孕期心理干预及健康保健对预防产后焦虑抑郁的观察

目的观察孕期心理干预及健康保健对预防产后焦虑、抑郁的效果。方法应用综合医院焦虑／抑郁（HAD）量表筛选出有焦虑或抑郁倾向的初孕妇300例，随机分为对照组（A组）100例、心理干预组（B组）100例及心理干预辅助健康保健组（c组）100例，三组均于入组时、产后1天、1周、6周测评HAD，并观察产后的产妇身心康复情况。结果与孕期相比，A组产后1天、1周、6周焦虑和抑郁情绪无明显改善，而B组与C组的情绪有明显改善，且差异有统计学意义（P〈0．05）；且C组于产后6周的身心康复水平更高，差异有统计学意义（P〈0．05）。结论孕期心理干预及健康保健能显著改善孕产期焦虑、抑郁的情绪，促进产妇身心健康，值得临床推广。

Observation on effect of psychological intervention and health care during pregnancy for the prevention of postpartum depression and anxiety

Objective To observe the effect of psychological intervention and the heahh care during pregnancy for the prevention of postpartum anxiety and depression. Methods 300 cases of early pregnant women screened for tendency of anxiety or depression by comprehensive hospital anxiety and depression （HAD） scale, were randomly divided into control group （group A, 100 cases）, the psychological intervention group （group B, 100 cases）, and the combination of psychological intervention and health care group （group C, 100 cases）, The three groups were assessed HAD, postpartum 1 day, 1 week and 6 weeks, and their physical and mental rehabilitation conditions were observed. Results Group A had no significant improvement during pregnancy, and postpartum 1 day, 1 week and 6 weeks of anxiety and depression, while patients＇ moods in group B and group C had improved significantly （P〈0.05）, and group C had a higher level in the physical and psychological recovery after postpartum 6 weeks. Conclusion The psychological intervention and health care during pregnancy can significantly ameliorate maternal anxiety and depression, promote the maternal health, it is worthy for the clinical promotion.