摘要
目的探讨以家庭为中心的护理模式对初产妇产后抑郁症患者的临床效果.方法采用便利抽样法,选取2017年1月-2018年12月在浙江省杭州市萧山区第一人民医院产科检查及分娩的初产妇合并产后抑郁的患者120例,按照随机数字表法将其分为观察组和对照组各60例.对照组患者应用常规护理,观察组患者在常规护理的基础上实施以家庭为中心的护理模式.应用汉密尔顿抑郁量表(HAMD)及社会功能缺陷筛选量表(SDSS)对比两组患者干预前后抑郁症状及社会功能,统计两组患者婴幼儿抚触技术使用率、母乳喂养率及新生儿患病率,比较两组患者婴儿照护能力.结果干预前,两组患者HAMD评分及SDSS评分比较差异无统计学意义(P>0.05);护理干预后,两组患者HAMD及SDSS评分均有所降低,且观察组患者低于对照组,差异有统计学意义(P<0.01);护理干预后,观察组患者婴幼儿抚触技术使用率、母乳喂养率及分别为96.67%、95.00%,高于对照组的83.33%、78.33%,观察组新生儿患病率为6.67%,低于对照组的20.00%,差异均有统计学意义(P<0.05).结论以家庭为中心的护理模式可有效改善初产妇产后抑郁症患者的抑郁症状,提高了患者社会功能及照护婴儿能力,值得临床应用.
Objective To explore the clinical effects of family-centered nursing model on primiparas with postpartum depression. Methods Totally 120 primiparas who were examined, delivered and showed postpartum depression in the First People s Hospital of Xiaoshan District from January 2017 to December 2018 were selected using convenient sampling and divided into the observation group (n=60) and the control group (n=60) according to the random number table. Patients in the control group received conventional nursing care, while patients in the observation group received family-centered care on the basis of conventional nursing care. Hamilton Depression Scale (HAMD) and Social Disability Screening Schedule (SDSS) were used to compare the depression symptoms and social function between the two groups before and after intervention. The utility of caress, rate of breast feeding and morbidity of neonates in the two groups were calculated. The care ability for infants were compared between the two groups. Results There was no statistically significant difference in HAMD and SDSS scores between the two groups before intervention (P > 0.05);HAMD and SDSS scores of both groups decreased, and the scores of the observation group were lower than those of the control group, and the differences were statistically significant(P<0.01);the utility of caress and the rate of breast feeding were 96.67% and 95.00% in the observation group, higher than those in the control group, which were 83.33% and 78.33%. The morbidity of neonatals in the observation group was 6.67%, lower than that in the control group, which was 20.00%. The differences were all statistically significant (P<0.05). Conclusions The family-centered nursing model can ameliorate depression symptoms in pri mi paras with postpartum depression and improve their social function and care ability for infants effectively, which is worth promoting in clinical practice.
作者
项佳华
Xiang Jiahua(Department of Obstetrics and Gynecology, the First People s Hospital of Xiaoshan District, Hangzhou 311201,China)
出处
《中华现代护理杂志》
2019年第16期2072-2075,共4页
Chinese Journal of Modern Nursing
关键词
初产妇
产后抑郁
以家庭为中心
临床症状
功能恢复
Primipara
Postpartum depression
Family-centered
Clinical symptom
Functional recovery
