细致化心理干预对孕产妇的妊娠结局及产后抑郁状况的影响  

Effect of Detailed Psychological Intervention on Pregnancy Outcome and Postpartum Depression

作　　者：张萍[1] 王钰霞[1] ZHANG Ping;WANG Yuxia(Department of Obstetrics and Gynecology,Tengzhou Maternal and Child Health Hospital,Tengzhou,Shandong Province,277599 China)

机构地区：[1]滕州市妇幼保健院妇产科,山东滕州277599

出　　处：《中外医疗》2024年第12期145-148,共4页China & Foreign Medical Treatment

摘　　要：目的分析细致化心理干预对孕产妇的妊娠结局及产后抑郁状况的影响。方法采用目的抽样法,选取2019年5月—2021年12月于滕州市妇幼保健院妇住院分娩的患者170例孕产妇作为研究对象,按入院时间分为对照组(70例,接受常规护理干预)和观察组(100例,在常规护理干预基础上,实施更加细致化的心理干预措施)。比较两组爱丁堡产后抑郁量表(Edinburgh Postnatal Depression Scale,EPDS)评分、健康调查简表(MOS Item Short from Health Survey,SF-36)评分和护理满意度。结果产后第5天、3周后,观察组EPDS评分低于对照组,差异有统计学意义(P均<0.05)。产后3周,观察组SF-36评分高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度(98.00%)高于对照组(88.57%),差异有统计学意义(χ^(2)=5.011,P<0.05)。结论细致化心理干预对孕产妇的效果较好,能够显著降低产后抑郁发生率,提高生活质量水平,进而提高护理满意度。Objective To analyze the effect of detailed psychological intervention on pregnancy outcome and postpartum depression.Methods Using purposive sampling method,170 pregnant and postpartum women who were hospitalized and delivered at Tengzhou Maternal and Child Health Hospital from May 2019 to December 2021 were selected as the research subjects.They were divided into control group(70 cases,receiving routine nursing intervention)and observation group(100 cases,implementing more detailed psychological intervention measures on the basis of routine nursing intervention)based on admission time.Edinburgh Postnatal Depression Scale(EPDS)scores,MOS Item Short from Health Survey(SF-36)scores,and nursing satisfaction between two groups were compared.Results On the 5th day and 3 weeks postpartum,EPDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(both P<0.05).After 3 weeks postpartum,SF-36 score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group(98.00%)was higher than that of the control group(88.57%),and the difference was statistically significant(χ^(2)=5.011,P<0.05).Conclusion Detailed psychological intervention has a good effect on pregnant women,can significantly reduce the incidence of postpartum depression,improve the quality of life level,and then improve nursing satisfaction.

关 键 词：细致化心理干预 产后抑郁 妊娠结局 影响 

分 类 号：R4[医药卫生—临床医学]