手术室卓越护理服务对剖宫产产妇产后抑郁评分影响

目的探讨手术室卓越护理服务对初产剖宫产产妇术后产后抑郁评分的影响。方法将300例初产剖宫产产妇随机分为卓越服务组或对照组，每组各150例。对照组产妇术前、术中、术后接受一般护理服务，卓越服务组严格按照手术室护士卓越服务基本规范要求并结合本院实际展开护理服务。两组手术前后分别采用汉密尔顿抑郁量表（HAMD）和Edinburgh产后抑郁量表（EPDS）进行评估。结果术前卓越服务组和对照组HAMD评分分别为（12．6±4．1）、（13．1±3．5）分，差异无统计学意义。术后EPDS评分卓越服务组为（9．2±2．1）分，对照组为（10．5±3．2）分，差异有统计学意义（P〈0．05）。卓越服务组产妇对护理服务满意度评分高于对照组（P〈0．05）。结论手术室护理人员卓越服务能提高产妇护理服务满意度，降低产后抑郁评分改善初产剖宫产产妇术后产妇抑静晴绪，对产后抑郁症防治中起着一定作用。

Effect of excellence nursing service of the operating room on postpartum depression level of primiparas undergone caesarean section

Objective To explore the effect of excellence nursing service of the operating room on postpartum depression level of primiparas undergone caesarean section.Methods 300 primiparas undergone caesarean sections were enrolled and randomly divided into two groups: the excellence service group and the control group, with 150 cases in each. The control group received traditional nursing service in perioperation period. The excellence service group received excellence nursing service protocols refer to the principle of excellence nursing service in department of anesthesiology. The protocols were modified in accordance with the present status of the hospital. Both groups were evaluated with Hamilton Depression Scale (HAMD) and Edinburgh Postpartum Depression Scale (EPDS) before and after surgical delivery.Results Before the surgical, the HAMD scores were (12.6±4.1) for the control group and (13.1±3.5) for the excellence service group, there was no difference between the two groups (P>0.05). However, after the surgical delivery, the excellence service group had significant higher EPDS scores than the control group (9.2±2.1, 10.5±3.2). The excellence service group had higher satisfactory scores than the control group (P<0.05).Conclusions The excellence nursing service of the operating room could improve the patient satisfactory, decrease postpartum depression and may play a certain role in postpartum depression prevention.