延伸式护理干预改善产褥期妇女抑郁焦虑情绪的效果评价

Effect evaluation of extended nursing intervention on the improvement of women's depression and anxiety during puerperium

目的观察延伸式护理干预改善产褥期妇女抑郁和焦虑情绪的效果。方法选取2013年1—7月在湖北医药学院附属太和医院住院分娩的248例产妇资料，根据护理干预的方法将产妇分为两组，接受延伸式护理干预的产妇124例为观察组，采用常规护理干预的产妇124例为对照组。入院时、出院时、产后2周、产后4周采用抑郁自评量表和焦虑自评量表评估产褥期妇女的抑郁、焦虑状况，统计产妇对护理工作满意度及产后抑郁症发生率，比较两组结果。结果观察组产妇各时间点抑郁、焦虑评分及产后抑郁症的发生率均低于对照组（P〈0．05）；对护理工作满意度高于对照组（P〈0．05）。结论延伸式护理干预可改善产褥期妇女抑郁焦虑状况，降低产后抑郁症发生率，并提高产妇对护理工作满意度。

Objective To observe the effect of extended nursing intervention on the improvement of women＇ s depression and anxiety during puerperium. Methods Clinical data of 248 puerperas in Taihe Hospital Affiliated to Hubei Medical College from Jan 2013 to Jul 2013 were selected, all cases were divided into two groups according to nursing intervention methods, 124 puerperas accepted extended nursing intervention were divided into observation group, 124 puerperas accepted traditional nursing intervention were divided into control group. The situation of depression and anxiety were assessed with self - rating depression scale （SDS） and self-rating anxiety scale （SAS） when hospital admission, hospital discharge, 2 weeks postpartum, 4 weeks postpartum. The puerperas＇ satisfaction with nursing service and incidence of postpartum depression were observed. The results between two groups were compared. Results Compared with the control group, the results about SDS and SAS and the incidence of postpartum depression of the observation group were lower （ P 〈 0. 05 ）, while puerperas＇ satisfaction was higher （ P 〈 0.05 ） Conclusion Extended nursing intervention can enhance puerperas＇ satisfaction with nursing service, which improves the depression and anxiety status of puerperas, decrease the incidence of postpartum depression.