护理干预对预防产后抑郁症的效果评价

Prevention of nursing intervention on postpartum psychosis

目的评价全方位整体护理干预对预防产后抑郁症的临床效果。方法将150例产前检查者随机分为两组，研究组86例，以全方位整体护理为主，辅以孕妇学校、健康教育、导乐陪伴分娩等孕期全程护理干预；对照组予以常规护理。于产妇产后6w末，采用产后抑郁量表评定两组的抑郁状况。结果产妇产后6w末，研究组产后抑郁症发生率为3．49％，对照组为18．75％，研究组产后抑郁症发生率显著低于对照组（χ^2=9．496，P〈0．01）。结论实施全方位的整体护理干预能显著降低产后抑郁症的发生。

Objective To evaluate the clinical effects of general nursing intervention on patients with postpartum psychosis. Methods 150 pregnant women received prenatal examination were divided into stud group（86 cases） and control group（64 cases） randomly. The study group were provided with general nursing care and omnidistance nursing intervention including health education, school for pregnant women and so on, while the controls were only given routine nursing. Edinburgh Postnatal Depression Scale（ EPDS） was used to assess the depressive status at the end of 6 weeks after delivery. Results The incidence rate of postpartum psychosis was 3.49% and 18. 75% in study group and control group respectively, which was significantly lower in stuy group than in the control group （P 〈 0.01）. Conclusion General nursing intervention can effectively reduce the incidence rate of postpartum psychosis.