延续护理对产褥期妇女焦虑抑郁情绪的影响

Effect of transitional care on anxiety and depression of the puerperium women

目的探讨延续护理对产褥期妇女焦虑和抑郁情绪的影响。方法将160例产褥期妇女随机分为观察组与对照组，每组各80例，对照组应用传统门诊随访模式，观察组应用延续护理随访模式，在出院前及出院后6周，两组均采用焦虑自评量表（ SAS）和抑郁自评量表（ SDS）进行评分。结果两组产妇SAS与SDS在入院前评定结果差异无统计学意义（ P〉0.05）；6周后再次评定，观察组SAS与SDS得分明显低于对照组，差异具有统计学意义（ P〈0.01）；观察组临床疗效优于对照组，差异具有统计学意义（ P〈0.01）。结论延续护理干预可以有效改善产褥期妇女的焦虑、抑郁情绪，提高其生活质量。

Objective To discuss the effect of transitional care on anxiety and depression of the puerperium women. Methods 160 puerperium women were randomly divided into observation group （ n=80 ） and control group （n=80） . Women in observation group received transitional care system follow-up mode, while in control group re-ceived conventional out-patient follow-up mode. Women of both groups were scored by the self-rating anxiety scale （ SAS） and self-rating depression scale （ SDS） prior to discharge and 6 weeks after discharge. Results There was no significant difference in SAS and SDS scores between the two groups at the first time. The SAS and SDS scores of obser-vation group were significantly lower than those of the control group when re-evaluation was conducted after six weeks （ t=11. 69 , t=10. 05 , P﹤0. 01 ） . The clinical effect was obviously better in observation group than those in the con-trol group （Х^2=7. 54, P﹤0. 01） . Conclusion Transitional care intervention could improve the emotion of anxiety and depression effectively and provide superior benefits in quality of life in puerperium women.