基于信息-动机-行为技巧理念的心理弹性支持及护理在产后抑郁患者中的应用

Application of psychological elastic support and nursing based on IMB concept in patients with postpartum depression

目的:探讨基于信息-动机-行为技巧理念(Information-Motivation-Behavioral Skills,IMB)理念的心理弹性支持及护理在产后抑郁患者中的应用效果。方法:选择2019年2月至2020年2月在郑州大学第一附属医院接受治疗的160例产后抑郁患者,按照随机抽签法分为研究组和对照组,每组80例。对照组采用常规护理,研究组采用基于IMB理念的心理弹性支持及护理。比较两组焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、爱丁堡产后抑郁量表(Edinburgh Postpartum Depression Scale,EPDS)评分,生活质量评分,抑郁率等。结果:两组护理前SAS、SDS、EPDS评分相比,差异均无统计学意义(P>0.05);护理后,研究组SAS、SDS、EPDS评分显著低于对照组,差异有统计学意义(P<0.05);两组护理前个人力总分、支持力总分及心理韧性总分差异均无统计学意义(P>0.05);护理后,研究组个人力总分、支持力总分及心理韧性总分均显著高于对照组,差异有统计学意义(P<0.05);两组护理前社会功能缺陷筛选量表评分差异均无统计学意义(P>0.05);护理后研究组社会功能缺陷筛选量表评分显著低于对照组,差异有统计学意义(P<0.05);研究组婴幼儿抚触技术使用率、母乳喂养率均显著高于对照组,差异有统计学意义(P<0.05);新生儿患病率显著低于对照组,差异有统计学意义(P<0.05)。结论:基于IMB理念的心理弹性支持及护理能够有效缓解和控制产妇的抑郁,提高生活质量,降低抑郁率。

Objective:To study the application of psychological elastic support and nursing based on Information-Motivation-Behavioral Skills(IMB)concept in patients with postpartum depression.Methods:A total of 160 patients with postpartum depression who received treatment in our hospital from February 2019 to February 2020 were selected for this study.They were randomly divided into a study group and a control group with 80 cases in each group.The control group was given routine nursing intervention,and the study group adopted psychological elastic support and nursing intervention based on IMB concept.The scores of Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Edinburgh Postpartum Depression Scale(EPDS),quality of life,depression rate,the score of social disability screening scale and the ability of infant care were compared between the two groups.Results:There was no significant difference in SAS and SDS scores between the two groups before nursing intervention(P>0.05);after nursing intervention,SAS,SDS and EPDS scores of study group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference between the two groups in the total scores of manpower,support and resilience before nursing intervention(P>0.05).The total scores of personal strength,support and resilience in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the scores of social function defects screening scale between the two groups(P>0.05).After nursing intervention,social disability screening scale score in the study group significantly was lower than the control group,the difference was statistically significant(P<0.05).The study group infant touch technology utilization rate and breast feeding rate were significantly higher than that of the control group,and the difference was statistically significant(P<0.05).And the neonatal morbidity(6.25%)was significantly lower than the control group(17.50%),and the difference was statistically significant(P<0.05).Conclusion:psychological elastic support and nursing based on IMB concept can effectively alleviate and control maternal depression,improve the quality of life and reduce the depression rate.