摘要
目的探讨社区产后抑郁筛查及心理干预模式临床价值。方法选择2015年12月~2017年4月在我院分娩后被纳入社康中心管理的产妇共600例,根据随机数字表法将所有产妇分为两组。于产妇产后14d以爱丁堡产后抑郁量表(EPDS)评分情况进行产后抑郁筛查。对照组根据筛查结果予以产妇常规产后访视、健康教育和产后护理干预,在此基础上研究组予以心理干预措施。比较两组产后42d抑郁程度和抑郁病情转归情况,以匹茨堡睡眠量表(PSQI)评估睡眠质量、一般自我效能感量表(GSES)对两组产妇产后自我效能感进行评估。结果产后14d两组产妇抑郁发生率比较,差异无统计学意义(P>0.05);产后42d,对照组抑郁发生率明显高于研究组,差异有统计学意义(P<0.05);研究组EPDS评分低于对照组,差异有统计学意义(P<0.05);研究组PSQI评分低于对照组,差异有统计学意义(P<0.05);研究组GSES评分高于对照组,差异有统计学意义(P<0.05)。结论通过产后抑郁筛查,可及早发现产后抑郁倾向,对产后抑郁的产妇实施综合性心理干预,可促使产后抑郁患者的良性转归,利于改善其产后睡眠质量和自我效能感。值得临床推广与应用。
Objective To explore the clinical value of postpartum depression screening and psychological intervention model in community. Methods A total of 600 women who had been included in the management of social security center after giving birth in our hospital from December 2015 to April 2017, the women were divided into two groups according to the random number table method. Postpartum depression screening was performed in the postpartum 14d with the Edinburgh postpartum depression scale （EPDS） score. The maternal of control group were given regular postpartum visit, health education and postpartum nursing intervention based on the screening results, and the maternal of study group were given psychological intervention on this basis. The postpartum 42d degree of depression, disease outcome and Sleep quality assessed by the Pittsburgh sleep scale （PSQI）, postpartum self-efficacy that assessed by the general self-efficacy scale （GSES） of two groups were compared. Results There was no statistically significant difference in the incidence of depression between the two groups（P 〉 0.05）. Postpartum 42d, the incidence of postpartum depression in control group was significantly higher than that in the study group, and the difference was statistically significant （P 〈 0.05）. The study group＇s EPDS score was lower than the control group, and the difference was statistically signifieant（P 〈 0.05）. The study group＇ s PSQI score was lower than the control group, and the difference was statistically significant （P 〈 0.05）. The GSES score of the study group was higher than that of control group, and the difference was statistically significant （P 〈 0.05）. Conclusion Through postpartum depression screening,,can find early postpartum depression, implement comprehensive psychological intervention for maternal with postpartum depression, can get postpartum depression patients postoperatively, can improve the postpartum sleep quality and self-efficacy. It is worthy of clinical promotion and application.
出处
《中国医药科学》
2017年第17期104-107,共4页
China Medicine And Pharmacy
基金
广东省深圳市南山区科技计划区属事业单位研发项目资助(2005025)
关键词
产后抑郁
心理干预
筛查
自我效能
Postpartum depression
Psychological intervention
Screening
Self-efficacy
