“互联网+”产后保健服务对产后抑郁的干预效果  

Intervention effect of"Internet plus"postpartum health care service on postpartum depression

作　　者：原晋芳 吕军[2] 秦金梅 杨剑 徐小芳 YUAN Jinfang;LYU Jun;QIN Jinmei;YANG Jian;XU Xiaofang(Shanghai Xuhui District Maternal and Child Health Institute,Shanghai 200235,China;School of Public Health,Fudan University,Shanghai 200232,China;Xuhui District Mental Health Center,Shanghai 200000,China)

机构地区：[1]上海市徐汇区妇幼保健所,上海200235 [2]复旦大学公共卫生学院,上海200232 [3]徐汇区精神卫生中心,上海200000

出　　处：《上海预防医学》2024年第9期899-903,共5页Shanghai Journal of Preventive Medicine

基　　金：上海市徐汇区医学科技资助项目(SHXH202051)。

摘　　要：【目的】探讨“互联网+”产后保健服务对产后抑郁的影响,为降低产妇产后抑郁的发生,提升产妇生活质量提供参考依据。【方法】选取2021年8月1日—2023年6月30日分娩且居住在上海市徐汇区6个街道中的产妇作为研究对象。根据患者入组先后顺序采用数字编号方式随机将其分为干预组和对照组,干预组和对照组各210例。干预组采取“互联网+”产后保健服务,对照组采取常规产后保健服务,比较两组产妇的心理健康相关危险因素和产后抑郁的发生情况。【结果】两组产妇在产后2周、产后1个月时的心理健康相关危险因素评分差异无统计学意义(t=0.736和t=1.260,P>0.05);在产后3个月、产后6个月时,心理健康相关危险因素评分差异有统计学意义(t=2.089,P<0.05;t=2.655,P<0.05)。在产后抑郁评分中产后2周评分差异无统计学意义(t=0.560,P>0.05);在产后1个月、产后3个月、产后6个月时,干预组由于采取了“互联网+”产后保健服务,产后抑郁评分差异有统计学意义(t=2.616,t=2.793和t=3.107,P<0.05)。【结论】“互联网+”产后保健服务有利于改善产妇产后抑郁状态,提高产妇心理健康水平,大幅提升产妇的生活质量。[Objective]To explore the influence of"Internet plus"postpartum health care service on postpartum depression,and to provide an evidence for reducing the incidence of postpartum depression and improving the quality of life for postnatal women.[Methods]Mothers who gave birth between August 1,2021 and June 30,2023 lived in the six streets of Xuhui District were selected as the research subjects.The puerperants were randomly divided into the intervention group and the control group according to the order of enrollment using a numerical numbering system,with 210 cases in each of the intervention group and control group.The intervention group adopted the"Internet plus"postpartum health care services,while the control group adopted the conventional postpartum health care services.The risk factors related to postpartum mental health and the incidence of postpartum depression were compared between the two groups.[Results]There was no statistically significant difference in the scores of postpartum mental health-related risk factors between the two groups at the first 2 weeks and 1st month after delivery(t=0.736 and t=1.260,P>0.05).However,there was a statistically significant difference in the scores of postpartum mental health-related risk factors at the 3rd months after delivery and 6th months after delivery(t=2.089,P<0.05;t=2.655,P<0.05).There was no statistically significant difference in depression scores at the first 2 weeks after the birth(t=0.560,P>0.05).In the 1st month,the 3rd month and the 6th month after delivery,the intervention group adopted the"Internet plus"postpartum health care service,thus the differences in depression scores were statistically significant(t=2.616,t=2.793 and t=3.107,P<0.05).[Conclusion]"Internet plus"postpartum health care service is conducive to reducing postpartum depression,promoting maternal mental health,and significantly improving the well-being of postnatal women.

关 键 词：产后抑郁 爱丁堡产后抑郁量表 互联网+ 产后保健服务 

分 类 号：R17[医药卫生—妇幼卫生保健]