动机性访谈辅助性干预对孕妇产前抑郁程度及新生儿体格的影响  

Influence of the motivational interview auxiliary intervention for pregnant women on their prenatal depression degree and neonatal physique

作　　者：邓茹月 张效银 蔡锋成 杨珏 DENG Ruyue;ZHANG Xiaoyin;CAI Fengcheng;YANG Jue(Hangzhou Obstetrics and Gynecology Hospital,Hangzhou,Zhejiang Province,310000)

机构地区：[1]浙江省杭州市妇产科医院,310000

出　　处：《中国计划生育学杂志》2025年第1期56-59,共4页Chinese Journal of Family Planning

基　　金：浙江省医药卫生科技计划项目(2024KY226)。

摘　　要：目的:探究动机性访谈辅助性干预对孕妇产前抑郁程度及新生儿体格的影响。方法:纳入2022年12月-2023年12月拟于本院分娩产前存在不同程度抑郁孕妇120例,采用简单随机抽样法分为两组各60例,对照组予以常规心理干预,观察组在此基础上予以动机性访谈辅助性干预。比较两组抑郁程度、应对方式变化,剖宫产率及母乳喂养率,新生儿体格指标。结果:干预后观察组的抑郁程度轻度22例(36.7%)、中度35例(58.3%)、重度3例(5.0%),对照组轻度12例(20.0%)、中度38例(63.3%)、重度10例(16.7%)。观察组抑郁程度轻于对照组,积极应对评分(30.55±2.19分)高于对照组(26.49±4.26分),消极应对评分(8.52±2.06分)低于对照组(12.36±2.29分),剖宫产率(20.0%)低于对照组(38.3%),母乳喂养率(88.3%)高于对照组(70.0%),新生儿的身高、体质量、头围、胸围等体格指标均优于对照组(均P<0.05)。结论:动机性访谈辅助性干预可有效缓解孕妇产前抑郁程度,改善其应对方式,改善新生儿体格指标。Objective:To explore the influence of the motivational interview auxiliary intervention for pregnant women on their prenatal depression degree and neonatal physique.Methods:120 pregnant women with the varying degree of depression who wanted giving birth in the hospital were selected and were divided into two groups(60 cases in each group)by simple random sampling method from December 2022 to December 2023.The women in the control group were given the routine psychological intervention,and the women in the observation group were given the motivational interview auxiliary intervention combined with the routine psychological intervention.The depression degree,the coping styles,the rates of the cesarean section and breastfeeding,and the neonatal physique indexes values of the women were compared between the two groups.Results:After intervention,there were 22(36.7%)cases with the mild depression,35(58.3%)cases with the moderate depression and 3(5.0%)cases with the severe depression in the observation group,and there were 12(20.0%)cases with the mild depression,38(63.3%)cases with the moderate depression and 10(16.7%)cases with the severe depression in the control group.The depression degree of the women in the observation group was significantly less than that of the women in the control group,the positive coping score(30.55±2.19 points)of the women in the observation group was significantly higher than that(26.49±4.26 points)of the women in the control group,the negative coping score(8.52±2.06 points)and the cesarean section rate(20.0%)of the women in the observation group were significantly lower than those(12.36±2.29 points and 38.3%)of the women in the control group.The breastfeeding rate(88.3%)of the women in the observation group was significantly higher than that(70.o%)of the women in the control group.The values of the height,weight,head circumference,chest circumference and other physical indicators of the newborns in the observation group were significantly superior to those in the control group(all P<0.

关 键 词：产前抑郁程度 动机性访谈辅助性干预 应对方式 新生儿体格 母乳喂养 剖宫产 

分 类 号：R473.71[医药卫生—护理学]