心理干预对灾区再生育产妇住院期间焦虑抑郁的影响

Effect of psychological workers on reproductive maternity during hospitalization in disaster area

目的探讨心理工作者对灾区再生育产妇住院期间心理状况的影响。方法将48例灾区再生育产妇设为干预组，住院期间由心理工作者对其进行心理干预，比较其人院及出院时抑郁自评量表（SDS）、焦虑自评量表（SAS）评分；选取同期未进行心理干预的48例出院产妇作为对照组，采用护理部制定的满意度调查表对两组进行满意度调查，比较两组患者满意度情况。结果干预组出院时SAS、SDS评分分别为（38±8．5），（35±11．5）分，分别低于人院时的（67±5．8），（63±7．8）分，差异均有统计学意义（t分别为18．9050，13．5171；P〈0．05）；干预组与对照组患者满意度比较，差异无统计学意义（P〉0．05）。结论设置心理工作者可改善灾后再生育产妇焦虑、抑郁情绪，对其心理健康有明显积极的作用，是多途径促进灾区群众心理健康的一种探索。

Objective To explore the psychological intervention pattern and the effect of psychologicalworker on reproductive maternity during hospitalization in disaster area. Methods Systematic psychological intervention was applied to 48 cases of reproductive maternities during hospitalization in disaster area （intervention group）. Comparison and evaluation were made with Self-Rating Depression Scale （SDS） and Self- Rating Anxiety Scale （SAS） after hospitalizing and before discharging. Another 40 cases of maternities without applying the psychologically intervention and discharged at the same time as the intervention group （ control group） were surveyed with satisfaction degree questionnaire designed by the nursing department when discharged. Satisfactions of both groups were compared. Results The scores of SAS and SDS of intervention group before discharging were （ 38 ± 8.5 ） and （ 35 ± 11.5 ） respectively and were significantly lower than the scores of the same group after hospitalizing （ 67 ± 5.8 ） and （ 63 ±7.8 ） , the differences were statistically significant （t = 18. 905 0,13.517 1, respectively;P 〈 0.05 ）. No significant difference was found between the satisfactions of two groups （ P 〉 0.05 ）. Conclusions Systematic psychological intervention by psychological workers improved the anxiety and depression, and had a positive effect on the psychological health of the reproductive maternities. It is a new way to improve psychological health of people in disaster area.