| 心理查房及干预模式对改善孕晚期女性心理健康状况的作用 |
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| 引用本文： | 陆慧,汤雪娟,卢江炜.心理查房及干预模式对改善孕晚期女性心理健康状况的作用[J].中国现代医生,2023,61(21):35-38. |
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| 作者姓名： | 陆慧 汤雪娟 卢江炜 |
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| 作者单位： | 嘉兴市妇幼保健院保健部，浙江嘉兴 314000 |
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| 基金项目： | 嘉兴市科技计划项目（2020AD30039） |
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| 摘 要： | 目的 探讨心理查房及干预模式对孕晚期女性心理健康状况的影响。方法 选取2020年8月至2021年8月嘉兴市妇幼保健院产科孕晚期女性2000例作为研究对象，根据随机数字表法分为对照组和研究组，每组各1000例。对照组给予常规产科诊疗和心理门诊就诊建议，研究组给予心理查房及干预模式。两组分别采用焦虑自评量表（self-rating anxiety scale，SAS）、抑郁自评量表（self-rating depression scale，SDS）、90项症状自评量表（sympotom checklist 90，SCL-90）进行筛查，研究组合格的纳入筛查正常组（Z1-1），共648例，不合格的纳入筛查异常组（Z1-2），共352例；对照组合格的纳入对照正常组（Z2-1），共645例，不合格的纳入对照异常组（Z2-2），共355例。比较Z1-1和Z2-1组的SDS、SAS、SCL-90评分；Z1-2和Z2-2组的SDS、SAS、SCL-90评分及阳性改善率；研究组和对照组的SDS、SAS、SCL-90评分及阳性改善率。结果 干预后，Z1-1组的SDS、SAS、SCL-90评分低于干预前，且低于Z2-1组（P<0.05）；Z1-2组和Z2-2组的SDS、SAS、SCL-90评分低于干预前（P<0.05），且Z1-2组显著低于Z2-2组（P<0.05）；干预后研究组和对照组的SDS、SAS、SCL-90评分低于干预前（P<0.05），且研究组显著低于对照组（P<0.05）。结论 对孕晚期女性采用心理查房及干预模式后，可提升其心理健康水平，减轻其焦虑、抑郁状态。
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| 关 键 词： | 心理查房 孕晚期 心理健康 抑郁 焦虑 |
Effect of mental ward round and intervention mode on improving mental health status of late pregnant women |
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| Abstract: | Objective To explore the influence of mental ward round and intervention mode on the mental health status of women in late pregnancy. Methods A total of 2000 women in late pregnancy in the department of obstetrics of Jiaxing Maternity and Child Health Care Hospital from August 2020 to August 2021 were selected as research objects and divided into control group and study group according to random number table method, with 1000 cases in each group. In control group, women were given routine obstetrical diagnosis and treatment and psychological outpatient advice, and in study group, women were given psychological ward round and intervention mode. The two groups were screened by self-rating anxiety scale (SAS), self-rating depression scale (SDS) and sympotom checklist 90 (SCL-90), respectively. In study group, 648 qualified patients were included in normal screening group (Z1-1), and 352 unqualified patients were included in abnormal screening group (Z1-2). The control group included 645 qualified normal control group (Z2-1) and 355 unqualified abnormal control group (Z2-2). SDS, SAS and SCL-90 scores of Z1-1 and Z2-1 groups were compared. SDS, SAS, SCL-90 scores and positive improvement rate of Z1-2 and Z2-2 groups; SDS, SAS, SCL-90 scores and positive improvement rate of study group and control group. Results After intervention, the scores of SDS, SAS and SCL-90 in Z1-1 group were lower than those before intervention, and lower than those in Z2-1 group (P<0.05). After the intervention, the scores of SDS, SAS, SCL-90 in Z1-2 and Z2-2 groups were lower than those before intervention (P<0.05), and those in Z1-2 group were significantly lower than those in Z2-2 group (P<0.05). After intervention, the scores of SDS, SAS, SCL-90 of the study group and the control group were lower than those before intervention (P<0.05), and the study group was significantly lower than the control group (P<0.05). Conclusion After adopting the psychological ward round and intervention mode, the mental health level of late pregnant women can be improved, and the anxiety and depression state can be reduced. |
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