团体积极体验对预防产后抑郁的效果研究  

Effect of group positive experience on preventing postpartum depression

作　　者：贾丹丹[1] 梁莹[1] 唐春玲[1] 

机构地区：[1]哈尔滨医科大学附属第一医院精神科,哈尔滨150070

出　　处：《中华现代护理杂志》2017年第9期1201-1204,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探究在团体积极体验模式下对预防产妇产后抑郁的效果.方法 选取2015年1月—2016年7月于我院分娩产妇94例,按随机数字表法将其分为观察组和对照组,各47例.对照组产妇孕期施以常规护理,观察组在此基础上施以团体积极体验.采用积极情感及消极情感量表（PANAS）、爱丁堡产后抑郁量表（EPDS）、母亲角色适应情况调查表比较两组产妇生产前后的幸福感、情绪变化以及母亲角色适应情况.结果 产后3 d,观察组消极情感量表（9.70±2.15）分、EPDS量表（11.43±2.66）分,均低于对照组,差异有统计学意义（t值分别为3.414、5.028;P〈0.01）;积极情感量表（31.53±3.97）分,高于对照组,差异有统计学意义（t=3.959,P〈0.01）;产后观察组母亲角色适应良好率为53.19%,对照组为29.79%,差异有统计学意义（Z=4.984,P〈0.01）.结论 基于团体积极体验对提高产后抑郁产妇幸福感,缓解产妇抑郁情绪,提高产妇母亲适应力具有重要意义.Objective To explore the positive experience in the group mode of prevention of maternal postpartum depression effect Methods Select 94 cases of mothers who were delivered in our hospital from January 2015 to July 2016,According to the random number table method, they were divided into experimental group and control group,47 cases each. The mothers in the control group were given routine care during pregnancy, and the experimental group on the basis of the positive group experience. The subjects were followed up every 4 weeks during pregnancy. The maternal prenatal and postnatal happiness,mood change and mother′s role adaptation were compared.Results Postpartum the score of the negative emotion scale in the experimental group was （9.70±2.15） points,The EPDS score was （11.43±2.66） points,were significantly lower than the control group （11.45±2.78） points,（14.21±2.70） points （t=3.414,5.028;P〈0.01）;Positive emotion scale score was （31.53±3.97） points, Significantly higher than the control group （28.38±3.74） points （t=3.959,P〈0.01）. The adaptation rate of mothers′ role was 53.19%, which was significantly higher than that of the control group （29.79%）. The differences was statistically significant （Z=4.984,P〈0.01）.Conclusions Based on positive experiences,it is important to improve postpartum depression maternal happiness,relieve maternal depression and improve maternal adaptability.

关 键 词：抑郁症 产后 团体积极体验 幸福感 情绪 

分 类 号：R473.71[医药卫生—护理学]