Title:

Investigation and analysis on screening and intervention of the postpartum depression by network platform

作者：

周华, 唐剑叶, 秦志强, 虞斌, 杨晓燕, 莫建英

周华，唐剑叶，秦志强，虞斌，杨晓燕，莫建英

Author(s):

ZHOU Hua, TANG Jian-ye, QIN Zhi-qiang, YU Bin, YANG Xiao-yan, MO Jian-ying

ZHOU Hua, TANG Jian-ye, QIN Zhi-qiang, YU Bin, YANG Xiao-yan, MO Jian-ying

单位:

南京医科大学附属常州妇幼保健院，江苏 常州 213003

Unit:

Changzhou Maternal and Child Care Service Center, Changzhou, Jiangsu 213003, China

关键词:

产后抑郁; 筛查; 健康教育; 心理干预

产后抑郁；筛查；健康教育；心理干预

Keywords:

Postpartum depression; Screening; Health education; Psychological intervention

分类号:

R173

文献标识码:

A

摘要:

目的 探讨网络平台应用对产后抑郁早期筛查以及心理干预的效果。方法 建立网络筛查和心理干预平台，以2015年7月 - 2017年8月（900例）在常州市妇幼保健院进行产前检查、住院分娩且无精神病史的孕产妇为研究对象，在产后7 d内进行问卷调查。根据调查评估方式分成纸质组（330例）和微信组（519例），比较2组卷面完整性、产后抑郁知识知晓率、健康教育满意度、心理干预效果等。结果 微信组调查表卷面完整率为94.99%，产妇知识知晓率为79.00%，健康教育满意度为83.43%，医生面访干预率为83.33%，均优于纸质组，差异具有统计学意义（P＜0.05）。另外微信组利用网络进行综合心理干预后，42 d减分（4.87±2.023），高于纸质组（3.15±1.211）（ Z = - 5.701，P＜0.05），3个月时减分（5.51±2.869），高于纸质组（3.78±1.346）（Z = - 3.800，P＜0.05）。结论 通过开发和运用网络平台，建立起医院产后抑郁早期筛查和干预的新模式，有利于提高产后抑郁的干预效果。

Abstract:

Objective To investigate the effectiveness of application of network platform on early screening and intervention of postpartum depression. Methods By establishing a network screening and psychological intervention platform, 900 cases of inpatient delivery maternal without a history of mental illness who had prenatal examinations in our hospital from July 2015 to August 2017, were recruited into the study. All of them were investigated by using the questionnaire within seven days after delivery，divided into the paper version group (330 cases) and the WeChat mode group (519 cases). The integrity of the answers， awareness rate of postpartum depression knowledge，satisfaction degree of health education and effect of psychological intervention were compared between the two groups. Results The volume integrity(94.99%), awareness rate of postpartum depression knowledge(79.00%), satisfaction degree of health education(83.43%), and the intervention rate (83.33%) of the WeChat mode group, were higher than the paper version group (P<0.05). Moreover, the WeChat group used the network for comprehensive psychological intervention, and the score decreased at 42 days(4.87±2.023), higher than that in the paper group(3.15±1.211)(Z=-5.701, P<0.05), and also decreased at 3 months(5.51±2.869), higher than the paper group(3.78±1.346)(Z=-3.800, P<0.05). Conclusion Through the development and application of network platform, new models on early screening and intervention of postpartum depression can be established to improve the effectiveness of intervention of postpartum depression.

参考文献
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备注/Memo:

基金项目：江苏省妇幼健康科研项目[F201528]
作者简介：周华（1974 - ），女，大学本科，副主任医师，研究方向：妇幼保健
通讯作者：秦志强，E-mail:ybcz0519@163.com