健康促进模式对产后抑郁症高危产妇生活质量的影响

Influences of health-promoting model on living quality of high-risk puerperas with postnatal depression

目的：探讨健康促进模式在产后抑郁症产妇中的实施效果，旨在改善抑郁症状。方法：选取2013年6月-2015年6月在某院就诊产后抑郁症产妇130例，将其随机等分为试验组和对照组，对照组实施常规护理；试验组实施健康促进模式，比较两组产妇的抑郁状况、生活质量和生活方式。结果：在产后1周后，试验组产妇的 SAS 和 EPDS 得分均低于对照组，差异均具有统计学意义（P 〈0．05）；试验组产妇在心理健康、情绪角色、躯体功能、躯体角色、疼痛、社会功能、活力和总健康等因子得分均高于对照组（P 〈0．05），在健康责任、营养、压力应对、运动、自我实现和健康行为总分等方面的得分也高于对照组（P 〈0．05）。结论：对产后抑郁症高危产妇实施健康促进模措施，改善产妇的焦虑、抑郁状况，同时提高产妇及家庭成员育儿知识，改善产妇心身状况，提高产妇自我管理行为，从而提高产妇的生活质量。

Objective：To discuss application effects of health - promoting model on high - risk puerperas with postnatal depression in the hope of improving depressive symptoms. Methods：Selected 130 cases of puerperas with postnatal depression cured in our hospital from June 2013 to June 2015,and randomly divided them into experimental group and control group. Control group received usual nursing,while health - promoting model was adopted for experimental group mothers. puerperas from both groups were compared in terms of depression state,living quality and lifestyle. Results：Experimental group got lower scores in SAS and EPDS than control group in 1 week after delivery,the differences had statistical significances（P 〈 0. 05）. Experimental group got higher scores in factors such as mental health,role emotional,physical performance,role physical,pain,social function,energy and overall health（P 〈 0. 05）, as well as in health responsibility,nutrition,pressure handling,physical activity,self - actualization and overall health behavior than control group（P 〈0. 05）. Conclusion：Applying health - promoting model for high - risk puerperas with postnatal depression can alleviate anxiety and depression in them, help mothers and their family members to master parental knowledge,and improve psychosomatic state of mothers,so as to improve their living quality.