孕期心理干预对预防产后焦虑、抑郁疗效观察

目的探讨孕期心理干预对预防产后焦虑、抑郁的疗效,为孕期保健指导提供参考。方法将420例初产妇随机分为研究组(给予孕期心理干预指导)和对照组(给予常规孕期指导),比较两组分别于入组时、产后1个月的焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分;比较产后7 d、15 d及30 d爱丁堡产后抑郁领表(EPDS)评分。结果两组入组时SAS及SDS评分比较差异无统计学意义;产后1个月,研究组SAS及SDS评分均低于对照组,且两组比较差异有统计学意义(t=-8.258,-8.836;P0.05);研究组产后7 d、15 d及30 dEPDS评分均低于对照组,且两组比较差异有统计学意义(t=-2.513,-3.201,-2.640;P0.05)。结论孕期心理干预及健康保健指导有助于降低产妇产后焦虑抑郁发生率,促进产妇产后的身心健康。

The Efficacy of Psychological Intervention during Pregnancy for the Prevention of Anxiety and Depression

Objective To investigate the eficacy of psychological intervention during pregnancy for the prevention of anxiety and de -pression,in order to provide reference for the care of prenatal .Methods A total of 420 cases were randomly divided into the study group （ received psychological intervention during pregnancy and health care guidance ） and the control group （ received routine prenatal guid-ance）.And the SAS score and SDS score of the two groups and the EPDS scores at 7 d,15 d and 30 d postpartum were compared,respec-tively.Results There was no significant differences of SAS and SDS scores of the two groups before treatment （P＆gt;0.05）.The SAS and SDS scores of the observation group at one month postpartum were both lower than those of the control group （P＆lt;0.05）.The EPDS scores of the observation group at 7 d,15 d and 30 d postpartum were all lower than those of the control group （P＆lt;0.05）.Conclusion Psychological intervention and health care during pregnancy guidance can help to reduce the anxiety and depression postpartum , improve the physical and mental health postpartum .