聚焦式护理对初产妇分娩后抑郁状态的影响

The effect of solution-focused nursing on depression state after noninvasive delivery

目的评价聚焦式护理对初产妇分娩后抑郁状态的影响。方法选取2018年5月-2019年5月于产科进行分娩并确诊为产后抑郁的初产妇200例,按照随机数字表法将其分为对照组与观察组,各100例,对照组采用常规护理模式,观察组采用聚焦式护理模式。比较2组护理前后爱丁堡产后抑郁量表(Edinburgh postpartum depression scale,EPDS)、抑郁自评量表(self-rating depression scale,SDS)、匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评分、社会再适应量表(social readjustment rating scale,SRRS)评分及生活定向检验修订版(revised life orientation test,LOT-R)评分。结果护理后,观察组EPDS、SDS、PSQI、SRRS评分均低于对照组(t=7.562,P<0.001;t=7.610,P<0.001;t=8.072,P<0.001;t=29.475,P<0.001),观察组LOT-R评分高于对照组(t=11.434,P<0.001)。结论聚焦式护理在初产妇分娩后抑郁患者中应用能够减轻患者抑郁负性情绪,改善患者抑郁状态,值得临床应用与推广。

Objective To evaluate the effect of solution-focused nursing on depression after noninvasive delivery.Methods Two hundred uniparas undergoing noninvasive delivery in obstetrics department and diagnosed as depression from May 2018 to May 2019 were selected and divided into a control group and an observation group,each of 100,according to a random number table.The control group was given the conventional nursing,while the observation group was provided with the solution-focused nursing.Before and after the intervention,both groups were evaluated using Edinburgh postpartum depression scale(EPDS),self-rating depression scale(SDS),Pittsburgh sleep quality index(PSQI),social readjustment rating scale(SRRS)and revised life orientation test(LOT-R).Results After the intervention,the EPDS,SDS,PSQI and SRRS scores of the experimental group were significantly lower than that of the control group(t=7.562,P<0.001;t=7.610,P<0.001;t=8.072,P<0.001;t=29.475,P<0.001),while the LOT-R score of the former was significantly higher than the latter(t=11.434,P<0.001).Conclusion The solution-focused nursing can relieve the negative mood and depression of uniparas with postpartum depression,which is worthy of clinical application and promotion.