解释性心理护理对产妇产后抑郁的影响

目的探讨解释性心理护理对产妇产后抑郁的影响。方法选择在本院住院的121例行阴道分娩初产妇为实验组,同期选择在其他3家医院住院的97例行阴道分娩初产妇为对照组,两组均按照产科护理常规进行护理,观察组在常规护理基础上采用解释性心理护理进行心理疏导。采用艾迪抑郁量表(EPDS)对两组产妇的抑郁情况进行评定。结果实验组产妇EPDS≥13分者8例,阳性率6.61%(8/121);对照组EPDS≥13分者15例,阳性率15.46%(15/97),两组比较,经统计学分析,χ2=4.02,P<0.05,差异具有统计学意义。两组产妇产后第3d和第14dEPDS评分比较,经统计学分析,P<0.05,差异具有统计学意义。结论解释性心理护理能有效改善产妇产后抑郁的心理状态。

Objective To investigate the clinical influence of explanatory mental nursing on postpartum depression in parturients. Methods 121 parturients with vaginal delivery were assigned into observation group and simultaneously another 97 with vaginal delivery as control group. All of the parturienta were nursing in a routine way, only those in the observation group received explanatory mental nursing. The status of depression was evaluated by EPDS. Results In the observation group, 8 cases were scored more than 13 by EPDS, with a positive rate was 6.61% （8/121）, while in the control group 15 cases were more than 13, with a positive rate of 15.46% （15/97）. The comparison between the group showed statistical difference （χ^2= 4.02, P 〈 0.05）. The comparisons on the EPDS scores between the groups on the 3rd day and 14rd day showed significant difference （P 〈 0.05）. Conclusion Explanatory mental nursing can effective alleviate postpartum depression in parturients.