【摘要】目的:分析孕产妇焦虑或抑郁的心理状态。方法:采用EPDS(爱丁堡产后抑郁量表)、抑郁自评量表(SDS)、产前情况调查表跟踪调查,产前抑郁症的发生情况,筛选孕35～40周焦虑或抑郁障碍的孕产妇120例,随机抽取60例症状自评定量表进行心理状态调查的干预组和另外60例只做常规健康疏导的常规组。结果:干预组的焦虑和抑郁评分值干预前后存在显著性差异,干预组的焦虑和抑郁评分均低于常规组(P<0.01),干预组低于常规组(P<0.01);两组哺乳方式构成差异有显著意义,干预组喂养高于常规组。结论:心理因素与发病有关,适当的心理干预能改善患者症状,提高生活质量,促进孕产妇身心健康,减少产后出血量,提高纯母乳喂养率,协调医患关系,保障母婴安全。

    【关键词】孕产妇焦虑;临床观察;心理因素;临床疗效

    【Abstract】 Objective: To analyze maternal psychological state of anxiety or depression. Methods: The EPDS (Edinburgh Postnatal Depression Scale), self-rating depression scale (SDS), pre-natal questionnaire follow-up survey, the incidence of prenatal depression, screening pregnant 35 ~ 40 weeks of pregnancy anxiety or depressive disorder maternal 120 cases, randomly selected 60 patients with symptoms of psychological state of self-rating scale investigation of the intervention group and another 60 cases of normal healthy Zhizuo to ease the conventional group. Results: The intervention group's anxiety and depression score values before and after intervention there was a significant difference in the intervention group's anxiety and depression scores were lower than the conventional group ( P<0.01),Intervention group was lower than the conventional group ( P<0.01); two feeding methods constitute a significant difference in the intervention group than the conventional group feeding. Conclusion: Psychological factors and the pathogenesis of the appropriate psychological intervention can improve patient symptoms, improve quality of life, promoting maternal health, reducing post-partum haemorrhage, improve exclusive breastfeeding rates, coordinating physician-patient relationship to ensure safe motherhood. ......