以家庭为中心的产科优质护理对初产妇产后抑郁及自我效能的影响研究  

Effects of family centered maternity care on postpartum depression and self-efficacy of primipara

作　　者：梁文化[1] 杜娟[1] 徐来[1] 毕秀杰[1] 韩玉芳[1] 

机构地区：[1]青岛市市立医院产科,青岛266071

出　　处：《国际精神病学杂志》2017年第2期304-306,321,共4页Journal Of International Psychiatry

摘　　要：目的探讨以家庭为中心的产科优质护理(FCMC)对于初产妇产后抑郁症以及自我效能的影响。方法选取2015年1月至2016年8月期间我院产科自然分娩的初产妇120例,采用随机数字表法随机分为2组:对照组(n=60)采用常规护理,观察组(n=60)在常规护理基础上实施FCMC。分析比较两组护理前后焦虑自评量表(SAS)、爱丁堡产后抑郁量表(EPDS)、一般自我效能感量表(GSES)评分及产后抑郁症(PPD)发生率。结果护理后观察组的SAS及EPDS显著低于对照组,GSES评分显著高于对照组(P<0.05)观察组的PPD发生率为3.33%,显著低于对照组的20.00%(P<0.05)。结论 FCMC能够有效减轻初产妇的焦虑、抑郁情绪,提高其自我效能感,降低产后PPD发生率,具有临床意义,值得推广。Objective To investigate the effects of family centered maternity care （ FCMC ） on postpartum depression and self-efficacy of primipara. Methods A total of 120 natural delivery women who were in the obstetrics of our hospital from January 2015 to August 2016 were collected and randomly divided into two groups： the control group （ n=60 ） was given routine nursing, and the observation group （ n=60 ） was given FCMC on the basis of the routine nursing The scores of Self-Rating Anxiety Scale （SAS）, Edinburgh Postpartum Depression Scale （EPDS）, and Gen- eral self-efficacy scale （ GSES ）, and the incidence of postpartum pepression （ PPD ） were compared between the two groups. Results After intervention, the SAS and EPDS scores in the observation group were significantly lower than those in the control group, and the score of GSES was significantly higher than those in the control group （ P 〈 0.05 ） . The incidence of PPD （ 3.33 % ） in the observation groupwas significantly lower than 20.00 % in the control group （P 〈 0.05 ） . Conclusion The FCMC can reduce the anxiety and depression of primipara, and the incidence of PPD, while improving their self-efficacy.

关 键 词：初产妇 产后抑郁症 以家庭为中心的产科优质护理模式 自我效能 

分 类 号：R749[医药卫生—神经病学与精神病学]