出院后产后抑郁筛查及访视干预对产妇产后抑郁的影响.docVIP

出院后产后抑郁筛查及访视干预对产妇产后抑郁的影响 　　【摘要】 目的：探讨出院后产后抑郁筛查及访视干预对产妇产后抑郁的影响程度。方法：选取2014年12月-2015年4月200例出院后的产妇为研究对象，将其随机分为对照组（常规组）100例和观察组（产后抑郁筛查及访视干预）100例，比较两组患者干预前和干预后6周的EPDS、BSES及GQOLI-74量表评分。结果：所有患者6周的EPDS、BSES及GQOLI-74量表评分均优于本组干预前的评估结果，差异有统计学意义（P0.05），且观察组干预后6周的上述各量表评估结果显著优于对照组，差异均有统计学意义（P0.05）。结论：产后抑郁筛查及访视干预模式能有效的改善产妇产后的抑郁情绪，显著改善其生活质量，对预防和治疗产后抑郁起着重要的作用。 　　【关键词】 产后抑郁筛查； 访视干预； 产后抑郁 　　【Abstract】 Objective：To investigate the degree of influence of discharged postpartum depression screening and visit intervention on maternal postpartum depression.Method：A total of 200 cases were discharged from hospital，which admitted in our hospital from December 2014 to April 2015，were selected as the research objects and divided into the control group（routine group） 100 cases and observation group（postpartum depression screening and visit intervention） 100 cases.EPDS scale，BSES scale and GQOLI-74 scale after 6 weeks of two groups before and after intervention were compared.Result：After 6 weeks EPDS scale，BSES scale and GQOLI-74 scale of all patients were better than assessment results before the intervention，the differences were statistically significant（P0.05）.The intervention of the above scale assessment results of the observation group after 6 weeks were significantly better than those of the control group，the differences were statistically significant（P0.05）.Conclusion：Postpartum depression screening and intervention model can effectively improve the postpartum depression， significantly improve the quality of life， and play an important role in the prevention and treatment of postpartum depression. 　　【Key words】 Postpartum depression screening； Interview intervention； Postpartum depression 　　First-author’s address：Shenzhen City Nanshan District Xili People’s Hospital，Shenzhen 518055，China 　　doi：10.3969/j.issn.1674-4985.2016.21.041 　　产后抑郁是一种产后发生的以持久性情绪低落为主要特征的心境障碍，严重时可发展为抑郁症，不仅危害产妇的身心健康，而且可导致婴儿认知能力、情感、性格、行为障碍，严重者还存在自杀和杀婴倾向[1]。如何在产后访视中改善产妇的心理状况、降低产后抑郁的发生率越来越受到重视。然而目前的产后访视，大多是仅仅关注