心理护理对产后抑郁影响.docVIP

心理护理对产后抑郁影响 　　【摘 要】目的：观察心理护理对初产妇产后抑郁的影响。方法：将138例初产妇随机分为观察组和对照组各69例。对照组给予常规护理，观察组在对照组护理基础上给予心理护理。采用爱丁堡产后抑郁量表（EPDS）和焦虑自评量表（SAS）对患者进行心理评估，并比较2组产后抑郁的发生情况。结果：2组护理后EPDS和SAS评分均低于护理前，且观察组低于对照组，差异有统计学意义（P0.05）。观察组护理后28、42d抑郁症发生率低于对照组，差异有统计学意义（P0.05）。结论：心理护理可显著减少初产妇产后抑郁的发生。 　　【关键词】心理护理；产后抑郁；影响 　　The impact of psychological nursing on depression of early maternal postpartum 　　li kun 　　The Fourth People’s Hospital of Zigong City， Zigong， Sichuan ，China 643000 　　[Abstract] Objective： To observe the clinical effect of psychological nursing on depression of early maternal postpartum. Methods： 138 cases of early maternal postpartum were randomly divided into observation group and control group（69 cases in each）. The control group received routine postnatal care，and the observation group received psychological nursing on the basis of control group. Edinburgh Postnatal Depression Scale（EPDS）and anxiety（SAS） patients selfrating scale of psychological assessment Were used and the incidence rate of depression was compared. Results： After nursing care， EPDS and the SAS scores were decreased in both groups， and there were significant differences before and after nursing care， and they were lower in the observation group when compared with those in the control group， and the difference was statistically significant（P0.05）.On the 28th and 42th day， the incidence rate of depression in the observation group was lower than that in the control group， and the difference was statistically significant（P0.05）. Conclusion： Psychological nursing intervention can signifycantly improve the depression of early maternal postpartum. 　　[Key words] Psychoiogical nursing；Postpartum depression；Influence 　　随着医学科学的发展和现代医学模式的改变，孕产妇的心理保健越来越受到人们的普遍关注。产后抑郁症是指发生于产褥期的抑郁，是介于产后精神病与产妇抑郁之间的精神疾病[1]。产褥期妇女情感多处于脆弱阶段，为此笔者将心理护理对产后抑郁症的影响作初步探讨，现阐述如下。 　　1 资料与方法 　　1.1 临床资料 　　选择2010年3月至2010年12月我科收治的初产妇138例，年龄21～35岁，孕37～41周；文化程度：初中35例，高中及中专65例，大专及以上38例。所有产妇均无精神、心理疾病史，无脑部及其他躯体性疾病，理解测试内容，且愿意接受测试；产后能进行随访。将所有患者随机分为观察组和对照组各69