常规护理联合接受与承诺疗法对产后抑郁症患者抑郁情绪、自我效能及自尊水平的影响

Effect of routine nursing combined with Acceptance and Commitment Therapy on the depression mood,self efficacy and self-esteem of patients with postpartum depression

目的探讨常规护理联合接受与承诺疗法(ACT)对产后抑郁症患者抑郁情绪、自我效能及自尊水平的影响,为产后抑郁症患者的康复提供参考。方法选择天津市中心妇产科医院88例符合《国际疾病分类(第10版)》(ICD-10)产后抑郁症诊断标准的患者为研究对象,采用随机数字表法分为研究组和对照组各44例,对照组接受常规护理,研究组接受常规护理指导及为期6周的ACT干预。于干预前及干预后6周采用汉密尔顿抑郁量表24项版(HAMD-24)、一般自我效能感量表(GSES)及自尊量表(SES)进行测评。结果干预6周后,研究组HAMD-24评分较对照组低,GSES和SES评分较对照组高,差异均有统计学意义(P均<0.01)。结论运用常规护理联合ACT可能有助于改善产后抑郁症患者的抑郁情绪,并提升其自我效能感和自尊水平。

Objective To explore the effect of routine nursing combined with Acceptance and Commitment Therapy （ACT） on the depression mood, the level of self efficacy and self - esteem of patients with postpartum depression, and to provide reference for rehabilitation of postpartum depression. Methods 88 patients meeting criteria of International Classification of Diseases, tenth edition （ICD - 10） for postpartum depression from Tianjin Central Hospital of Gynaecology Obstetrics were selected. They were randomly divided into the study group （44 cases） and control group （44 cases） by the random number table. The control group received routine nursing while the study group received routine nursing combined with ACT. Before and after the intervention for 6 weeks, the Hamilton Depression Scale -24 item （HAMD -24） , General Self Efficacy Scale （GSES） and Self-Esteem Scale （SES） were used to evaluate the mood state, the levels of self efficacy and self - esteem of patients with postpartum depression. Results After intervention for 6 weeks, the score of HAMD - 24 of the study group was significantly lower than the control group （P 〈 0. 01 ） . The GSES and SES scores of the study group were significantly higher than those of the control group （ P 〈 0. 01 ）. Conclusion The therapy of routine nursing combined with ACT may be contributed to the improvement in depression mood of patients with postpartum depression and promote their self efficacy and self - esteem level.