护理干预对初产妇产后抑郁症的影响

Effect of nursing intervention on postpartum depression in primiparous women

目的探讨护理干预对预防初产妇产后抑郁的效果。方法将2008年8月至2009年8月产前检查及正常足月分娩的初产妇350例,随机分成干预组200例和对照组150例,对照组接受常规护理,干预组在常规护理的基础上,接受系统的护理干预。观察两组孕妇产后6周产后抑郁量表（EPDS）评分和产后抑郁症的发生率。结果干预组与对照组在孕28周基础EPDS评分比较差异无统计学意义（P〉0.05）,产后6周两组比较差异有统计学意义（P〈0.05）;产后6周干预组产后抑郁症的发生率为6.50%（13/200）,对照组产后抑郁症的发生率为14.67%（22/150）,两组差异有统计学意义（P〈0.05）。结论对初产妇进行孕产期的护理干预,能有效地减轻其抑郁情绪,降低产后抑郁症的发生。

Objective To explore the effect of nursing intervention on postpartum depression in primiparous women. Methods Totally 350 healthy primiparous women were divided into intervention group（n=200） and control group（n=150） from August 2008 to August 2009,Both of the two groups received routine nursing,the intervention group also received systemic nursing intervention. All the primiparous women were evaluated by Edinburgh Postnatal Depression Scale（EPDS） after 6 weeks postpartum,and the incidence of postpartum depression was compared between the two groups. Results There was no significant difference between the two groups in basic EPDS value in 28 weeks pregnant（P0.05）. But after 6 weeks postpartum,the difference was significant（P0.05）. After 6 weeks postpartum,the incidence of postpartum depression was 6.50 percent（13/200） in the intervention group,and the incidence of postpartum depression was 14.67 percent（22/150） in the control group,the difference was significant（P0.05）. Conclusions Nursing intervention can effectively release postpartum depression emotion and reduce the incidence of postpartum depression in primiparous women.