积极心理学干预对产后抑郁症的影响  

Influence of intervention on postpartum depression under the guidance of positive psychology

作　　者：陈宇 冯俊[2] 杨楠[1] 乔丽娟 黄兴 张露[1] 何静[1] CHEN Yu;FENG Jun;YANG Nan;QIAO Liquan;HUANG Xing;ZHANG Lu;HE Jing(Copmprehensive Ward, Nanchong Central Hospital, The Second ClinicalCollege of North Sichuan Medical College, Nanchong 637000, Sichuan, China;Department of EN T , Nanchong Central Hospital, The Second Clinical College of North Sichuan Medical College, Nanchong 637000, Sichuan, China)

机构地区：[1]川北医学院第二临床医学院.南充市中心医院综合病区,四川南充637000 [2]川北医学院第二临床医学院.南充市中心医院五官科,四川南充637000

出　　处：《西部医学》2018年第7期1069-1072,共4页Medical Journal of West China

基　　金：四川省教育厅基金(12ZA054);南充市科学技术和知识产权局项目(16YFZJ0021)

摘　　要：目的探讨积极心理学指导在产后抑郁症护理中的应用价值。方法选取我院2015年12月~2017年12月收治的产后抑郁症患者86例为研究对象,以随机数字表法分为对照组43例和观察组43例,对照组行常规护理干预,观察组在对照组基础上应用积极心理学指导,观察两组患者干预前后抑郁症状、生活质量变化及护理满意度。结果干预前两组患者抑郁症状无显著差异(P>0.05),干预后均有好转,但观察组干预后产后抑郁筛查量表(PDSS)与爱丁堡产后抑郁量表(EPDS)评分同对照组比较,均明显较低,差异有统计学意义(P<0.05);干预前两组患者生活质量无显著差异(P>0.05),干预后均有改善,但观察组干预后生活质量综合评定问卷(GQOLI-74)各维度评分同对照组比较,均明显较高,差异有统计学意义(P<0.05);观察组患者护理满意率为95.35%,同对照组的81.40%比较,显著升高,差异有统计学意义(P<0.05)。结论在积极心理学指导下实施护理干预,可减轻产后抑郁症患者抑郁程度,同时可改善其生活质量,提高护理满意度,值得临床推广应用。Objective To explore the application value of positive psychological guidance in nursing of postpartum depression.Methods 86 patients with postpartum depression admitted to our hospital from December 2015 ～2017 December were selected as study subjects.They were randomly divided into control group（43 cases）and observation group（43 cases）.The control group received routine nursing intervention,while the observation group was guided by positive psychology on the basis of the control group.The changes of depressive symptoms,quality of life before and after intervention and nursing satisfaction of the two groups were observed.Results There was no significant difference in depressive symptoms between the two groups before the intervention（P〉0.05）.After the intervention,the symptoms were improved.The Postpartum Depression Screen Scale（PDSS）and Edinburgh Postnatal Depression Scale（EPDS）scores in the observation group were significantly lower than those in the control group,and the difference were statistically significant（P〈0.05）.There was no significant difference in the quality of life between the two groups（P〉0.05）.After intervention,the prognosis was improved,the Greneric Quarity of Life Inventor-74（GQOLI-74）scores in the observation group were significantly higher than those in the control group,and the difference were statistically significant（P〈0.05）.The nursing satisfaction rate of the patients in the observation group was 95.35%,which was significantly higher than that of the control group（81.40%）,and the difference was statistically significant（P〈0.05）.Conclusion The implementation of nursing intervention under the guidance of positive psychology can promote the reduction of depression in patients with postpartum depression,improve their quality of life,and increase nursing satisfaction.It is worth promoting.

关 键 词：产后抑郁症 临床护理 积极心理学 生活质量 

分 类 号：R471[医药卫生—护理学]