孕期个体化健康教育模式对预防产后抑郁症的观察

Effects of Individualized Health Education on Preventing Postpartum Depression

目的:探讨孕期个体化健康教育对预防产后抑郁症(PPD)发生的作用。方法:选择在我院建卡并生产,符合要求的孕妇3 125例,按建卡顺序随机分为观察组(1 563例)和对照组(1 562例)。对照组采用常规孕期护理宣教,观察组在常规孕期护理宣教的基础上增加4次孕期个体化心理健康教育。分别在产前和产后2月填答爱丁堡产后抑郁量表进行测评。结果:产前抑郁倾向发病455例,占14.56%;产前抑郁症发病者384例,占12.29%。产后2月观察组中抑郁倾向和PPD的发病率分别为7.74%和6.85%,对照组中抑郁倾向和PPD的发病率分别为12.74%和13.64%。2组比较均有显著性差异(P<0.05)。结论:个体化教育模式是减少产妇抑郁倾向和PPD发病的有效措施之一。

Objective： To investigate the Effects of individualized health education on preventing postpartum depression. Methods： 3 125 patients who both had their pregnancy care and gave birth in our hospital were randomly divided into study group （ n = 1 563 ） and control group （ n = 1 562 ）. Routine prenatal care education was given to control group, while the same routine prenatal care education and 4 times of individual health education were given to study group. The effect was measured by the Edinburgh Postnatal Depression Scale （EPDS） in 2 months before and after delivery. Results： The incidence of antenatal depression tendency and Postpartum Depression （ PPD ） were 14.56% （ 455/3 125 ） and 12.29% （ 384/ 3 125） in all the patients in 2 months before delivery. The incidence of antenatal depression tendency and PPD in study group were 7.74% and 6.85%, in the control group were 12.74% and 13.64% in 2 months after delivery. There was a statistical difference in the two groups （P 〈 0.05 ）. Conclusion： Individualized health education is an effective measure to reduce the morbidity of antenatal depression tendency and PPD.