基于医护协同模式的认知行为干预结合团体正念瑜伽训练对产后抑郁初产妇抑郁症状、睡眠质量的影响

Effects of Cognitive Behavioral Intervention Based on the Medical-nursing Collaborative Model Combined with Group Mindfulness Yoga Training on Depressive Symptoms and Sleep Quality in Primipara with Postpartum Depression

目的:探讨基于医护协同模式的认知行为干预结合团体正念瑜伽训练对产后抑郁初产妇抑郁症状、睡眠质量的影响。方法:选取2020年1月—2023年1月淄博市妇幼保健院收治的产后抑郁初产妇100例为研究对象,按随机数表法分为对照组和观察组,各50例。对照组采取基于医护协同模式的认知行为干预,观察组在此基础上采取团体正念瑜伽训练。比较两组抑郁症状[爱丁堡产后抑郁量表(EPDS)]及睡眠质量[匹兹堡睡眠质量指数(PSQI)]。结果:干预前,两组EPDS评分比较,差异无统计学意义(P>0.05);干预后,两组EPDS评分降低,观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组PSQI评分比较,差异无统计学意义(P>0.05);干预后,两组PSQI评分降低,观察组低于对照组,差异有统计学意义(P<0.05)。结论:采用基于医护协同模式的认知干预及团体正念瑜伽对产后抑郁初产妇进行干预,可有效缓解其抑郁症状,提高睡眠质量。

Objective:To explore the effect of cognitive behavioral intervention based on the medical-nursing collaboration model combined with group mindfulness yoga training on depressive symptoms and sleep quality in primipara with postpartum depression.Methods:A total of 100 primiparas with postpartum depression admitted to Zibo Maternal and Child Health Hospital from January 2020 to January 2023 were selected as the research subjects,and were divided into a control group and an observation group according to the random number table method,with 50 cases in each group.The control group received cognitive behavioral intervention based on the medical-nursing collaboration model,and the observation group received group mindfulness yoga training on this basis.The depressive symptoms[Edinburgh Postpartum Depression Scale(EPDS)]and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]were compared between the two groups.Results:Before intervention,there was no statistically significant difference in EPDS scores between the two groups(P>0.05);after intervention,the EPDS scores of the two groups decreased,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in PSQI scores between the two groups(P>0.05);after intervention,the PSQI scores of the two groups decreased,and the observation group was lower than the control group,and difference was statistically significant(P<0.05).Conclusion:Using cognitive intervention based on the medical-nursing collaborative model and group mindfulness yoga to intervene in primipara with postpartum depression can effectively alleviate their depressive symptoms and improve sleep quality.