产妇产后抑郁应用时机理论指导的持续性护理干预的研究

Study on the continuous nursing intervention guided by the theory of opportunity for postpartum depression

目的探究时机理论指导的持续性护理对产妇产后抑郁的干预效果。方法依照护理方法不同将2018年1月至2018年12月在本院分娩的60例产妇分为两组,对照组行常规护理,研究组在常规护理基础上行时机理论指导的持续性护理,组间对比干预前后抑郁发生率;使用抑郁自评量表(Self-rating depression scale,SDS)对产妇产后负性情绪改善情况进行评价;使用科室自制自理能力评价问卷对产妇产后自理能力进行评价。结果干预前组间产妇抑郁发生率及SDS评分无明显差异(P>0.05),干预1个月及干预2个月后研究组抑郁发生率及抑郁评分均低于对照组(P<0.05);研究组自理能力评分高于对照组(P>0.05)。结论产妇应用以时机理论为指导的持续性护理干预模式,可有效改善产后负性情绪,降低抑郁发生率,提高自我护理能力,增强干预效果,该模式具有较高临床实用价值。

Objective:To explore the intervention effect of continuous nursing guided by opportunity theory on postpartum depression of parturients.Methods:According to the different nursing methods,60 parturients delivered in our hospital from January 2018 to December 2018 were divided into two groups.The control group received routine nursing,while the research group received continuous nursing guided by time theory on the basis of routine nursing.The incidence of depression before and after intervention was compared between the two groups.Self-rating Depression Scale(SDS)was used to change the negative emotions of parturients after delivery.The self-care ability of puerpera was evaluated by self-made self-care ability evaluation questionnaire.Results:There was no significant difference in the incidence of depression and SDS score between the two groups before intervention(P>0.05).The incidence of depression and the score of depression in the study group were lower than those in the control group one month after intervention and two months after intervention(P>0.05).The score of self-care ability in the study group was higher than that in the control group(P>0.05).Conclusion:Continuous nursing intervention mode guided by the theory of opportunity can effectively improve postpartum negative emotions,reduce the incidence of depression,improve self-care ability and enhance the effect of intervention.This mode has high clinical practical value.