基于赋能模型健康教育对妊娠高血压患者抑郁的管理被引量：2

Management on Patients with Pregnancy-induced Hypertension and Depression based on Empowerment Model Health Education

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摘要目的探讨基于赋能模型的健康教育对妊娠高血压患者抑郁的影响。方法将140名妊娠高血压伴抑郁的产妇按诊断时间先后分为对照组(n=70)和干预组(n=70),对照组实施常规干预,干预组以赋能模型为指导进行健康教育,并比较干预效果。结果分娩6个月后,干预组患者的EPDS得分低于对照组患者,比较差异有统计学意义(P<0.05)。结论基于赋能模型的健康教育,能够有效改善妊娠高血压患者产后的抑郁水平。 Objective To explore the effect of health education based on empowerment model on patients with pregnancy-induced hypertension and depression. Methods 140 puerperae with pregnancy-induced hypertension and depression were divided into the control group（n=70） and the treatment group（n=70） and depression in accordance with diagnosis date. The control group was implemented routine intervention while the treatment group was implemented health education based on empowerment model. Compared the intervention effect between two groups. Results 6 months after delivery, EPDS scores of patients in treatment group was lower than those in control group with statistically significant difference（P〈0.05）. Conclusion Health education based on empowerment model can effectively improve the postpartum depression level of patients with pregnancyinduced hypertension.

作者夏慧华曾海霞张玮

机构地区温州医科大学附属第一医院

出处《医院管理论坛》 2016年第7期67-69,共3页 Hospital Management Forum

基金温州市科技计划项目编号:Y20130078

关键词赋能健康教育抑郁产妇 Empowerment Health education Depression Puerpera

分类号 R544.1 [医药卫生—心血管疾病]

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1American College of Obstetricians and 6ynecologists" Task, Force on Hypertension in Pregnancy. Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists' Task Force on Hypertension in Pregnancy[J]. Obstet Gynecol, 2013,122(5):1122-1131.
2Katon WJ, Russo JE, Melville JL, Depression in Pregnancy is Associated with Pre-existing but not Pregnancy-induced Hypertension[J].Gen Hosp Psychiatry, 2012 Jan;34(1):9-16.
3Fan F, Zou Y, Tian H, et al. Effects of maternal anxiety and depression during pregnancy in Chinese women on children's heart rate and blood pressure response to stress[J].J Hum Hypertens, 2015,6. doi:lO, lO38/jhh. 2015.64.
4Hanley GE, Oberlander TF. The effect of perinatal exposures on the infant: antidepressants and depression[J].Best Pract Res Clin Obstet Gynaecol, 2014,28(1):37-48.
5Robinson GE. Controversies about the use of antidepressants in pregnancy[J].J Nerv Ment Dis, 2015,203(3): 159-163.
6Small N, Bower P, Chew-Graham CA, et al. Patient empowerment in long-term conditions: development and preliminary testing of a new measure[J].BMC Health Serv Res, 2013,13(7):263-268.
7郭秀静,王玉琼,刘樱,陈静,蒲晓芬.爱丁堡产后抑郁量表在孕晚期妇女产前抑郁筛查中的临界值研究[J].中华护理杂志,2009,44(9):808-810. 被引量：109
8Bravo P, Edwards , Parr PJ, et al. Conceptualising patient empowerment: a mixed methods study[J].BMC Health Serv Res, 2015,15(6): 252- 259.
9Wang Y, Guo X, Lau Y, et al. Psychometric evaluation of the Mainland Chinese version of the Edinburgh Postnatal Depression Scale[J]. Int J Nurs Stud, 2009,46(6):813-823.
10Thombre MK, Talge NM, Holzman C. Association between pre-pregnancy depression/anxiety symptoms and hypertensive disorders of pregnancy[J].J Women Health, 2015,24(3):228-236.

二级参考文献13

1潘晓放,卢旨明,肖瑾,杜美蓉.分娩前后抑郁情绪的调查分析[J].华西医学,2004,19(3):421-422. 被引量：4
2李德诚,李凤怡,叶承楷,钟国衡.产前抑郁研究现状[J].中国心理卫生杂志,2004,18(12):885-887. 被引量：42
3黄海珊,张静平,邓小梅,徐丽.心理评定量表在癌症患者中的应用现状[J].解放军护理杂志,2006,23(5):59-62. 被引量：11
4张慧琳,李乐之.三种国外产后抑郁量表应用的比较分析[J].中华护理杂志,2007,42(2):186-188. 被引量：46
5Adouard F,Glangeaud-Freudenthal NMC,Golse B.Validation of the Edinburgh postnatal depression scale (EPDS) in a sample of women with high-risk pregnancies in France[J]. Arch Women Merit Health,2005,8 (2):89-95.
6Mari LW,Trevor F,Nicky R.Criterion validation of the Edinburgh Postnatal Depression Scale as a screening tool for depression in patients with advanced metastatic cancer[J]. J Pain Symptom Manage,2000,20 (4):259-265.
7First MB,Spitzer RL,Gibbon M,et al. Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Patient Edition[M]. New York: Biometrics Research Department New York State Psychiatric Institute, 2002:21-25.
8Paola B,Manrizio F,Carlo N,et al. The Edinburgh Postnatal Depression Scale:validatian for an Italian sample[J]. J Affect Disord,1999,53: 137-141.
9Guedeney N,Fermanian J.Validation study of the French version of the Edinburgh Postnatal Depression scale (EPDS):new results about use and psychometric properties[J]. Eur Psychiatry, 1998,13:83-89.
10Lee DTS,Yip SK,Chiu HFK,et al.Detecting postnatal depression in Chinese women: validation of the Chinese version of the Edinburgh Postnatal Depression Scale[J]. Br J Psychiatry,1998,172(5):433-437.