心理综合干预模式对孕产妇抑郁状态的干预效果评价  

Evaluation of the Intervention Effect of Psychological Comprehensive Intervention Model on Depression Status in Pregnant and Postpartum Women

作　　者：张爱华[1] 彭飞[1] ZHANG Aihua;PENG Fei(Department of Women's Psychological Health,Maternal and Child Health and Family Planning Service Center of Fengtai District,Beijing(Maternal and Child Health Hospital of Fengtai District,Beijing),Beijing,100069 China)

机构地区：[1]北京市丰台区妇幼保健计划生育服务中心/北京市丰台区妇幼保健院妇女心理保健科,北京100069

出　　处：《中外医疗》2023年第11期172-175,188,共5页China & Foreign Medical Treatment

基　　金：中国疾病预防控制中心妇幼保健中心“妇女心身健康干预技术评估项目”。

摘　　要：目的探讨心理综合干预模式对存在抑郁状态孕产妇的干预效果。方法选取2021年6月—2022年6月丰台区妇幼保健院进行产前检查并分娩且入组时存在抑郁状态(PHQ-9≥5分且第9项为0分)的116名孕产妇为研究对象,分为干预组和对照组。干预组(n=55)接受心理综合干预,对照组(n=61)接受单一心理健康宣教,两组孕产妇均接受常规产前检查和产后心理查房。采用PHQ-9、EPDS比较干预前后两组孕产妇抑郁评分、分娩方式等相关结局指标。结果干预后,干预组孕产妇抑郁症状优于对照组,差异有统计学意义(Z=-7.384,P<0.001)。干预组孕产妇干预后PHQ-9评分(3.06±1.65)分低于对照组(7.64±2.94)分,差异有统计学意义(P<0.001)。干预组孕产妇产后抑郁评分(3.44±2.12)分,低于对照组(5.25±2.98)分,差异有统计学意义(t=-3.797,P<0.001)。结论相比单一健康教育模式,心理综合干预模式更能有效改善孕产妇抑郁水平,降低孕产期抑郁发生率。Objective To explore the intervention effect of a comprehensive psychological intervention model on pregnant and postpartum women with depression.Methods 116 pregnant and postpartum women who underwent prenatal examinations and delivered at the Maternal and Child Health Hospital in Fengtai District from June 2021 to June 2022 and had a depressive state(5≤PHQ-9<15 points)at the time of enrollment were selected as the study subjects,and were divided into an intervention group and a control group.The intervention group(n=55)received comprehensive psychological intervention,while the control group(n=61)received a single psychological health education.Both groups of pregnant women received routine prenatal examinations and postpartum psychological rounds.PHQ-9 and EPDS were used to compare the depression scores,delivery methods,and other related outcome indicators between the two groups before and after intervention.Results After intervention,the depression symptoms of pregnant women in the intervention group were better than those in the control group,the difference was statistically significant(Z=-7.384,P<0.001).The PHQ-9 score(3.06±1.65)points of the intervention group after intervention was lower than that of the control group(7.64±2.94)points,the difference was statistically significant(P<0.001).The postpartum depression score of the intervention group(3.44±2.12)points was lower than that of the control group(5.25±2.98)points,and the difference was statistically significant(t=-3.797,P<0.001).Conclusion Compared to the single health education model,the comprehensive psychological intervention model can more effectively improve the level of depression in pregnant and postpartum women,reduce the incidence of depression during pregnancy and childbirth,and may promote natural childbirth.

关 键 词：心理综合干预 孕产期 抑郁 

分 类 号：R473.73[医药卫生—护理学]