家庭护理干预对产后抑郁症发病影响的研究

目的探讨家庭护理干预对改善产后抑郁症的效果。方法选择在我区区域内常住或暂住第一胎顺产的产妇1525人,按住院的先后顺序排号单数为观察组763人,双数为对照组762人。观察组按设计的家庭护理干预措施实施干预,对照组按常规的产后家庭访视进行,分别在产后第42天及第6个月用产后抑郁评分表(EPDS)进行测评,EPDS总分<12分为阴性,≥13分为阳性,即诊断为产后抑郁症。比较2组产妇的产后抑郁情况。结果产后42d抑郁症的发生率观察组和对照组分别为2.36%和10.5%,产后6个月抑郁症发生率观察组和对照组分别为3.15%和12.3%,2组比较差异均有统计学意义,P<0.01。结论通过实施家庭护理干预有效地降低了产后抑郁症的发生,提高了产妇的生活质量。

Effects of family nursing intervention for women with postpartum depression

Objective In order to know the effects of the family nursing intervention for women with postpartum depression. Methods Selected 1525 pregnant women without difficult labor. Divided them into the observation group (763 cases) and control group(762 cases) according to the order in hospital. Family nursing intervention was used in the observation group, while routine family follow up was used in control group. Evaluated the postpartum depression between the two groups by EPDS at the time point of the 42nd days, and 6th month after the labor respectively. Results The incidence rate of postpartum depression in the observation group and control group was 2.36% and 10.5% respectively in the 42nd day after labor, while in the 6th month the rate was 3.15% and 12.3% respectively , the differences between them were significant, P<0.01. Conclusion The family nursing intervention can reduce the incidence rate of postpartum depression, and then effectively improve the quality of life for pregnant women. [