瑜伽运动结合心理辅导对初产妇产后抑郁患者心理健康及体型、盆底功能恢复的影响

Effects of yoga combined with psychological counseling on mental health,body type and pelvic floor function recovery of primiparas with postpartum depression

目的:观察瑜伽运动结合心理辅导对初产妇产后抑郁患者心理健康及体型、盆底功能恢复的影响。方法:采用信封法将100例初产妇产后抑郁患者随机分为对照组和观察组,每组50例;对照组采用心理辅导,观察组采用瑜伽运动结合心理辅导;分别于干预前后测评两组心理健康状况[爱丁堡产后抑郁量表(EPDS)评分、焦虑自评量表(SAS)评分]、体型指标[体质量指数(BMI)、腰围、臀围、大腿围、小腿围]、盆底功能指标(盆底肌肌力、盆底器官脱垂分期、尿失禁程度)水平,并比较两组生活质量[生活质量综合评定量表(GQOLI-74)评分]。结果:干预后,观察组较对照组EPDS评分、SAS评分均明显降低(t=-4.267,-3.935;P<0.01)。干预后,两组BMI、腰围、臀围比较差异无统计学意义,而在大腿围、小腿围比较上,观察组明显小于对照组(t=-4.686,-7.701;P<0.05)。干预后,观察组较对照组盆底I类肌纤维肌力及II类肌纤维肌力分级均明显增高(t=6.852,4.641;P<0.01),盆底器官脱垂分期及尿失禁程度均明显改善(χ^2=7.977,6.243;P<0.05)。观察组较对照组GQOLI-74量表各维度(躯体功能、社会功能、心理功能、物质生活)评分均明显增高,差异有统计学意义(t=2.112,4.810,2.298,2.150;P<0.05)。结论:瑜伽运动结合心理辅导有助于改善初产妇产后抑郁患者心理健康水平,促进体型、盆底功能恢复,提高患者生活质量。

Objective:To observe the effect of yoga combined with psychological counseling on the mental health,body type and pelvic floor function recovery of primiparas with postpartum depression.Methods:A total of 100 primiparas with postpartum depression were randomly divided into the control group and the observation group by the envelope method,with 50 cases in each group.The control group were given psychological counseling while the observation group were given yoga combined with psychological counseling.The mental health status[Edingburgh Postnatal Depression Scale(EPDS)score,Self-rating Anxiety Scale(SAS)score],indexes of body type[body mass index(BMI),waist circumference,hip circumference,thigh circumference,calf circumference]and pelvic floor function indexes(pelvic floor muscle strength,stage of pelvic organ prolapse,degree of urinary incontinence)in the two groups were evaluated before and after the intervention.The quality of life[Generic Quality of Life Inventory-74(GQOLI-74)score]was compared between the two groups.Results:After the intervention,the EPDS and SAS scores of the observation group were significantly lower than those of the control group(t=-4.267,-3.935;P<0.01).After the intervention,there was no significant difference in BMI,waist circumference and hip circumference between the two groups(P>0.05),while the thigh circumference and calf circumference of the observation group were significantly shorter than those of the control group(t=-4.686,-7.701;P<0.05).After the intervention,the grades of muscle strength of type I muscle fibers and type II muscle fibers of pelvic floor in the observation group were significantly higher than those in the control group(t=6.852,4.641;P<0.01),and the stage of pelvic organ prolapse and urinary incontinence in the observation group were significantly better than those in the control group(χ^2=7.977,6.243;P<0.05).Scores of different dimensions of GQOLI-74(physical function,social function,psychological function and material life)in the observation group were significantly higher than those in the control group(t=2.112,4.810,2.298,2.150;P<0.05).Conclusion:Yoga combined with psychological counseling can help improve the mental health of primiparas with postpartum depression,promote the recovery of body type and pelvic floor function,and improve the quality of life of patients.