PSSI自我图式积极整合疗法在初产妇产后抑郁护理中的应用

Application of positive self-schema integration(PSSI)therapy in nursing for postpartum depression in primiparae

目的:探讨自我图式积极整合疗法(Positive Self-Schema Integration,PSSI)在初产妇产后抑郁护理中的应用效果。方法:选取2020年5月至2021年5月复旦大学附属妇产科医院收治的初产妇128例,按随机数字表法分为观察组和对照组各64例。对照组采取常规产后护理,观察组在对照组的基础上采取PSSI进行干预。比较两组初产妇在干预前后爱丁堡产后抑郁量表(Edinburgh Postnatal Depression Scale,EPDS)评分、匹兹堡睡眠质量指数问卷(Pittsburgh Sleep Quality Index,PSQI)评分、简化中文版分娩自我效能量表(The Short Form of the Chinese Childbirth Self-Efficacy Inventory,CBSEI-C32)及简化中文版世界卫生组织生存质量测定量表(WHO Quality of Life Brief Scale,WHO QOL-BREF)变化及产妇产后纯母乳喂养、婴儿抚触技能使用情况。结果:干预后,观察组EPDS评分、PSQI评分明显低于对照组,差异均有统计学意义(均P<0.05);干预后,观察组CBSEI-C32中结果期望(Outcome Expectation,OE-16)评分、自我效能期望(Self-Efficacy Expectation,EE-16)评分明显高于对照组,差异均有统计学意义(均P<0.05);干预后,观察组WHO QOL-BREF中生理、心理、社会、环境等领域评分明显高于对照组,差异均有统计学意义(均P<0.05);观察组纯母乳喂养率及婴儿抚触技术使用率明显高于对照组,差异均有统计学意义(均P<0.05)。结论:PSSI在初产妇产后抑郁护理中应用效果良好,可有效缓解产妇抑郁情绪,改善睡眠质量,提高自我效能感和生活质量水平,加快母亲角色转换速度。

Objectivee To explore the application effect of positive self-schema integration(PSSI)therapy in nursing for postpartum depression in primiparae.MethodlssA total of 128 primiparae admitted to this hospital were selected from May 2020 to May 2021,and divided into observation group and control group according to the random number table method with 64 cases in each group.The control group received routine postpartum nursing,and the observation group received PSSI intervention.Changes in the Edinburgh Postpartum Depression Scale(EPDS)scores,the Pittsburgh Sleep Quality Index(PSQI)scores,the short Childbirth Self-Efficacy Inventory(CBSEI-C32)and the World Health Organization Quality of Life Instrument(WHO QOL-BREF)scores,postpartum exclusive breasfeeding and application of infant touching skills were compared between the two groups.Results After intervention,the EPDS scores and PSQI scores of observation group were significantly lower than those of the control group(P<0.05).The outcome expectation(OE-16)score and self-efficacy expectation(EE-16)score in the CBSEI-C32 of observation group were significantly higher than those of the control group(P<0.05).The scores of physiology,psychology,society and environment in the WHO QOL-BREF of observation group were significantly higher than those of the control group(P<0.05).The exclusive breastfeeding rate and usage rate of infant touching skills in observation group were significantly higher than those in the control group(P<0.05).Conclusions The application of PSSI in nursing for postpartum depression in primiparae can effectively relieve theirdepression,improve sleep quality,self-eficacy and quality of life and accelerate role conversion.