社区综合性居家干预对产后抑郁的影响

目的 观察社区综合性居家干预对产后抑郁的影响.方法 随机对照将60例符合产后抑郁诊断标准的产妇分为观察组(n=30)和对照组(n=30),对照组给予常规家庭产后照护,观察组在家庭常规产后照护基础上进行社区综合性居家干预.采用社会支持量表(SSRS)、爱丁堡产后抑郁量表(EPDS)对比干预后2、4、8周产妇SSRS、EPDS的评分情况.结果 干预2、4、8周后观察组SSRS得分(32.83±7.35分,40.63±3.38分,46.87±5.62分)高于对照组(26.06±7.50分,31.93±5.42分,35.03±6.18分),观察组EPDS评分(9.83±0.35分,7.03±0.38分,5.27±0.32分)显著低于对照组(11.26±0.55分,10.23±0.42分,9.23±0.38分),差异有统计学意义(P<0.05).结论 社区综合性居家干预对提高产妇社会支持水平,改善产后抑郁症状效果显著,且全面、便捷、产妇和家属依从性高,群众乐于接受.

Effect of Community Integrated Home Intervention on Postpartum Depression

Objective To observe the effect of community comprehensive home care on postpartum depression. Methods 60 cases of parturient who met the diagnostic criteria of postpartum depression were randomly divided into observation group (n=30) and control group (n=30). the control group was given routine home postpartum care. the observation group carried out community comprehensive home care intervention on the basis of family routine postpartum care. The social support scale (social support rate scale, SSRS) and the Edinburgh Postpartum Depression Scale (Ediburgh postnatal depression scale, EPDS) were used to compare the maternal SSRS, EPDS at 2,4 and 8 weeks after intervention Information. Results The SSRS score of the observation group was higher than that of the control group after 2,4 and 8 weeks of intervention, and the EPDS score was significantly lower than that of the control group (P<0.05). Conclusion Community comprehensive home care has a significant effect on improving the social support level of puerpera and improving the symptoms of postpartum depression.