森田疗法对剖宫产初产妇的产后抑郁和自我效能的影响

Effects of Morita therapy on postpartum depression and self-efficacy in primipara with cesarean section

目的探讨分析森田疗法对剖宫产初产妇的产后抑郁、自我效能、睡眠和生活质量的影响。方法选取2019年1月~2020年1月期间我院收治的97例伴有产后抑郁的剖宫产初产妇作为主要研究对象。采用随机数字表法将研究对象分为对照组和观察组,对照组48例患者采用常规心理干预和氟西汀口服治疗,观察组49例患者采用森田疗法和氟西汀口服治疗。观察对比两组患者干预前后的自我效能感量表(GSES)、匹茨堡睡眠质量指数量表(PSQI)、汉密顿抑郁量表(HAMD)和简明健康状况调查表(SF-36)评分。结果干预后,观察组患者的GSES、SF-36评分高于对照组,HAMD、PSQI评分低于对照组(P<0.05)。结论森田疗法能够有效改善剖宫产初产妇的产后抑郁,同时提升患者的睡眠质量及自我效能感,进一步改善患者生活质量,值得临床推广应用。

Objective To analyze the effect of Morita therapy on postpartum depression,self-efficacy,sleep and quality of life in primipara with cesarean section. Methods A total of 97 primiparas with postpartum depression admitted to our hospital from January 2019 to January 2020 were were collected and randomly divided into two groups :control group(48 cases)received conventional psychological intervention and oral fluoxetine treatment,observation group(49 cases)received Morita therapy and oral fluoxetine treatment. Hamilton depression scale(HAMD),general self efficacy scale(GSES),Pittsburgh sleep quality index(PSQI),The 36-item shot-form health status survey(SF-36)scores before and after intervention between the two groups were compared. Results After intervention,GSES and SF-36 scores in the observation group were higher than those in the control group,while HAMD and PSQI scores were lower than those in the control group(P<0.05). Conclusion Morita therapy can effectively improve postpartum depression in primipara with cesarean section,improve the sleep quality and self-efficacy,and further improve their quality of life,which is worthy of clinical promotion and application.