心理护理干预对初产妇产后抑郁的影响

The effects of psychological nursing intervention on depression of primipara

目的探讨心理护理干预对初产妇产后抑郁的影响。方法选取2011年2月～2012年2月在我院进行分娩的初产妇80例为研究对象，按随机数字表法将患者分为干预组40例，对照组40例；对照组行常规随机对症护理，干预组在此基础上着重实施心理护理干预，比较两组初产妇产后7d、14d、1个月、3个月、6个月抑郁的发生率，并比较两组产妇入院前及分娩后SDS评分。结果产后24个月内，干预组共4例发生抑郁，抑郁发生率10％，对照组共12例发生抑郁，抑郁发生率30％，两组产后抑郁发生率比较，差异有统计学意义（X2=5．237．P〈0．05）。干预组与对照组产妇分娩后SDS评分分别为（36．36±9．23）分、（47．98±11．58）分，均分别较入院前显著降低，且干预组产妇分娩后的SDS评分较对照组降低更显著（P〈0．05）。结论对初产妇产后实施心理护理干预可以降低产后抑郁的发生率，缓解患者的抑郁情绪，从而有利于初产妇产后恢复。

Objective To investigate influence of nursing intervention on depression of primipara. Methods From 2011 February to February 2012 in our hospital, 80 cases of delivery as the object of study,were randomly divided into the observation group of 40 cases, 40 cases in the control group, the control group underwent conventional random symptomatic care, the intervention group on the basis of this focus on the implementation of psychological nursing intervention, the incidence of depression of two groups of primipara after 7 days, 14 days, 1 month, 3 months, 6 months were compared, before and after the birth of SAS scores were compared between two groups. Results 24 months postpartum, the intervention group a total of 4 patients with depression, the incidence of depression was 10%, the control group a total of 12 patients with depression, the incidence of depression was 30%, the incidence of postpartum depression was compared between two groups, the difference was statistically significant （X2=5.237, P〈0.05）. The SAS scores in intervention group and control group after childbirth were （36.36±9.23）, （47.98±11.58）, were significantly lower before admission, the SAS score in intervention group after delivery and postpartum decreased more significantly than the control group, there were significant differences between two groups （P〈0.05）. Conclusion The implementation of psychological nursing intervention on primiparas can reduce the incidence of postpartum depression, relieve depression in patients, which is conducive to early postpartum recovery.