通过个体化健康教育,提高产妇认知,结合心理疏导,纠正产妇错误的看法,帮助其建立健康行为,动态评价干预效果,及时调整措施,更有效地改善抑郁情绪。Objective： To explore the influence of individual health education on the improvement of postnatal depression. Methods： A tatal of 96 parturients delivering babies in the Department of Obstetric from Apr 1,2014 to Mar 30,2015 were selected.With the design of experimental methodology of identical groups,those 48 parturients delivering babies from Apr 1,2014 to Sep 30,2014 were classified as the control group while the other 48 parturients delivering babies from Oct 1,2014 to Mar 30,2015 were classified as experimental group. Conventional health education was adapted to the control group,such as extension of antenatal knowledge,right use of psychological therapy,mutual communication and explanation during the predelivery and post-delivery period,promoting the intimate cooperation among family members and friends,providing medical information,building up good nursepatient relationship and answering the questions of the patients and their family members,while specific plans of health education was made and implemented according to the individuality of the parturients in the experimental group. Three months later,both groups of parturients were assessed according to EPDS. Result： The EPDS score in the patients of the experimental group after intervention was obviousy lower than that in the control group and the difference was significant（ P〈0. 01）. Conclusions： It effectively improves depressive emotion through the individual health education to increase parturients＇ knowledge combining psychological counseling. It can correct their wrong ideas to help them build healthy behaviors,to dynamically evaluate the intervention effect and to adjust measures in time.

关 键 词：个性化 健康教育 产后抑郁症 护理 

分 类 号：R473.1[医药卫生—护理学]