家庭协同护理模式对高龄产妇产后抑郁及生活质量的影响

The influence of family collaboration care model on postpartum depression and life quality of women at an advanced reproductive age

目的探讨家庭协同护理模式对高龄产妇产后抑郁及生活质量的影响。方法将93名高龄产妇随机分为观察组(47例)和对照组(46例),对照组采用常规护理方法,观察组在常规护理的基础上实施家庭协同护理干预,收集产妇分娩方式、产程及住院天数等信息,同时在产前及产后42d通过爱丁堡产后抑郁量表(Edinburgh postnatal depression scale,EPDS)、焦虑自评量表(selfrating anxiety scale,SAS)对产妇抑郁和焦虑状态进行评定,通过匹兹堡睡眠质量量表(Pittsburgh sleep quality index,PSQI)和生活质量调查问卷对产妇进行生活质量调查。结果干预后,2组顺产率、产程时间比较,差异无统计学意义;观察组EPDS、SAS及PSQI评分均低于对照组(t=10.118,P<0.001;t=9.556,P<0.001;t=5.234,P=0.032);生活质量调查问卷评分高于对照组(t=4.562,P=0.045)。结论家庭协同护理干预能够减轻高龄产妇产后抑郁、焦虑情绪,改善其睡眠质量,提高产妇生活质量,值得推广。

Objective To study the influence of family collaboration care model on postpartum depression and life quality of women with an advanced reproductive age.Methods Totally 93 elderly parturients were randomly divided into an observation group(n=47)and a control group(n=46).Both groups were given routine nursing,while the observation group was additionally provided with family collaboration care.The delivery mode,time of labour and length of hospital stay were collected.Before and 42 days after the delivery,all parturients were evaluated using the Edinburgh postnatal depression scale(EPDS),self-rating anxiety scale(SAS),Pittsburgh sleep quality index(PSQI)and quality of life questionnaire.Results After the intervention,there were no significant differences between the two groups in the delivery mode and stages of labour,and the EPDS,SAS and PSQI scores of the observation group were significantly lower than that of the control group(t=10.118,P<0.001;t=9.556,P<0.001;t=5.234,P=0.032),while the score of the life quality was significantly higher than that of the control group.Conclusion Family collaboration care can relieve the postpartum depression of women with an advanced reproductive age and improve their life quality.Therefore,it is worthy of promotion.