结构式心理干预配合健康教育对高龄产妇产后抑郁患者社会功能、应对方式及生活质量的影响

Effects of structured psychological intervention combined with health education on social function coping style and quality of life of elderly parturient patients with postpartum depression

目的探究结构式心理干预配合健康教育对高龄产妇产后抑郁患者社会功能、应对方式及生活质量的影响。方法选取青海红十字医院2019年1月至2020年12月收治的高龄产后抑郁产妇200例,经随机数字表法分为对照组(常规护理干预)和观察组(对照组的基础上联合使用结构式心理干预和健康教育),每组100例。比较两组焦虑评分(SAS)、抑郁评分(SDS)、社会功能评分(SSRS)、应对方式评分(SCSQ)、生活质量评分(GQOLI-74)以及健康知识掌握情况。结果两组干预后SAS、SDS评分均低于干预前,且观察组低于对照组(P<0.05)。两组干预后SSRS、SCSQ、GQOLI-74评分均高于干预前,且观察组高于对照组(P<0.05)。观察组健康知识总掌握率高于对照组(P<0.05)。结论结构式心理干预联合健康教育应用在高龄产后抑郁产妇中,可缓解抑郁心理,改善社会功能和应对方式,提高生活质量。

Objective To explore the effects of structured psychological intervention combined with health education on social function coping style and quality of life of elderly parturient patients with postpartum depression.Methods A total of 200 elderly women with postpartum depression admitted to Qinghai Red Cross Hospital from January 2019 to December 2020 were selected,by random number table method,they were divided into control group(routine nursing intervention)and observation group(combined structural psychological intervention and health education on the basis of control group),with 100 cases in each group.Self-rating anxiety score(SAS),self-rating depression score(SDS),social support rating scale(SSRS),simplified coping style questionnaire(SCSQ),generic quality of life inventory(GQOLI-74)and health knowledge mastery were compared between the two groups.Results SAS and SDS scores of the two groups after intervention were lower than before,and the observation group was lower than the control group(P<0.05).SSRS,SCSQ,and GQOLI-74 scores in two groups after intervention were higher than before,and observation group was higher than control group(P<0.05).The total rate of health knowledge mastery in observation group was higher than control group(P<0.05).Conclusion Structural psychological intervention combined with health education can alleviate depression,improve social function and coping style,and improve the quality of life in elderly women with postpartum depression.