产后抑郁情绪高危影响因素的早期筛选与护理干预效果分析

Early Screening and Nursing Intervention of High Risk Factors of Postpartum Depression

目的：探讨产妇产后抑郁情绪的影响因素,研究其意义及有效护理策略,提高其生存质量。方法：选取2013年6至2014年7月间我院产科收治的门诊、住院产妇350例进行问卷调查。在350产妇中,37例出现抑郁情绪,将37例产后抑郁情绪高危产妇的随机均分为两组,其中干预组行针对性护理干预,对照组产妇采用常规心理护理。综合分析两组产妇的临床治疗资料,并进行早期护理干预。结果：〈25岁的产妇6例（16.22%）,25~34岁的产妇27例（72.97%）,≥34岁的产妇4例（10.81%）,25~34岁产妇出现抑郁情绪的概率明显高于其他年龄段的产妇,差异具有统计学意义（P〈0.05）。干预组产妇的孕期并发症、不良妊娠结局、夫妻关系、婴儿性别、经济收入、婴儿状况等与对照组存在显著差异,差异具有统计学意义（P〈0.05）。同时,进行针对性护理后,干预组产妇的抑郁情绪好转情况明显优于对照组,差异具有统计学意义（P〈0.05）。结论：导致产妇出现产后抑郁情绪的高危影响因素很多,护理人员应进行深入分析,并制定个性化的早期护理干预方案,提高其生存质量。

Objective： To analyze the factors that influence maternal postpartum depression, to study its significance and effective treatment strategies, and to improve their quality of life. Methods： A total of 350 outpatients and inpatients, who were admitted to obstetrical department of Panzhihua Central Hospital from June 2013 to July 2014, were chosen for making a questionaire. Among the350 parturients, there were 37 cases of depressive mood,who were randomly divided into two groups（intervention group and control group）. The intervention group was given targeted nursing intervention and the control group, routine psychological nursing. The clinical treatment data of the two groups of parturients were comprehensively analyzed and an early nursing intervention were given to the parturients. Results： The probability of depression of the parturients aged between 25 and 34 years was significantly higher than that of other age groups, the difference was statistically significant（P0.05）. There were significant differences in the pregnancy complications of the parturients, adverse pregnancy outcomes, marital relationship, infant gender, economic income, infant condition, etc. between the intervention group and the control group, the differences were statistically significant（P0.05）. Meanwhile, the parturients＇ depression situation in the intervention group was improved apparently than that in the control group after the targeted care, the difference was statistically significant（P0.05）. Conclusions： There are many factors that result in the postpartum depression of parturients, so nurses should conduct a deep analysis and make a personalized early intervention care scheme to improve their quality of life.