社区护理对产后抑郁患者生活质量的影响及相关因素分析

The Effect on Quality of Life of Community Care in Postnatal Depression Patients and the Risk Factor of Postnatal Depression

目的:探讨社区护理对产后抑郁患者生活质量的影响及相关因素分析。方法:选取2012年1月-2013年12月期间我院收治的产妇164例,根据症状自评量表和汉密尔顿抑郁量表检测结果,抑郁患者有106例。将抑郁患者按数字随机法分为A组和B组,每组53例。A组在B组的基础上进行社区康复护理,B组采取常规护理。比较A组和B组患者护理前、后的生活质量以及汉密尔顿抑郁量表和汉密尔顿焦虑量表评分,分析患者的产后抑郁影响因素。结果:护理后A、B两组患者的生活质量显著提高(P<0.05)。与B组相比,A组患者的夫妻关系和婆媳关系和谐的患者例数明显增加,同时患者满意度和幸福感增加,差异具有统计学意义(P<0.05)。年龄较小、经济状况较好、夫妻关系和婆媳关系和谐、性格外向、顺产、婴儿为男婴且婴儿身体健康、文化程度在高中以上和非初次生产的产妇的产后抑郁发生率显著降低,差异具有统计学意义(P<0.05)。A组护理前较护理50d后的HAMD和HAMA得分显著下降,同时,B组患者护理前较护理50d后的HAMD和HAMA得分也降低(P<0.05)。A组患者较B组患者护理50d后的HAMD和HAMA得分显著降低(P<0.05)。结论:社区护理可有效提高产后抑郁患者的生活治疗并降低患者的抑郁和焦虑情绪,产后抑郁的相关因素主要有年龄、夫妻关系、婆媳关系、性格、生产情况、婴儿健康程度、文化程度和生育情况等。

Objective：To investigate the effect on quality of life of community care in postnatal depression patients and the risk factor of postnatal depression.Methods：we selected 164 parturients in our hospital from January 2012 to December 2013.The patients were tested with symptom checklist and Hamilton＇s depression scale and the result shows that there are 106 patients with postnatal depression.The patients with depression were randomly divided into A group and B group according to digital randomized method and the patients number of A group and B group both were53 patients.The patients in A group were nursed with community care besides regular care.The Patients in B group were nursed with regular care.We compared the quality of life and the score of Hamilton＇s depression scale and Hamilton＇s anxiety scaleof A group and B group before and after nursing and analyzed the risk factor of postnatal depression.Results：The quality of life of A group and B group are significantly increased（P〈0.05）.Compared with B group,the patients number of patients has good relationship with husband and mother in law is much more higher and the satisfied and happy feeling patients also increased.The difference is statistically significant（P〈0.05）.The patients with young age,rich,having good relationship with husband and mother in law,extroversion,nature labor,having male and healthy infant,having high education and non-primary education in the high school production of postpartum depression were significantly lower.The difference is statistically significant（P〈0.05）.A group representing nursing care before 50 days after the HAMD and HAMA score decreased significantly,while patients in group B compared with nursing care50 days before the HAMD and HAMA score also reduced（P〈0.05）.Patients in group A than in group B after 50 days of patient care HAMD and HAMA score was significantly lower（P〈0.05）.Conclusion：Community care can effectively improve the lives of patients with postpartum depression and reduce the patient＇s treatment of depression and anxiety,postpartum depression is mainly related factors were age,marital relations,law relationship,character,production,the health of infants,education and fertility conditions and other factors.