健康教育联合网络交流在预防产后抑郁症中的应用

目的探讨孕期健康教育与QQ交流平台在预防产后抑郁症中的作用。方法选择2012年6月至2013年3月在深圳市盐田区人民医院产前检查及住院分娩并进行产后42 d复查的产妇560例作为研究对象,将孕产期接受健康教育及参加QQ交流的产妇300例设为观察组;未接受健康教育及QQ交流的260例设为对照组。采用爱丁堡产后抑郁量表(Edinburgh postnatal depression scale,EPDS)进行产后抑郁症筛查;根据《精神疾病的诊断与统计手册》进行诊断并分析结果;对产妇进行问卷调查,搜集并分析发生产后抑郁症的影响因素。结果 560例产妇中,确诊产后抑郁症74例(13.21%),观察组发病率低于对照组(9.33%vs 17.69%,P0.05);生女孩的产妇、居住条件差的产妇发病率高(P0.05)。结论产后抑郁症病因复杂,影响因素多,加强孕期健康教育,孕期、产褥期参与QQ交流,对预防产后抑郁症有重要作用。

Application of health education combined with network communication in prevention of postpartum depression

Objective To discuss the effect of pregnancy health education and QQ platform communication on preventing postpartum depression. Methods 560 puerpera who had delivery in Shenzhen Yantian District People＇s Hospital and had postpartum check 42 days after delivery between June 2012 to March 2013 were chosen. The puerpera who attended the health education and with 300 puerpera who joined the QQ communication were selected into observation group, and with 260 puerpera who did not were selected into control group. The Edinburgh postnatal depression scale （EPDS） was adopted to screen the postpartum depression. The diagnostic criteria of postpartum depression defined in ＂The manual of diagnosis of mental illness and statistics＂ was adopted, and all the information was analyzed. Questionnaires were investigated in puerpera and influence factors of postpartum depression were collected and analyzed. Results Among 560 puerpera, 74 cases of postpartum depression were diagnosed. The overall incidence rate was 13.21%. The disease incidence rate in observation group was lower than the control group （ P 〈 0. 05 ）. The puerpera who had girls had a higher rate than the puerpera who had boys （ P 〈 0. 05 ）. The puerperae with worse living condition had a higher rate （P 〈 0. 05 ）. The differences were statistically significant. Conclusion Postpartum depression has complex etiology and factors. Therefore, strengthening pregnancy health education and pregnancy and puerperium QQ communication has important effect on postpartum depression prevention.