认知疗法在改善妊娠期抑郁症状的临床效果研究

The research on the clinical effect of cognitive therapy in improving pregnancy depression

目的:探讨认知疗法对妊娠期女性抑郁症状的改善效果。方法:选取2009年3月～2010年3月在该院产科门诊建卡进行围产期产检的有抑郁症状的孕妇120例,作为研究对象,将所有孕妇随机分为观察组和对照组,对照组孕妇实施常规护理,观察组孕妇在常规护理的基础上予以认知疗法,比较两组孕妇经治疗后抑郁症状改善情况及后续分娩的剖宫产率、产程时间、疼痛发生率及疼痛级别、产后抑郁症发生率结果,综合评价认知疗法对妊娠期并发抑郁症孕妇的治疗效果。结果:两组孕妇经过治疗后,抑郁评分均较治疗前改善,但观察组孕妇的抑郁评分指数改善效果明显优于对照组孕妇。对照组患者分娩期的剖宫产率、产程时间、疼痛发生率及疼痛级别、产后抑郁症的发生率均明显高于观察组患者,P值均<0.05,均有统计学意义。结论:认知疗法对围产期妇女抑郁症状改善及提高分娩过程质量具有重要意义,值得临床推广应用。

Objective：To investigate the effect of cognitive therapy in improving pregnancy depression.Methods：120 pregnant women with depressive symptoms from March 2009 to March 2010 in our hospital were selected as the research object.All pregnant women were randomly divided into control group and observation group.The pregnant women in the control group were taken routine care.The pregnant women in the observation group were taken cognitive therapy on the basis of routine care.The improving situation for depression and follow-up rate of cesarean section delivery,labor time,the incidence of pain and pain level,the results of the incidence of postpartum depression for pregnant women after treatment were compared.The effect of cognitive therapy in improving symptoms of depression during pregnancy was evaluated.Results：After treatment the scores of depression in the two groups were improved.But the improved effect in the observation group was better than the control group.The cesarean section rate,labor time,the incidence of pain and pain level,the incidence of postpartum depression in the control group were significantly higher than in the observation group,P0.05.There were statistically significant.Conclusion：Cognitive therapy has great significance on the improving of perinatal depression and delivery quality.It is worthy for clinical application.