围产期心理干预对产后抑郁症发病率的影响

Effects of Perinatal Psychological Intervention on Morbidity of Postpartum Depression

探讨围产期心理干预对产后抑郁症发病率的影响,为临床产科围产期护理医学提供可靠的理论依据。将在黄石市妇幼保健院进行围产保健并住院分娩的1 087例初产孕妇列为干预组,对干预组孕妇从围产建卡开始就加强对其的精神关怀,全程实施心理干预;将临时来院分娩的715例初产妇,列为对照组,采用常规护理。于产后42 d后随访,统计研究对象的抑郁症发生情况,并将抑郁症发病率进行比较。结果为:干预组产后抑郁症的发生率(2.12%)明显低于对照组(7.13%)(P<0.01)。围产期心理干预能有效降低产后抑郁症的发生率,促进产妇的身心健康,在母婴健康方面有着重要作用,具有推广价值。

Objective：To do a research into the effects of perinatal psychological intervention on the incidence of postpartum depression and provide reliable theoretical basis for clinical obstetrics nursing care. Methods：dividing the 1 087 Primiparous pregnant women whose prenatal health care and childbearing were done in Huangshi Maternal and child Health Hospital into the intervention groups. From the beginning of perinatal registeration,the hospital strengthened spirit caring for these primiparous pregnant women and interfered them psychologically until they gave birth to babies. By contrast,the 715 cases of temporary maternal delivery in hospital temporarily were control group,the hospital just provided conventional care. Then the incidence of depression was statistically studied and compared in the following 42 days. Result：the rate of 7. 13 in postpar-tum depression in the intervention group was significantly lower than that of 2 . 12% in the conventional care group（P 〈0. 01）. Conclusion：Perinatal psychological intervention can effectively reduce the incidence of postpartum depression and improve maternal health physically and mentally. Since it plays an important role in the maternal and child health,it＇s worthwhile to popularize this valuable experience.