产前心理干预联合动机性访谈对孕产妇抑郁、焦虑情绪的影响  

Effect of prenatal psychological intervention combined with motivational interviewing on the depression and anxiety emotions of pregnant and postpartum women

作　　者：陈琼霞 罗书[1] 林娟[1] 冯春玲 梁芳萍 李嫚群 王敏[1] CHEN Qiongxia;LUO Shu;LIN Juan;FENG Chunling;LIANG Fangping;LI Manqun;WANG Min(Department of Obstetrics,the Second Affiliated Hospital of Hainan Medical University,Hainan Haikou 570311,China)

机构地区：[1]海南医学院第二附属医院产科,海南海口570311

出　　处：《中国妇幼健康研究》2021年第8期1166-1171,共6页Chinese Journal of Woman and Child Health Research

基　　金：海南省卫生计生行业科研项目(20A200264)。

摘　　要：目的观察产前心理干预联合动机性访谈对孕产妇抑郁、焦虑情绪的影响。方法选取海南医学院第二附属医院于2017年5月至2020年12月收治的爱丁堡产后抑郁量表(EPDS)评分>9分的孕产妇120例,随机分为对照组(n=60)和动机性访谈组(n=60),对照组给予产前心理干预,动机性访谈组给予产前心理干预联合动机性访谈干预,统计两组剖宫产率、产后出血率、母乳喂养率及新生儿窒息率,记录产程时间,比较两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、EPDS评分、生活质量及产妇满意度的差异。结果与干预前比较,两组的SAS评分、SDS评分、EPDS评分均下降,且动机性访谈组干预后SAS评分、SDS评分、EPDS评分均低于对照组,差异有统计学意义(t值分别为5.792、7.974、5.414,P<0.05);与干预前比较,两组的社会功能、躯体功能、角色功能及认知功能等生活质量评分均上升,且动机性访谈组干预后生活质量评分高于对照组,差异有统计学意义(t值分别为7.699、10.610、10.760、8.602,P<0.05);动机性访谈组第1和第2产程短于对照组,剖宫产率和新生儿窒息率低于对照组,母乳喂养率高于对照组,差异均有统计学意义(χ^(2)/t值分别为6.640、4.702、5.058、4.904、4.093,P<0.05);产后出血率与对照组比较,差异无统计学意义(P>0.05);动机性访谈组产妇满意度高于对照组,差异有统计学意义(χ^(2)=4.183,P<0.05)。结论产前心理干预联合动机性访谈可减轻孕产妇的负性情绪,改善妊娠结局,提高母乳喂养率、产妇满意度及生活质量。Objective To observe the effect of prenatal psychological intervention combined with motivational interviewing on the depression and anxiety emotions of pregnant and postpartum women. Methods A total of 120 pregnant and postpartum women, who were admitted to the Second Affiliated Hospital of Hainan Medical University from May 2017 to December 2020 and with Edinburgh postnatal depression scale(EPDS) score >9,were selected and randomly divided into the control group(n=60) and motivational interviewing group(n=60). The control group was treated with prenatal psychological intervention, and the motivational interviewing group was treated with prenatal psychological intervention combined with motivational interviewing intervention. The cesarean section rates, postpartum hemorrhage rates, breast-feeding rates and neonatal asphyxia rates of the two groups were statistically analyzed. The time of labor process was recorded. The differences of self-rating anxiety scale(SAS) scores, self-rating depression scale(SDS) scores, EPDS scores, quality of life and satisfaction of postpartum women between the two groups were compared. Results The SAS scores, SDS scores and EPDS scores of the two groups were decreased compared to those before intervention, the SAS scores, SDS scores and EPDS scores of the motivational interviewing group after intervention were lower than those of the control group, and the differences were statistically significant(t=5.792,7.974 and 5.414,respectively, P<0.05). The scores of quality of life about social function, physical function, role function, cognitive function, and etc. of the two groups were increased compared to those before intervention, the scores of quality of life of the motivational interviewing group after intervention were higher than those of the control group, and the differences were statistically significant(t=7.699,10.610,10.760 and 8.602,respectively, P<0.05). The first and second stages of labor process in the motivational interviewing group were shorter than those in the contro

关 键 词：产前心理干预 动机性访谈 孕产妇 抑郁 焦虑 

分 类 号：R173[医药卫生—妇幼卫生保健]