阶段性改变理论模式对降低孕产妇产后抑郁症发生率的效果评价

Effect evaluation of applying phase changing theory mode to reduce depression occurrence of pregnant women after delivery

目的探讨阶段性改变理论模式对降低孕产妇产后抑郁症发生率的效果。方法将89例患有产前抑郁症的孕产妇随机分为干预组45例和对照组44例。干预组接受阶段性改变理论模式的干预措施，对照组按常规给予指导护理。采用爱丁堡产后抑郁量表（EPDS）和自行设计的产后一般隋况调查表对2组孕产妇进行调查。分别对2组孕产妇产前、产后抑郁情况及产后一般隋况进行比较。结果干预组产妇产后抑郁严重程度较自身干预前及同期对照组均有显著的改善。干预组孕产妇产后的恢复情况、照顾婴儿能力及婴儿的发育情况显著优于对照组。结论运用阶段性改变理论模式进行护理干预，可以降低产妇产后抑郁症的发生率，帮助产妇建立健康的生活方式，为婴儿提供合理喂养及照顾，提高生活质量。

Objective To explore the effect of applying phase changing theory mode on reducing depression occurrence of pregnant women after delivery. Methods 89 cases of pregnant women suffered from pre-delivery depression were separately divided into the intervention group （45 cases） and the control group （44 eases） at random. The intervention group accepted the intervention measure of the phase changing theory mode but the control group aceepted the routine instruction of the nursing. The EPDS and self-designed ordinary situation questionnaire were used to investigate the two groups. The depression pre and post-delivery and general situation post-delivery were separately compared between the two groups. Results The depression degree of the pregnant women of the intervention group was evidently reduced compared with before intervention and the contemporaneous results of the control group . Postpar- tum recovery, ability of attending babies and developmental condition of the babies were better in the inter- vention group than those of the control group. Conclusions The application of the phase ehanging mode in nursing of parturients can reduce the occurrence of postpartum depression, so as to help them set up a healthy living manner, supply appropriate feeding and attendance for babies and improve the living quality of them.