延续性护理联合月嫂陪护对经产妇产后抑郁症发生风险的影响

Effect of extended care combined with maternity matrons on the risk of postpartum depression in multiparas

目的研究延续性护理联合月嫂陪护对经产妇产后抑郁症发生风险的影响。方法选取在菏泽市某医院分娩的经产妇180例作为研究对象,采用随机数字表法分为观察组和对照组,每组90例。对照组产妇产后由家人照顾并进行常规随访,观察组产妇产后在对照组产妇的基础上予以延续性护理联合月嫂陪护。比较2组产妇产后6周时的抑郁症状阳性率、爱丁堡产后抑郁量表(EPDS)评分及抑郁自评量表(SDS)评分。结果观察组产妇产后6周时的抑郁症阳性例数8例,抑郁症阳性率为8.9%;对照组产妇产后6周时的抑郁症阳性例数19例,抑郁症阳性率为21.1%;观察组产妇产后6周时的抑郁症阳性率明显低于对照组,差异有统计学意义(χ^(2)=5.27,P<0.05)。观察组产妇产后6周时的EPDS、SDS评分分别为(3.45±3.20)分、(39.84±7.96)分;对照组产妇产后6周时的EPDS、SDS评分分别为(5.49±3.37)分和(46.21±9.11)分;观察组产妇产后6周时的EPDS、SDS评分明显低于对照组,差异均有统计学意义(t=4.164、4.996,均P<0.05)。结论延续性护理联合月嫂陪护干预模式可有效疏导经产妇产后的负性情绪,显著降低经产妇产后抑郁症的发生风险。

Objective To study the effect of extended care combined with maternity matrons on the risk of postpartum depression in multiparas.Methods One hundred and eighty cases of multiparas who delivered in a hospital in Heze City were selected as the study subjects,including 90 cases each in the observation group and the control group.The women in the control group were given family care and routine follow-up after delivery,while the women in the observation group were given extended postpartum care combined with maternity matrons accompanying them on the basis of the control group.The positive rate of depression,Edinburgh Postpartum Depression Scale(EPDS)score and self-rating depression scale(SDS)score at 6 weeks postpartum were compared between the two groups.Results The number of positive depression cases in the observation group at 6 weeks postpartum was 8,and the positive depression rate was 8.9%.In the control group,the number of positive depression cases at 6 weeks postpartum was 19,and the rate of positive depression was 21.1%.The positive rate of depression in the observation group at 6 weeks postpartum was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=5.27,P<0.05).The EPDS and SDS scores in the observation group were 3.45±3.20 and 39.84±7.96 at 6 weeks postpartum,respectively,and those in the control group were 5.49±3.37 and 46.21±9.11 at 6 weeks postpartum,respectively.The EPDS and SDS scores in the observation group were significantly lower than those in the control group at 6 weeks postpartum,and the differences were statistically significant(t=4.164,4.996,P<0.05).Conclusion Extended care combined with maternity matrons can effectively relieve negative postpartum emotions and significantly reduce the risk of postpartum depression in multiparas.