不同时期心理干预对改善孕产妇抑郁症状的作用研究

目的探讨不同时期心理干预对改善孕产妇抑郁症状的作用。方法将900例孕16周至24周的孕妇,用随机等样本分配至A组、B组、C组,每组300例。3组均予常规医疗、护理和健康教育,B组在孕24周、28周、32周、36周增加心理干预,C组在孕37周、临产前、产后第1～2天、出院前进行心理干预。使用爱丁堡产后抑郁量表对3组孕产妇进行抑郁症状评估。结果 3组爱丁堡产后抑郁量表评分比较,F=46.531,P<0.01;B组和C组在孕37周后抑郁症状发生率低于A组;B组在孕37周评分降低明显,C组在产后第42天评分降低明显。结论不同时期心理干预均能有效缓解孕产妇的抑郁症状,但孕中期心理干预效果持续更久。

Study on alleviation of psychological intervention in different periods on depressive symptoms for pregnant women

Objective To study the effect of psychological intervention in different periods on depressive symptoms for Divide 900 pregnant women in 16--24 weeks of pregnancy into Group A, B and C equally by random sample. All patients receive routine medical care and health education. Patiems in group ]5 receive enhanced psycho- logical intervention in the 24th, 28th, 32nd and 36th of pregnancy. Patients in group C receive psychological intervention in 37th week, before labor, 1--2 days after labor and before discharge. Assess depressive symptoms for pregnant women in 3 groups by Edingburgh Postnatal Depression Scale. Result Comparison on scores of Edingburgh Postnatal Depression Scale for 3 groups,F=46. 531, P〈0. 01. Depression rate of Group B and C after 37th week of pregnancy is lower than Group A. Score of Group I3 reduces obviously in 37th week of pregnancy. Score of Group B reduces obviously in 42nd day after labor. Cortelusion Psychological intervention in different periods can relieve depressive symptoms for pregnant women. Psycholog- ical intervention in second trimester has longer effect.