[1]张艳,汪小转,雷莎莉,等.产后抑郁患者再孕期间的心理护理[J].西部中医药,2018,31(02):128-130.
　ZHANG Yan,WANG Xiaozhuan,LEI Shali,et al.Psychological Nursing for the Patients with Postpartum Depression in Repregnancy Period[J].Western Journal of Traditional Chinese Medicine,2018,31(02):128-130.
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产后抑郁患者再孕期间的心理护理()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年02期
页码:
128-130
栏目:
出版日期:
2018-02-15

文章信息/Info

Title:
Psychological Nursing for the Patients with Postpartum Depression in Repregnancy Period
文章编号:
1004-6852(2018)02-0128-03
作者:
张艳，汪小转，雷莎莉，齐学宏△
甘肃省妇幼保健院，甘肃 兰州 730050
Author(s):
ZHANG Yan, WANG Xiaozhuan, LEI Shali, QI Xuehong△
Gansu Provincial Maternity and Child-care Hospital, Lanzhou 730050, China
关键词:
产后抑郁; 再孕; 心理护理
Keywords:
postpartum depression;  repregnancy;  psychological nursing
分类号:
R714.46
文献标志码:
B
摘要:
目的：探讨产后抑郁患者再孕期间的心理护理方法。方法：将80例产后抑郁再孕产妇按照随机数字法分为观察组和对照组，每组40例，对照组针对初次妊娠后抑郁再次妊娠者实施常规护理，观察组实施有效的心理护理干预，重点在于提高患者角色认知能力，比较2组诺丁汉健康调查问卷评分、睡眠质量评分及干预前后焦虑、抑郁评分的变化情况。结果：诺丁汉健康调查问卷评分，观察组精力评分、疼痛程度评分、情感变化评分、睡眠质量评分、社会生活适应能力评分及躯体活动能力评分等均低于对照组，差异有统计学意义(P＜0.05)。焦虑及抑郁评分2组干预前比较，差异均无统计学意义(P＞0.05)；干预前后，2组组内比较，差异均有统计学意义(P＜0.05)；干预后组间比较，差异有统计学意义(P＜0.05)。观察组汤氏睡眠质量量表中难以入睡、易醒、醒后难以再次入睡、药物应用、宿醉感及睡眠充足得分均低于对照组，差异有统计学意义(P＜0.05)。结论：有效的心理护理干预，能显著降低产后抑郁患者再孕期间焦虑抑郁状况，提高患者生活质量及睡眠质量。
Abstract:
Objective: To discuss psychological nursing for the patients suffering postpartum depression in repregnancy period. Methods: Eighty patients were allocated to the observation group and the control group according to random number method, the control group accepted conventional care for the patients who were depressed after the initial pregnancy and pregnant again, the observation group impelemented the effective psychological nursing intervention which focused on role cognitive ability improvement of the patients. The changes of depression scales and anxiety scales before and after the intervention, the scales of sleeping quality and the scores of Nottingham health questionnaire of both groups were compared. Results: The scores of Nottingham health questionnaire: the observation group was lower than the control group in the scores of energy, pain degrees, emotional changes, sleeping quality, adaptability to social life, and the difference had statistical meaning (P＜0.05). The difference had no statistical meaning in the comparisons of anxiety and depression scales before the intervention (P＞0.05), the difference had statistical meaning in the comparisons before and after the intervention within two groups (P＜0.05); the difference showed statistical meaning in the comparisons between both groups after the intervention (P＜0.05). The observation group was lower than the control group in the scales of sleeping quality scales such as difficulity in falling asleep, easily wakening, wakening and difficulity in falling asleep again, medicinal application, hangover and enough sleeping, and the difference showed statistical meaning (P＜0.05). Conclusion: Effective psychological nursing intervention could notably decrease anxiety and depression states of the patients with postpartum depression in repregnancy period, improve quality of life and sleeping quality of the patients.

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备注/Memo

备注/Memo:
收稿日期：2017-07-18 作者简介：张艳(1981—)，女，护师。研究方向：产科疾病的临床护理。 △通讯作者：齐学宏(1981—)，女，主管护师。研究方向：产科疾病的临床护理。
更新日期/Last Update: 2018-02-15