以护士为主导的配偶夫妻沟通在预防初产妇发生产后抑郁中的应用效果

The Application Effect of Nurse Led Communication between Spouse Couple in the Prevention of Postpartum Depression in Primipara

目的:探究以护士为主导的配偶夫妻沟通在预防初产妇发生产后抑郁(PPD)中的应用效果。方法:选取2016年4月-2017年10月本院收治的初产妇200例为研究对象。根据随机数字表法将其分为观察组和对照组,每组100例。对照组给予初产妇常规护理,观察组在对照组基础上开展以护士为主导的配偶夫妻沟通护理。比较两组初产妇护理前后汉密尔顿抑郁量表(HAMD)评分及两组认知程度、抑郁自评量表(SDS)评分、PPD发生情况及生活质量评分。结果:护理后,两组HAMD、SDS评分均低于护理前,且观察组HAMD、SDS评分明显均低于对照组,差异均有统计学意义(P<0.05)。观察组疾病认知、健康知识掌握、护理方法、禁忌事项四个方面的认知程度评分明显高于对照组,差异均有统计学意义(P<0.05)。观察组PPD发生率为7.00%,明显低于对照组的21.00%,差异有统计学意义(P<0.05)。观察组生理功能、生理职能、活力、精神健康、情感职能、社会功能、总体健康评分均显著高于对照组,差异均有统计学意义(P<0.05)。结论:以护士为主导的配偶夫妻沟通可有效预防初产妇PPD的发生,对改善初产妇不良情绪和生活质量具有积极作用。

Objective:To explore the application effect of nurse led communication between spouses couple in the prevention of postpartum depression(PPD).Method:A total of 200 cases of primipara admitted to our hospital from April 2016 to October 2017 were selected as the research object.According to the random number table method,they were divided into observation group and control group,100 cases in each group.The control group was given the routine nursing,the observation group on the basis of the control group to carry out nurse led spouse couple communication and nursing.Hamilton depression scale(HAMD)scores before and after primary maternal care were compared between the two groups.The cognitive level,SDS score,PPD occurrence and quality of life scores of the two groups were compared.Result:After nursing,HAMD and SDS scores in the two groups were lower than those of before nursing,and HAMD and SDS scores in the observation group were significantly lower than those in the control group,with statistically significant differences(P<0.05).The cognitive scores of disease cognition,health knowledge mastery,nursing methods and taboo items in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05).The incidence of PPD in the observation group was 7.00%,it was significantly lower than 21.00%in the control group,the difference was statistically significant(P<0.05).The scores of physiological function,physiological function,vitality,mental health,emotional function,social function and overall health in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05).Conclusion:Nurse led communication between spouses couple can effectively prevent PPD in primipara,and has a positive effect on improving the bad mood and quality of life of primipara.