全程式的健康教育在产后抑郁患者中的应用价值

Application value of holistic health education for patients with postpartum depression

目的:探讨全程式健康教育在预防及降低产后抑郁中的临床价值。方法:选择2011年1月～12月期间在河南省人民医院及郑州市第八人民医院进行孕期系统检查并分娩的产妇共118例(全程式健康教育组),采取全程式健康教育;选取非系统产检的孕产妇118例(常规健康教育组),给予常规健康教育。比较两组孕36周、产后6周爱丁堡产后抑郁量表(EP-DS)及症状自评量表(SCL-90)评分。结果:孕36周时两组孕妇EPDS评分无统计学差异(P>0.05),产后6周两组产妇EPDS评分全程式健康教育组明显低于常规健康教育组(P<0.05);两组孕妇在孕36周SCL-90评分各因子间比较无统计学差异(P>0.05),产后6周SCL-90评分,全程健康教育组产妇抑郁、焦虑、敌对性因子评分高于常规健康教育组产妇(P<0.05)。结论:全程式健康教育能为产妇提供科学、有效的健康知识支持和指导,有助于降低产后抑郁的发生,改善患者产后负性情绪。

Objective： To explore the clinical value of holistic health education for preventing and reducing postpartum depression. Methods： A total of 118 pregnant women who received systematical examination during pregnancy and gave birth to their babies in Hehan Provincial People＇s Hospital and the Eighth People＇s Hospital of Zhengzhou City from January to December in 2011 were selected as holistic health education group, and all of them received holistic health education; 118 pregnant women without systematical examination during pregnancy were selected as routine health education group, and all of them received routine health education. The scores of Edinburgh postpartum depression scale （EPDS） and Symptom checklist （SCL- 90） at 36 gestational weeks and 6 weeks after delivery were compared between the two groups. Results： There was no statistically significant difference in EPDS score at 36 gestational weeks between the two groups （P〉0. 05）, EPDS score at 6 weeks after delivery in holistic health education group was statistically significantly lower than that in routine health education group （ P 〈 0.05 ） . There was no statistically significant difference in the scores of different factors of SCL - 90 at 36 gestational weeks between the two groups （ P 〉 0. 05 ） ; at 6 weeks after delivery, the scores of depression, anxiety, and hostility in holistic health education group were statistically significantly higher than those in routine health education group （ P 〈 0. 05 ） . Conclusion ： Holistic health education can provide scientific and effective health education guidance and direction for parturient women, which is helpful to reduce the occurrence of postpartum depression and improve negative emotion of patients after delivery.