全程护理干预对二胎产妇产后抑郁的影响  

Effect of whole course nursing Intervention on postpartum depression for second-born parturients

作　　者：王倩倩 王巧丽 谢晓芳[1] WANG Qian-qian;WANG Qiao-li;XIE Xiao-fang(Department of Nursing,Heze Medical College,Shandong Province,Heze 274000,China)

机构地区：[1]菏泽医学专科学校护理学系,山东菏泽274000

出　　处：《中国当代医药》2021年第30期237-240,共4页China Modern Medicine

基　　金：山东省高校人文社科研究计划项目(J18RB146)。

摘　　要：目的探讨全程护理干预对二胎产妇产后抑郁的临床疗效。方法选取2018年1月至2019年12月菏泽医学专科学校附属医院收治的110例二胎产妇作为研究对象,采用随机数字表法分为对照组(55例)和干预组(55例)。对照组采用孕期基础护理方法,干预组在对照组的基础上采用线上心理疏导、孕期、分娩及产后多样化干预。使用汉密尔顿抑郁量表(HAMD)及社会功能缺陷筛选量表(SDSS)比较两组干预前后的抑郁情况、社会功能现状及对护理服务满意度。结果干预前,两组的HAMD和SDSS评分比较,差异无统计学意义(P>0.05);干预后,干预组的HAMD和SDSS评分低于对照组,差异均有统计学意义(P<0.01);干预组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论全程护理干预不仅可有效改善二胎产妇产后的抑郁症状,还增强产妇社会功能,值得推广应用。Objective To explore the clinical effect of whole course nursing intervention on postpartum depression for second-born parturients.Methods Altogether 110 pregnant women with second born treated in the Affiliated Hospital of Heze Medical College from January 2018 to December 2019 were selected as the research objects and divided into the control group(55 cases)and the intervention group(55 cases)according to random number table method.The control group adopted the method of basic nursing during pregnancy,and the intervention group adopted the online psychological counseling and diversified intervention methods during pregnancy and delivery and after delivery on basis of the control group.Hamilton depression scale(HAMD)and social disability screening schedule(SDSS)were used to compare the depression,social function and satisfaction with nursing services before and after intervention between two groups.Results Before intervention,there were no statistically significant difference in HAMD and SDSS score between the two groups(P>0.05);after the intervention,the HAMD and SDSS score of the intervention group were lower than those of the control group,with statistical differences(P<0.01).The satisfaction of nursing service in the intervention group was higher than that in the control group,with statistical difference(P<0.05).Conclusion The whole process nursing intervention can not only effectively improve the symptoms of postpartum depression for second-born parturients,but also enhance the social function of parturients,which is worthy of popularization and application.

关 键 词：全程 护理干预 二胎产妇 产后抑郁 

分 类 号：R473.71[医药卫生—护理学]