互联网信息支持对新生儿重症监护室出院早产儿母亲产后焦虑及抑郁的影响

Effect of information support through internet for mothers of premature infants with postpartum anxiety and depression after neonatal intensive care unit discharge

目的探讨互联网QQ信息支持对新生儿重症监护室（NICU）出院早产儿母亲产后焦虑、抑郁的影响。方法选取符合入组条件的NICU出院早产儿母亲85名，便利分为2组，对照组43名接受常规产后护理和早产儿出院指导，干预组42名在接受常规产后护理和早产儿出院指导的基础上，从早产儿出院后第1天接受互联网QQ信息支持。采用状态一特质焦虑量表（STAI）和爱丁堡产后抑郁量表（EPDS）／＋NN量2组在早产儿出院后第l天、3周、3个月的产后状态焦虑评分及产后抑郁发生情况。结果早产儿出院后3周和3个月时，对照组的焦虑评分分别为（47．27±9．25）分和（46．85±14．11）分，均显著高于干预组的（37．81±7．80）分和（38．41±7．67）分，t值分别为4．90和3．24，差异有统计学意义，P〈0．05。早产儿出院后3周和3个月时，对照组EPDS〉9分的人数分别为16名和9名，干预组分别为4名和1名，2组分布比较差异均有统计学意义，P〈0．05。结论互联网QQ信息支持能够减轻NICU出院早产儿母亲产后焦虑、抑郁状况。

Objective To evaluate the effectiveness of information support through QQ-based internet for mothers of premature infants with postpartum anxiety and depression after neonatal intensive care unit （NICU） discharge. Methods 85 mothers of premature infants were divided into the control group and the intervention group. 43 mothers in the control group received the routine care, while 42 mothers in the intervention group received information support through QQ-based internet except the routine care. Postpartum anxiety and depression were assessed by State-Trait Anxiety Inventory （STAI） and Edinburgh Postnatal Depression Scale （EPDS） in mothers of premature infants 1 day, 3 weeks and 3 months after NICU discharge. Results In the 3rd week and the 3rd month after NICU discharge,SAI score of mothers of premature infants in the intervention group was （37.81 ＋ 7.80） and （38.41 ＋ 7.67） Scores respectively, which was significantly lower than that of in the control group,（47,27 ± 9.25） and （46.85 ± 14.11） Scores, the t value was 4.90 and 3.24, P〈0.05. The number of mothers whose score of EPDS over 9 in the 3rd week and the 3rd month after NICU discharge in the control group was 16 and 9 respectively, while in the intervention group was 4 and 1, the difference between the two groups was significant, P〈0.05. Conclusion Information support through internet could relieve postpartum anxiety and depression in mothers of premature infants after NICU discharge.