临床护理路径在降低剖宫产产妇产后抑郁发生中的效果研究

Effect of clinical nursing path on reduction of postpartum depression in puerpera with cesarean section

目的探讨临床护理路径降低剖宫产产妇产后抑郁发生率的疗效。方法将160例行剖宫产手术的产妇随机分为对照组和观察组,每组各80例,对照组采用常规护理,观察组采用临床护理路径方法进行护理。于产后第3天、1周、3周、6周采用爱丁堡产后抑郁量表(EPDS)对2组产妇的抑郁情况进行评价,比较2组EPDS得分及抑郁发生率差异。结果观察组产后第3天、产后第1周、产后第3周、产后第6周的EPDS评分及抑郁阳性率均显著低于对照组,2组间差异有统计学意义(P<0.05)。结论临床护理路径能有效降低剖宫产产妇产后抑郁发生率。

Objective To explore the effect of clinical nursing path on reduction of incidence rate of postpartum depression in puerpera with cesarean section.Methods 160 puerpera with cesarean section were randomly divided into control group and observation group,80 cases in each group.The control group was treated with conventional nursing,while the observation group was treated with clinical nursing path.Edinburgh Postnatal Depression Scale（EPDS） was applied for puerpera in both group to evaluate situation of depression at the time points of third day,first week,third week and six week after delivery,and the incidence rate of depression were compared between two groups.Results Scores of EPDS and incidence rate of depression in the observation group at the time points of third day,first week,third week and six week after delivery were significantly lower than that in the control group（P〈0.05）.Conclusion Clinical nursing path can effectively reduce the incidence rate of postpartum depression in puerpera with cesarean section.