孕妇产前家庭干预在预防产后焦虑和抑郁障碍的应用研究
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摘要
目的研究分析孕妇产前家庭干预在预防产后焦虑和产后抑郁障碍的作用。方法选择我院在2016年2月~2017年2月份期间收治的400例孕妇,采用Research Randomizer产生1~200的随机数并制表,将400例孕妇依就诊次序排列,随机均分为对照组(接受常规指导及护理方法)和观察组(家庭干预组),每组各200例,比较效果。结果两组孕妇的焦虑自评量表与爱丁堡产后抑郁量表评分结果均无统计学意义,治疗后观察组产妇评分下降幅度高于对照组,产后抑郁例数少于对照组,与对照组患者比较,差异有统计学意义(P<0.05)。结论对于孕妇在产前开展家庭干预措施,可以降低产后焦虑和抑郁情况的发生,让产妇能够以更轻松的心态进入到分娩阶段和产褥期。因此应当在孕妇产前开展全面有效的产前家庭干预,促进产妇身心健康。
Objective To explore the effect of prenatal family intervention in preventing postpartum anxiety and depressive disorder. Methods 400 pregnant women in our hospital from February 2016 to February 2017 were selected.Using Research Randomizer to produce a random number of 1-200 and make a table,400 cases of pregnant women were arranged in accordance with the order of visiting,and they were randomly divided into the control group(receiving routine guidance and nursing methods) and the observation group(family intervention group),with 200 cases in each group.The effects were compared. Results There was no significant difference between the two groups of pregnant women's self rating Anxiety Scale and the results of Edinburgh postpartum depression scale.After treatment,the decrease of maternal score in the observation group was higher than that of the control group.The number of postpartum depression was less than that of the control group,compared with the control group,the difference was statistically significant(P < 0.05). Conclusion For pregnant women to carry out family intervention before childbirth, can reduce the incidence of postpartum anxiety and depression,so that mothers can enter the childbirth stage and puerperium with a more relaxed mind.Therefore,a comprehensive and effective prenatal intervention should be carried out to promote the physical and mental health of the pregnant women.
Objective To explore the effect of prenatal family intervention in preventing postpartum anxiety and depressive disorder. Methods 400 pregnant women in our hospital from February 2016 to February 2017 were selected.Using Research Randomizer to produce a random number of 1-200 and make a table,400 cases of pregnant women were arranged in accordance with the order of visiting,and they were randomly divided into the control group(receiving routine guidance and nursing methods) and the observation group(family intervention group),with 200 cases in each group.The effects were compared. Results There was no significant difference between the two groups of pregnant women's self rating Anxiety Scale and the results of Edinburgh postpartum depression scale.After treatment,the decrease of maternal score in the observation group was higher than that of the control group.The number of postpartum depression was less than that of the control group,compared with the control group,the difference was statistically significant(P < 0.05). Conclusion For pregnant women to carry out family intervention before childbirth, can reduce the incidence of postpartum anxiety and depression,so that mothers can enter the childbirth stage and puerperium with a more relaxed mind.Therefore,a comprehensive and effective prenatal intervention should be carried out to promote the physical and mental health of the pregnant women.
引文
[1]孙迪.以家庭为中心的护理对产后母婴及主要照顾者的影响[D].哈尔滨:哈黑龙江中医药大学,2017.
[2]吴青爽.355例孕妇产前焦虑现状及对分娩结局的影响研究[D].长春:吉林大学,2016:23-26.
[3]秦晓明.产后抑郁症的现状及影响因素调查研究[D].大连:大连医科大学,2016:31-32.
[4]李姝玥,赵彩宁,亢玉婷,等.孕妇产前焦虑与生活满意度现状研究[J].中国妇幼保健,2015,30(34):6079-6082.
[5]高永根,李纯颖,刘晶,等.孕期健康教育干预对孕妇分娩方式意愿的影响[J].中南医学科学杂志,2015,43(3):351-353.
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[11]王小英,何志华.家庭干预对孕妇生活质量及睡眠影响的临床研究[J].中国现代医生,2011,49(14):150-151.
[12]张颖.479例妇女产后抑郁情况及社会心理影响因素分析研究[D].武汉:华中科技大学,2011:19-24.
[13]陈小英,陈友华.产后抑郁影响因素分析及护理对策[J].实用临床医学,2010,11(8):115-116.
[14]邱忠君,汪俊红,吕翠.孕产妇情绪评估调查与产后抑郁症预防[J].中国妇幼保健,2010,25(19):2710-2712.
[15]阎元.基于社区的产后抑郁筛查技术及干预研究[D].上海:复旦大学,2010:22-25.
[16]赵瑞.产后抑郁社区预防干预方案研究[D].上海:复旦大学,2009:18-22.
[17]张颖,王燕.产后抑郁影响因素分析[J].中国妇幼保健,2008,(29):4170-4172.
[2]吴青爽.355例孕妇产前焦虑现状及对分娩结局的影响研究[D].长春:吉林大学,2016:23-26.
[3]秦晓明.产后抑郁症的现状及影响因素调查研究[D].大连:大连医科大学,2016:31-32.
[4]李姝玥,赵彩宁,亢玉婷,等.孕妇产前焦虑与生活满意度现状研究[J].中国妇幼保健,2015,30(34):6079-6082.
[5]高永根,李纯颖,刘晶,等.孕期健康教育干预对孕妇分娩方式意愿的影响[J].中南医学科学杂志,2015,43(3):351-353.
[6]郭雅琼.产前综合征防治中社会工作干预小组计划书[D].武汉:华中师范大学,2015:26-29.
[7]任婷,陈洁,王循红,等.以家庭为中心的产科优质护理对产后抑郁的影响[J].中华全科医学,2015,13(3):479-481.
[8]赵静,杨静静,陈顺勤.孕期护理干预对孕妇妊娠结局的效果观察[J].中国医药指南,2014,12(24):352-353.
[9]马莉,杜云,葛文利,等.孕期综合干预对孕晚期及产后抑郁症的影响[J].中国妇幼健康研究,2013,24(5):669-671.
[10]陆爱军,陈勇,闵益华,等.孕期心理干预对产后焦虑、抑郁的作用[J].精神医学杂志,2012,25(6):446-448.
[11]王小英,何志华.家庭干预对孕妇生活质量及睡眠影响的临床研究[J].中国现代医生,2011,49(14):150-151.
[12]张颖.479例妇女产后抑郁情况及社会心理影响因素分析研究[D].武汉:华中科技大学,2011:19-24.
[13]陈小英,陈友华.产后抑郁影响因素分析及护理对策[J].实用临床医学,2010,11(8):115-116.
[14]邱忠君,汪俊红,吕翠.孕产妇情绪评估调查与产后抑郁症预防[J].中国妇幼保健,2010,25(19):2710-2712.
[15]阎元.基于社区的产后抑郁筛查技术及干预研究[D].上海:复旦大学,2010:22-25.
[16]赵瑞.产后抑郁社区预防干预方案研究[D].上海:复旦大学,2009:18-22.
[17]张颖,王燕.产后抑郁影响因素分析[J].中国妇幼保健,2008,(29):4170-4172.