产前心理干预对产妇雌孕激素和产后抑郁症的影响效果研究  

Study on the effect of prenatal psychological intervention on estrogen and postpartum depression

作　　者：刘婷 Liu Ting(Department of Physical Examination,The Third Staff Hospital of Baotou Steel Group,Baotou 014010,China)

机构地区：[1]包钢集团第三职工医院体检科,内蒙古包头014010

出　　处：《实用妇科内分泌电子杂志》2024年第2期105-107,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究产前心理干预对产妇雌孕激素和产后抑郁症的影响效果。方法选取98名待产的产妇,使用电脑随机数字表法将产妇分为对照组与观察组,每组49名。对照组产妇给予常规护理,观察组在对照组基础上给予产前心理干预。比较两组产妇的抑郁程度、睡眠质量及雌孕激素水平。结果观察组产妇干预后的爱丁堡产后抑郁量表(EPDS)评分(11.23±1.65)分、匹兹堡睡眠质量指数(PSQI)评分(4.76±1.38)分均分别低于对照组的(14.45±1.87)分、(9.31±2.67)分,差异有统计学意义(P<0.05)。观察组产后14d的雌二醇(E_(2))水平高于对照组,孕酮(P)水平低于对照组,差异有统计学意义(P<0.05)。结论产前心理干预不仅能降低产妇产后抑郁症发生率,还能够促进产妇的雌孕激素水平恢复正常,从而提高睡眠质量,具有较高的临床应用价值。Objective To study the effect of prenatal psychological intervention on estrogen and postpartum depression.Methods 98 expectant parturients were selected and divided into control group and observation group with 49 parturients in each group.The control group received routine nursing,and the observation group received prenatal psychological intervention on the basis of the control group.The degree of depression,sleep quality and estrogen levels were compared between the two groups Results After intervention,the edinburgh postpartum depression scale(EPDS)(11.23±1.65)points and pittsburgh sleep quality index(PSQI)points(4.76±1.38)points of the observation group were lower than those of the control group(14.45±1.87)points and(9.31±2.67)points,respectively,with statistically significant differences(P<0.05).The estradiol(E_(2))level in the observation group was higher than that in the control group 14 days postpartum,and the progesterone(P)level was lower than that in the control group,with statistical significance(P<0.05).Conclusion Prenatal psychological intervention can not only reduce the incidence of postpartum depression,but also promote the normal level of maternal estrogen and progesterone,so as to improve the quality of sleep,which has high clinical application value.

关 键 词：产后抑郁症 产前心理干预 睡眠质量 

分 类 号：R473.71[医药卫生—护理学]