综合干预措施对产妇抑郁的影响评价
心身疾病；产妇；焦虑-抑郁；综合干预,,心身疾病；产妇；焦虑-抑郁；综合干预,【摘要】,【关键词】,1资料与方法,2结果,3讨论,参考文献
【摘要】 目的 探讨产妇抑郁的发生及其影响因素，观察综合干预措施对降低产后抑郁发生率的作用。方法 将1210例孕妇随机分为干预组(实施干预措施)和对照组，每组各605例，采用医院焦虑-抑郁自评量表、艾迪产后抑郁量表进行产前产后跟踪调查至，并进行对比分析。 结果 两组产前医院焦虑-抑郁情绪自评量表评定焦虑抑郁发生率无显著性差异(P>0.05)；有焦虑情绪者产后抑郁发生率为54.10%，有抑郁情绪者产后抑郁发生率为56.36%，有焦虑-抑郁情绪者产后抑郁发生率成倍增加；干预组产后抑郁发生率为5.12%，对照组产后抑郁发生率为14.22%，两组差异有极显著性(P<0.01)。 结论 孕期焦虑-抑郁情绪是发生产后抑郁的最主要因素，综合干预措施能够显著降低产后抑郁的发生率。提示，加强对孕产妇及其家属进行产前、产时、产后宣教，能有效预防产后抑郁的发生。【关键词】 心身疾病；产妇；焦虑-抑郁；综合干预
Effects of comprehensive intervening measures on postpartum depression
Zhu Yaping
(Xinxiang maternity and child health institute of Huayuan, Xinxiang 453003, Henan, China)
【Abstract】 Objective To explore the production of postpartum depression(PD) and related factors and observe the effects of comprehensive intervening measures on reducing the incidence rate of postpartum depression. Methods 1210 pregnant women were randomly divided into intervening(received intervening measures) and control group(each n=605), prenatal and postpartum following investigations and comparative analyses were conducted with the Hospital Anxiety and Depression Scale﹙HADS﹚and the Edinburgh Postpartum Depression Scale﹙EPDS﹚. Results There were no significant differences in incidences of prenatal anxiety and depression (P>0.05); the incidences of postpartum depression in the women who showed anxious or depressive emotion were respectively 54.10% and 56.36%, and the incidence in ones who did anxiousdepressive emotion increased by several times; the incidences of postpartum depression were respectively 5.12% in the intervening and 14.22% in the control group, the difference was significant(P<0.01). Conclusion The anxiousdepressive emotion during pregnancy is the main factor causing postpartum depression, the comprehensive intervening measures can significantly reduced the incidence of postpartum depression. It is necessary to enhance health education to the pregnant women and parturients in order to prevent the development of postpartum depression. ......
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