以家庭为中心的心理护理对产后焦虑和抑郁的影响

Effect of Family Centered Mental Care on Postpartum Depression and Anxiety

目的探讨以家庭为中心的心理护理模式对产后焦虑和抑郁的影响。方法选择2017.1至2018.6就诊于南京扬子医院符合入选标准的分娩产妇214例,随机分为对照组和干预组。对照组给予产科常规护理,干预组给予以家庭为中心的心理护理。分别在入院当天和产后24小时评价产妇焦虑和抑郁状态,通过比较对照组和干预组产妇焦虑和抑郁得分,分析以家庭为中心的心理护理模式对产妇焦虑和抑郁的影响。结果研究对象平均年龄(27.6±5.1)岁,平均体重(66.3±7.1kg),平均孕周(39.2±1.1)周,孕期平均体重增长(13.2±1.5)kg。入院当天对照组和干预组焦虑(39.7±5.6 vs 38.1±4.9)和抑郁(42.2±6.1 vs 41.2±7.4)情况无统计学差异。产后24小时干预组焦虑评分(32.5±5.9 vs 39.9±6.2)和抑郁评分(37.4±6.3 vs 45.2±8.7)均低于对照组,差别有统计学意义(均P<0.05)。与入院当天比较,对照组产后24小时的焦虑和抑郁评分差别无统计学意义,干预组产后24小时焦虑和抑郁评分低于入院当天评分,差别有统计学意义。结论以家庭为中心的心理护理模式可显著减少产妇产后焦虑和抑郁程度。

Objective To explore the effect of family centered mental care on postpartum depression and anxiety.Methods From 2017.1-2018.6, a total of 214 delivered women who met the criteria were recruited from Nanjing Yangzi hospital. All individuals were randomly divided into control group(n =107) and intervention group(n =107). The women in control group took the regular care, while the women in intervention group took the family centered mental care additionally. The anxiety and depression were evaluated and compared on the first day of hospital and 24 h later of delivered. Results The average age, weight, gestational weeks, and weight gain of all individuals were(27.6±5.1)years,(66.3±7.1) kg,(39.2±1.1) weeks,(13.2±1.5) kg, respectively. The anxiety(39.7±5.6 vs 38.1±4.9) and depression(42.2±6.1 vs 41.2±7.4) status were not significantly different between control group and intervention group on the first day of hospital. After intervention, the anxiety(32.5±5.9 vs 39.9±6.2) and depression(37.4±6.3 vs 45.2±8.7) of women in intervention group were lower than those in control group, and both difference were significant(both P< 0.05). For individuals in control group, there was no significant difference of mental status between first day of hospital and24 h later of delivered. However, for individuals in intervention group, there difference of mental status between first day of hospital and 24 h later of delivered was significant. Conclusion Family centered mental care may decrease the postpartum anxiety and depression significantly.