以家庭支持为主的干预对城市产后抑郁患者社会功能、应对方式及生活质量的影响

Effects of Family Support-based Nursing Intervention on Social Function,Coping Style and Quality of Life of Urban Postpartum Depression Patients

目的：探讨以家庭支持为主的护理干预对城市产后抑郁患者社会功能、应对方式及生活质量的影响。方法：150例城市产后抑郁妇女按妊娠时间编号,然后以随机数表法分为干预组（n=75）和对照组（n=75）。对照组产妇采用常规产科护理,干预组在对照组基础上实施以家庭支持为主的护理干预。采用相关常用量表评估产妇的心理状态、社会功能与应对方式及生活质量改善效果。结果：两组护理前爱丁堡产后抑郁量表（EPDS）评分、抑郁自评量表（SDS）和焦虑自评量表（SAS）评分比较无统计学意义,护理后3项评分均明显降低,与护理前相比差异有统计学意义（t干预组=14.33,34.94,38.73;t对照组=14.33,34.94,38.73;P〈0.05）,且护理后干预组EPDS评分和SAS、SDS评分均显著低于对照组（t=-6.10,-4.57,-3.00;P〈0.01）。两组护理前社会支持度评定量表（SSRS）、简易应对方式问卷（SCSQ）评分比较无统计学意义,护理后两项评分均明显升高,与护理前相比差异有统计学意义（t干预组=11.25,28.62;t对照组=2.71,20.55,P〈0.05）,且护理后干预组SSRS评分、SCSQ评分均显著高于对照组（t=6.35,9.18;P〈0.01）。护理结束时,干预组汉化版健康调查简表（SF-36）各项评分中,生理功能、生理职能、活力、精神健康、情感职能、总体健康评分均显著较高,与对照组相比差异有统计学意义（t=4.23,5.11,4.10,5.08,2.34,3.84;P〈0.05）。结论：对城市产后抑郁患者而言,以家庭支持为主的护理干预对改善其心理健康状况、社会功能,转变应对方式及提高生活质量有突出作用。

Objective：To explore the effects of family support-based nursing intervention on social function,coping style and quality of life of postpartum depression patients in urban areas.Methods：A total of 150 cases of women with urban postpartum were selected for the study and numbered according to the time of pregnancy,and then divided into the intervention group（n=75）and the control group（n=75）according to the random number table method.The control group was treated with conventional obstetric care and the intervention group was given family support-based nursing intervention on the basis of treatment in the control group.The psychological status,social function,coping style and quality of life improvement were assessed by using related rating scales.Results：There was no significant difference in the prenatal Edinburgh postnatal depression scale（EPDS）score and the self-rating depression scale（SDS）and the self-rating anxiety scale（SAS）between the two groups,but the scores of three scales after nursing were decreased obviously compared with that before nursing（t=14.33,34.94,38.73,7.70,25.43,32.90;P〈0.05）,and the scores of EPDS and SAS and SDS in the intervention group were significantly lower than those in the control group（t=-6.10,-4.57,-3.00;P〈0.01）.There was no significant difference in social support rating scale（SSRS）and simplified coping style questionnaire（SCSQ）between the two groups before nursing.And the scores of the two scales after nursing were significantly increased after nursing,which were statistically significant compared with those before nursing（t=11.25,28.62,2.71,20.55;P〈0.05）,and the scores of SSRS and SCSQ in the intervention group were significantly higher than those of the control group（t=6.35,9.18,P〈0.01）.At the end of the nursing,the physiological function,physiological function,vitality,mental health,emotional function,general health scores in the Chinese version of Short Form Health Survey（SF-36）scores were significantly higher in the intervention group than those in the control group,and the difference was statistically significant（t=4.23,5.11,4.10,5.08,2.34,3.84;P〈0.05）.Conclusion：For the patients with postpartum depression in the urban areas,family supportbased nursing intervention plays an important role in improving their mental health status,social function,coping styles and the quality of life.