有效心理社会干预对孕产妇抑郁状况的影响

余凤清??郑女笑??梁瑞琼

[摘要] 目的 探讨有效心理社会干预对孕产妇抑郁状况的影响。 方法 选取2014年1月～2015年12月我院产前门诊就诊与分娩孕妇260例，随机分两组，各130例，对照组常规护理，观察组在此基础上实施心理社会干预，对比两组护理前后的焦虑程度和抑郁程度。 结果 （1）观察组护理后焦虑量表评分（22.55±4.49）低于对照组（28.6±6.03），差异有统计学意义（P<0.05），和护理前（38.09±1.88）比较，观察组护理后焦虑量表评分明显降低（P<0.05）。（2）观察组护理后抑郁量表评分（20.51±4.35）低于对照组（30.55±6.00），且低于本组护理前，差异有统计学意义（P<0.05）。（3）观察组护理满意度88.46%高于对照组69.23%，差异有统计学意义（P<0.05）。 结论 有效心理社会干预对孕产妇抑郁状况具有积极的改善作用，可有效地缓解患者的抑郁、焦虑情绪，值得临床广泛应用以及推广。

[关键词] 心理社会干预；孕产妇；抑郁；影响

[中图分类号] R473.71 [文献标识码] A [文章编号] 2095-0616（2017）12-127-03

Effect of effective psychological social intervention on depression status of pregnant women

YU Fengqing ZHENG Nvxiao LIANG Ruiqiong

Enping Branch，Jiangmen Wuyi Hospital of Traditional Chinese Medicine，Jiangmen 529400，China

[Abstract] Objective To explore the effect of effective psychological social intervention on depression status of pregnant women. Methods 260 pregnant women who were diagnosed and delivered in the antenatal clinic of our hospital from January 2014 to December 2015 were selected and randomly divided into the control group and the observation group，with 130 in each.The control group was given routine treatment while the observation group was given psychological social intervention at basis of it.Anxiety degree and depression degree before and after nursing of two groups were compared. Methods （1）Anxiety scale score after nursing of the observation group was （22.55±4.49），lower than that of the control group （28.6±6.03），（P<0.05）.Anxiety scale score after nursing of the observation group was significantly decreased compared with that before nursing （38.09±1.88），（P<0.05）.（2）Depression scale score after nursing of the observation group was （20.51±4.35），lower than that of the control group （30.55±6.00）（P<0.05），and lower than that before nursing （P<0.05）.（3）Nursing satisfaction of the observation group was 88.46%，higher than that of the control group （69.23%），（P<0.05）. Conclusion Effective psychological social intervention can positively improve the effect on depression status of pregnant women.It can effectively relieve depression and anxiety，which is worthy of wide application and promotion.

[Key words] Psychological social intervention；Pregnant women；Depression；Effect

隨着现代医学模式的不断改变，孕产妇的心理状态的改善情况逐渐得到了重视。人们逐渐发现孕产期心理不但与其生理因素有关，还与社环境存在一定的关系。围产期产妇面临生理、心理应激，妊娠压力增加，容易产生焦虑、抑郁等不良心理，影响心理健康[1-2]。加强围产期产妇的心理社会干预体现了“以患者为中心”护理服务理念，可有效地提高护理服务质量与预防产后抑郁症的发生[3-4]。本研究采用心理社会干预措施对孕产妇进行护理，效果显著，现报道如下。

1 资料与方法

1.1 一般资料

选取2015年1月～2016年12月我院产前门诊就诊与分娩孕妇共260例，排除精神病史、脑部疾病患者，随机分组，各组为130例，观察组年龄21～38岁，平均（28.0±2.3）岁，初产妇80例，经产妇50例；对照组年龄20～38岁，平均（28.3±2.6）岁，初产妇82例，经产妇48例。两组基本资料差异无统计学意义（P>0.05）。具有可比性。

1.2 干预方法

对照组实施常规护理方式，对患者进行常规的孕产期检查和护理；观察组基于常规护理措施，实施心理社会干预……