同伴互动支持模式在社区初产妇产后抑郁中的应用效果

[目的]探讨应用同伴互动支持模式对社区初产妇产后抑郁的影响。[方法]选取在银川市某社区卫生服务中心接受产后保健服务112例住院分娩后、母婴健康的初产妇,按照时间顺序分为对照组和干预组各56例,对照组接受常规社区保健服务,干预组接受常规社区保健服务+同伴互动支持模式的护理方案,比较初产妇产后第6周、产后第3个月、产后第6个月的爱丁堡产后抑郁量表(EPDS)评分及母婴保健知识知晓率的情况。[结果]干预组与对照组的初产妇产后第3个月、产后第6个月的抑郁得分差异有统计学意义(P0.05)。在产后第3个月时两组抑郁发生率差异有统计学意义(P0.05),母婴保健知识掌握情况干预组高于对照组。[结论]同伴互动支持模式有助于改善社区初产妇产后抑郁的心理状态,提高了对母婴保健知识的掌握程度。

Effect evaluation on application of peer interaction support model for postpartum depression in primiparous women in community

Objective:To probe into the application effect of peer interaction support model for postpartum de-pression in primiparous women in community.Methods:Choosen A total of 1 1 2 primipara after childbirth with maternal and child health were selected who accepted postpartum health care services in a community health service center in Yinchuan city.They were randomly divided into control group and intervention group,5 6 cases in each.The patients in control group received the routine community health services,while the patients in in-tervention group received the nursing program of routine community health service combined with peer interac-tion support model.The primipara's EPDS score and the awareness rate of maternal and child health knowledge were compared at the sixth week,third month and sixth month after delivery.Results:There was statistically significant difference in primipara's depression score between intervention group and control group at the third month and sixth month after delivery (P<0.05).At the third month after delivery,there was statistically sig-nificant difference in incidence of depression between both groups (P<0.05).The awareness rate of maternal and child health knowledge in intervention group was higher than that in control group.Conclusion:Peer inter-action support model was helpful to improve the psychological state of postpartum depression of primiparous women in community,and improve their awareness rate of maternal and child health knowledge.