护士主导下同伴支持对初产妇产后创伤后应激障碍的干预效果

Prevention effect of nurse-led peer support system on the postpartum posttraumatic stress disorder of primipara

目的探讨护士主导下同伴支持对初产妇产后创伤后应激障碍的干预效果。方法将74例初产妇随机分为试验组37例和对照组37例;对照组给予常规护理,试验组在此基础上实施以护士为主导的同伴支持。干预前后采用爱丁堡产后抑郁量表(Edinburgh postnatal depression scale,EPDS)和修订版事件影响量表(Impact of event scale-revised,IES-R)评价初产妇抑郁和创伤后应激障碍水平。结果干预前2组初产妇EPDS和IES-R得分比较差异无统计学意义(P>0.05)。干预后试验组EPDS总分为(5.41±0.49)分,IES-R总分为(16.56±1.36)分,明显低于对照组的(8.34±0.74)分和(19.01±1.98)分,差异有统计学意义(t值为19.466、6.038,均P<0.05)。结论护士主导下同伴支持可降低初产妇产后创伤后应激障碍和抑郁水平,对促进产妇产后心理健康具有积极作用。

Objective To investigate the prevention effect of nurse-led peer support system on the postpartum posttraumatic stress disorder of primipara.Methods A total of 74 cases of primipara were randomly divided into experimental group(n=37)and control group(n=37).The control group received routine nursing.The experimental group received nurse-led peer support intervention.The postpartum depression and postpartum posttraumatic stress disorder was assessed by using Edinburgh postnatal depression scale(EPDS)and impact of event scale-revised(IES-R)before and after intervention.Results Before intervention,the socre of EPDS and IES-R was no statistical difference between experimental group and control group(P>0.05).After intervention,the scores of EPDS and IES-R were significantly decreased in the experiment group[(5.41±0.49)pionts,(16.56±1.36)pionts]compared to the control group[(16.56±1.36)pionts,(19.01±1.98)pionts],the difference was statistically significant(P<0.05).Conclusion Nurse-led peer support system can alliviate postpartum depression and posttraumatic stress disorder status and promote the psychological health of primipara.