孕期心理关怀对产褥期抑郁症发病率的影响

Influence of psychological care during pregnancy on incidence rate of postpartum depression

目的探讨孕期心理关怀对产褥期抑郁症发病率的影响。方法选取200例初产妇作为研究对象,按照随机数字表法将其分为对照组(100例,实施常规孕期护理)和观察组(100例,实施常规孕期护理+孕期心理关怀)。比较两组的母亲角色适应能力评分、自我效能评分、希望水平评分、心理状态评分、产后抑郁症发生率、纯母乳喂养率及睡眠状况指标。结果护理后,观察组的母亲角色适应能力、自我效能、希望水平评分均高于对照组(P<0.05)。护理后,观察组的HAMA、HAMD评分均低于对照组(P<0.05)。观察组的产后抑郁症发生率低于对照组(P<0.05)。产后1、2、3、4周,观察组的纯母乳喂养率均高于对照组(P<0.05)。护理后,观察组的入睡潜伏期短于对照组,实际睡眠时长长于对照组,PSQI评分低于对照组(P<0.05)。结论孕期心理关怀可有效增强初产妇的母亲角色适应能力、自我效能及希望水平,帮助其调节心理状态,有利于减少产后抑郁症的发生,提高纯母乳喂养率,并提升睡眠质量。

Objective To explore the influence of psychological care during pregnancy on incidence rate of postpartum depression.Methods A total of 200 primiparas were selected as the research objects and divided into control group(100 cases,routine pregnancy care)and observation group(100 cases,routine pregnancy care+psychological care during pregnancy)according to the random number table method.The mother's role adaptability score,self-efficacy score,hope level score,mental state score,incidence of postpartum depression,rate of exclusive breastfeeding and sleep status indexes were compared between the two groups.Results After nursing,the mother's role adaptability,self-efficacy and hope level scores in the observation group were higher than those in the control group(P<0.05).After nursing,the HAMA and HAMD scores in the observation group were lower than those in the control group(P<0.05).The incidence of postpartum depression in the observation group was lower than that in the control group(P<0.05).At 1,2,3,and 4 weeks after delivery,the rate of exclusive breastfeeding in the observation group were higher those that in the control group(P<0.05).After nursing,the latency to fall asleep in the observation group was shorter than that in the control group,the actual sleep time was longer than that in the control group,and the PSQI score was lower than that in the control group(P<0.05).Conclusion Psychological care during pregnancy can effectively enhance the mother's role adaptability,self-efficacy and hope level of primiparas,help them adjust mental state,reduce the incidence of postpartum depression,and increase the rate of exclusive breastfeeding and the quality of sleep.