摘要
目的本研究将远程智能心身测评和网络干预即信息化心身诊疗用于围产期孕产妇情绪管理,探讨围产期情绪管理对初产妇产后抑郁和分娩结局的影响。方法选取阜阳市人民医院2020~2021年治疗围产期初产妇260例为观察对象,采用心理测评干预的观察组与对照组比较分析,自孕32周开始,观察组应用信息化心身诊疗进行围产期情绪评估和管理干预,对照组接受常规干预。孕32周、孕36周分别测评系统中的SCL-90量表评估心理健康因子抑郁焦虑状况,产后6周采用测评系统中的爱丁堡产后抑郁量表EPDS评估产后抑郁情况。同时统计两组分娩结局。比较分析两组数据,揭示围产期情绪管理对初产妇产后抑郁和分娩结局的影响。结果观察组患者的SCL-90量表与爱丁堡产后抑郁量表EPDS分值均低于对照组,数据对比差异有统计学意义(P<0.05);观察组患者干预总有效率高于对照组,患者满意度优于对照组,数据对比差异有统计学意义(P<0.05)。结论将信息化心身诊疗用于围产期情绪管理对初产妇的抑郁情绪与分娩结局影响重大,能够有效降低患者抑郁情绪的发生,减少不良妊娠结局的发生,对患者的心理健康具有明显应用效果,值得推广与应用于临床干预中。
Objective In this study,remote intelligent psychosomatic assessment and network intervention,namely informationized psychosomatic diagnosis and treatment,were used for perinatal emotional management of pregnant and lying-in women,and to explore the influence of perinatal emotional management on primipara's postpartum depression and delivery outcome.Methods Select 260 perinatal primiparous women who received treatment in our hospital from 2020 to 2021 as the observation objects.The observation group with psychological evaluation intervention was compared with the control group.Since the 32 weeks of pregnancy,the observation group applied information psychosomatic diagnosis and treatment for perinatal emotional evaluation and management intervention,and the control group received routine intervention.At 32 weeks of gestation and 36 weeks of gestation,the SCL-90 scale in the evaluation system was used to evaluate the depression and anxiety of mental health factors,and the Edinburgh Postpartum Depression Scale(EPDS)in the evaluation system was used to evaluate the postpartum depression at 6 weeks postpartum.At the same time,the delivery outcomes of the two groups were counted.The two groups of data were compared and analyzed to reveal the impact of perinatal emotional management on postpartum depression and delivery outcome.Results The SCL-90 scale and Edinburgh Postpartum Depression Scale EPDS scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The total effective rate of intervention for the observation group was higher than that of the control group.Patient satisfaction was better than that of the control group,and the difference in data comparison was statistically significant(P<0.05).Conclusion The use of information-based psychosomatic diagnosis and treatment for perinatal emotional management has a significant impact on primipara's depression and delivery outcomes.It can effectively reduce the incidence of depression in patients and reduce the occurrence of adverse pregnancy outcomes.It has obvious application effects on patients'mental health.It is worthy of promotion and application in clinical intervention.
作者
田梅
李梦赟
张宁芝
金瑞
卢佳丽
TIAN Mei;LI Mengyun;ZHANG Ningzhi;JIN Rui;LU Jiali(Department of Obstetrics,Fuyang People's Hospital,Fuyang,Anhui,236000)
出处
《智慧健康》
2022年第16期201-204,共4页
Smart Healthcare
基金
围产期女性心理健康状况及心理干预进展分析(项目编号:BYKY2019323skZD)。
关键词
信息化心身诊疗
情绪管理
初产妇
抑郁情绪
Information-based psychosomatic diagnosis and treatment
Emotional management
Primipara
Depression