临床路径管理配合卓越护理服务对顺产初产妇 产后抑郁评分的影响

Clinical pathway management with excellent nursing services for vaginal delivery of maternal postpartum depression score

目的探讨针对顺产初产妇在护理中实施临床路径管理配合卓越护理服务的应用价值,分析干预效果并观察产妇产后抑郁改善情况。方法选取90例顺产初产妇,根据随机数字表法分为对照组与观察组,每组45例。对照组实施临床路径管理,观察组实施临床路径管理配合卓越护理服务。对比两组产后负性情绪评分、产后抑郁程度及并发症发生情况。结果护理前,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分对比,差异无统计学意义(P>0.05);护理后,两组HAMA、HAMD评分均低于护理前,且观察组明显低于对照组,差异有统计学意义(P<0.05)。护理前,两组爱丁堡产后抑郁量表(EPDS)评分对比,差异无统计学意义(P>0.05);护理1~4周,两组EPDS评分低于护理前,且观察组明显低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率6.67%低于对照组的24.44%,差异有统计学意义(P<0.05)。结论在顺产初产妇护理中实施临床路径管理配合卓越护理服务可改善其产后抑郁症状,降低并发症发生率,具有临床应用价值。

Objective To explore the application value of clinical pathway management and excellent nursing service for parturient parturients in nursing,analyze the effect of intervention and observe the improvement of postpartum depression in parturients.Methods 90 cases of parturient parturient were selected and divided into control group and observation group according to random number table method,with 45 cases in each group.The control group was implemented clinical pathway management,and the observation group was implemented clinical pathway management with excellent nursing service.The score of postpartum negative emotion,the degree of postpartum depression and the incidence of complications were compared between the two groups.Results Before nursing,there was no significant difference in HAMA and HAMD scores between the two groups(P>0.05).After nursing,HAMA and HAMD scores of the two groups were lower than those before nursing,and the observation group was significantly lower than the control group,with statistical significance(P<0.05).Before nursing,there was no statistical significance in edinburgh postpartum depression scale(EPDS)scores between the two groups(P>0.05),From 1 to 4 weeks after nursing,EPDS scores of the two groups were lower than before nursing,and the observation group was significantly lower than the control group,the difference was statistically significant(P<0.05).The complication rate of observation group was 6.67%lower than that of control group(24.44%),and the difference was statistically significant(P<0.05).Conclusion Clinical pathway management combined with excellent nursing service can improve the symptoms of postpartum depression and reduce the incidence of complications,which has clinical application value.