以家庭为中心的产科护理干预对产褥期产妇预防产后抑郁的影响

Clinical Effects of Family-centered Obstetric Nursing Intervention on the Prevention of Postpartum Depression in Puerperal Parturients

目的探讨对产褥期产妇给予以家庭为中心的产科护理干预的临床效果,并分析其对预防产后抑郁方面的影响。方法选取2016年1月至2018年1月在我院分娩的80例产妇,根据不同护理分为两组,对照组(n=40)接受常规护理,观察组(n=40)接受以家庭为中心产科护理,对比两组产妇护理前后心理变化和抑郁程度以及生活质量和护理满意度。结果护理后观察组产妇SAS、SDS评分(30.16±2.75)分、(26.60±2.15)分与对照组(46.72±4.70)分、(39.68±2.04)分相比较,差异明显(P<0.05);观察组产妇抑郁发生率(2.50%)与对照组(12.50%)相比较,差异明显(P<0.05);护理后观察组产妇SF-36评分各项指标(77.54±11.54)分、(89.54±10.24)分、(67.58±8.25)分、(82.35±12.54)分、(73.74±11.24)分、(81.54±9.54)分、(70.54±8.56)分、(76.42±10.55)分与对照组的(67.54±10.54)分、(74.58±11.54)分、(59.54±8.14)分、(75.54±10.57)分、(68.95±10.54)分、(73.82±9.58)分、(66.95±8.24)分、(65.72±9.54)分相比较,差异明显(P<0.05);两组患者护理满意度(97.50%)与对照组(82.50%)相比较,差异明显(P<0.05)。结论对产褥期产妇给予以家庭为中心产科护理干预,可有效降低产后抑郁发生率,改善产妇生活质量,促进护理满意度,值得临床推广。

Objective To explore the clinical effects of family-centered obstetric nursing intervention for puerperium women,and analyze its impact on the prevention of postpartum depression.Methods A total of 80 women who gave birth in our hospital from January 2016 to January 2018 were selected and divided into two groups according to different nursing care.The control group(n=40)received routine nursing care,and the observation group(n=40)received family-centered obstetric care.The psychological changes and the degree of depression,quality of life and nursing satisfaction of the two groups of parturients before and after nursing were compared.Results After nursing,the observation group's SAS and SDS scores(30.16±2.75)points,(26.60±2.15)points and the control group(46.72±4.70)points,(39.68±2.04)points were significantly different(P<0.05);depression occurred in the observation group(2.50%)compared with the control group(12.50%),the rate was significantly different(P<0.05);the maternal SF-36 scores in the observation group after nursing were(77.54±11.54)points,(89.54±10.24)points,(67.58±8.25)points,(82.35±12.54)points,(73.74±11.24)points,(81.54±9.54)points,(70.54±8.56)points,(76.42±10.55)points and compared with the control group(67.54±10.54)points,(74.58±11.54)points,(59.54±8.14)points,(75.54±10.57)points,(68.95±10.54)points,(73.82±9.58)points,(66.95±8.24)points,(65.72±9.54)points,the difference was significant(P<0.05);the two groups of patients were satisfied with their care(97.50%)compared with the control group(82.50%),the difference was significant(P<0.05).Conclusion Family-centered obstetric nursing intervention for puerperal parturients can effectively reduce the incidence of postpartum depression,improve the quality of life of parturients,and promote nursing satisfaction,which is worthy of clinical promotion.