导乐陪伴分娩可改善初产妇产后抑郁情绪
导乐陪伴分娩；产后抑郁症；初产妇,,],导乐陪伴分娩；产后抑郁症；初产妇,1对象与方法,2结果,3讨论,参考文献：
[摘 要] 目的：探讨导乐陪伴分娩对初产妇产后抑郁情绪的影响。方法：将符合入组条件的300例初产妇随机分为两组：观察组150例予导乐陪伴分娩服务模式，对照组150例采用传统的分娩服务模式。两组孕妇于分娩前和产后6周接受汉密顿抑郁量表(HRSD)测试。结果：观察组HRSD评分显著低于对照组(13.4±2.5比15.8±3.1,t=8.21,P<0.05)，产后抑郁症的发生率观察组为6.0%，对照组为13.3%，两组间差异有显著意义(χ2=4.62,P<0.05)。结论：导乐陪伴分娩能改善初产妇产后抑郁情绪，显著降低产后抑郁症的发病率。[关键词] 导乐陪伴分娩；产后抑郁症；初产妇
Improvement of Doula Labor on Primipara Postpartum Depression
PENG Wanyi1,TANG Yanqing2，LI Caiyin1,et al(1.Bo'ai Hospital of Zhongshan City,Zhongshan,Guangdong 528403;2.The Second Xiangya Hospital,Central South University,Changsha,Hunan 410011，China)
Abstract:Objective To investigate the effect of Doula labor on postpartum depression of primipara.Methods 300 cases of primiparas consisting with the entering standard were randomly assigned into two groups:150 subjects observed were given mode of Doula Labor,while 150 cases in traditional labor mode serving as control.A test of Hamilton rating scale for depression (HRSD) prior and after labor was conducted on the two groups aim at analysing the difference between them.Results HRSD scores of subjects in Doula labor,with an incidence rate of postpartum depression being 6.0%,was significantly lower than those of control (13.4±2.5 vs 15.8±3.1,t=8.21,P<0.05),with the rate 13.3%,and a notable difference was found between the two groups according to statistics(χ2=4.62,P<0.05).Conclusion Doula labor may improve postpartum depression of primipara and strikingly lower morbidity of postpartum depression. ......
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