情志护理对初产妇产后抑郁影响的研究

Study on the Effect of Emotional Nursing on Postpartum Depression in Primipara

目的:探讨初产妇产后抑郁应用情志护理的影响效果。方法:对某院2013年1月~2018年10月收治的2258名初产妇抑郁情况进行调查,并对初产妇抑郁原因进行单因素及Logistic多因素分析。将抑郁产妇随机分为常规健康教育组及情志护理组,对比分析不同护理方法对初产妇抑郁情绪的影响。结果:经Logistic多因素分析可知,产妇文化初中以下、家人期望胎儿男性、抚养孩子信心缺乏、情感支持差、母婴分离是影响初产妇产后抑郁的独立危险因子,而孕期保健是产后抑郁的保护因子。情志护理组SDS评分明显低于常规健康教育组,差异有统计学意义(P<0.05)。结论:情志护理对产后抑郁的产妇可有效改善抑郁情绪,促进产妇身心健康。

Objective:To explore the effect of emotional nursing on postpartum depression in primipara.Methods:A survey was conducted on the depression status of 2258 primary parturient admitted to a hospital from January 2013 to October 2018,and univariate and Logistic multivariate analysis was conducted on the cause of depression of primary parturient.The depressed women were randomly divided into the regular health education group and the emotional care group,to compare and analyze the effects of different nursing methods on the depression of primipara.Results:According to Logistic multivariate analysis,maternal culture below junior middle school,family expectation of a male fetus,lack of confidence in raising children,poor emotional support,and maternal and child separation are independent risk factors for postpartum depression in primary parturients,while prenatal care is a protective factor for postpartum depression.SDS score of emotional nursing group was significantly lower than that of conventional health education group,with statistically significant difference(P<0.05).Conclusion:Emotional care for maternal postpartum depression can effectively improve depression and promote maternal physical and mental health.