产妇孕期社会支持对分娩后出血风险及产后抑郁的影响  

Effect of maternal support during pregnancy on the risk of postpartum hemorrhage and postpartum depression

作　　者：杨凯[1] 张静娜 于新佳 YANG Kai;ZHANG Jingna;YU Xinjia(First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]中国.郑州大学第一附属医院,河南郑州450000

出　　处：《中国健康心理学杂志》2020年第5期656-659,共4页China Journal of Health Psychology

摘　　要：目的:探讨产妇孕期社会支持对分娩后出血风险及产后抑郁的影响。方法:选取本院2016年6月-2018年6月接收的待产孕妇244名,按随机数表法分为观察组与对照组,每组122例。对照组予以孕期常规护理,观察组在常规护理基础上予以孕期社会支持。两组均1次/周,直至分娩。比较两组分娩时孕周、分娩方式、产后出血发生率、产后抑郁发生率[使用爱丁堡产后抑郁量表(EPDS)评估]、干预前后的社会支持[采用社会支持评定量表(SSRS)评估]。结果:两组均顺利接受干预至分娩,分娩时孕周、分娩方式、产后出血发生率的差异无统计学意义(P>0.05)。两组干预前的SSRS评分分别为(17.22±2.54)分、(17.50±2.75)分,差异无统计学意义(P>0.05)。观察组EPDS评分为(7.75±1.23)分,显著低于对照组(8.12±1.66)分,差异有统计学意义(t=2.035,P<0.05),观察组干预后的SSRS评分显著高于对照组(t=6.316,P<0.001),观察组产后抑郁发生率为4.92%低于对照组12.30%,差异有统计学意义(χ^2=4.220,P<0.05)。结论:产妇孕期社会支持对产后出血无明显影响,但可有效降低产后抑郁风险,值得临床重视。Objective:To explore the effect of maternal social support during pregnancy on the risk of postpartum hemorrhage and postpartum depression.Methods:A total of 244 pregnant women who were admitted to our hospital from June 2016 to June 2018 were selected and divided into observation group and control group according to the random number table method,with 122 cases in each group.The control group received routine nursing during pregnancy,and the observation group received social support during pregnancy on the basis of routine nursing.Both groups were given once/week until delivery.The gestational age,mode of delivery,incidence of postpartum hemorrhage,incidence of postpartum depression[assessed by Edinburgh Postnatal Depression Scale(EPDS)],social support before and after intervention[assessed by Social Support Rating Scale(SSRS)]were compared between two groups.Results:There was no significant difference in gestational week,mode of delivery and incidence of postpartum hemorrhage between the two groups.The EPDS score of the observation group was(7.75±1.23),significantly lower than that of the control group(8.12±1.66).The difference was statistically significant(t=-2.035,P<0.05).The SSRS score of the observation group after intervention was significantly higher than that of the control group(t=6.316,P<0.001).The incidence of postpartum depression in the observation group was 4.92%lower than that of the control group,the difference was significant(χ^2=4.220,P<0.05)in the control group(12.30%).Conclusion:The maternal social support during pregnancy has no significant effect on postpartum hemorrhage,but it can effectively reduce the risk of postpartum depression,which deserves clinical attention.

关 键 词：孕期社会支持 产后抑郁 产后出血 情感支持 

分 类 号：R395.4[哲学宗教—心理学]