基于社区的产后抑郁症综合性干预措施研究(1)
摘 要：目的 探讨全程综合性社区干预对产妇产后抑郁的效果。方法 采用自制一般情况表和相关因素问卷、综合性医院所用焦虑抑郁量表(HAD)对280例孕12周初次建卡孕妇进行筛查，筛选出具有产后抑郁症高危因素的孕妇102例，按随机原则分为实验组和对照组各51例；对照组参加常规孕产妇保健，实验组给予基于社区的全程综合性干预措施。两组都在产后3 d、产后第2、4、8周采用HAD、爱丁堡产后抑郁量表(EPDS)及美国精神病学在《精神疾病的诊断与统计》中制定的标准分别进行评估。结果 实验组产妇产后4个时点的HAD、EPDS评分均低于对照组，差异有统计学意义(P<0.05)；实验组孕妇各8个时点HAD、EPDS评分依次降低，差异有统计学意义(P<0.05)；实验组产妇产后4个时点抑郁症发生率低于对照组，差异有统计学意义(P<0.05)。结论 基于社区的产后抑郁症全程综合性干预是有一定效果的，能降低产后抑郁症的发生率。
关键词：产后抑郁症；全程；综合性；社区干预
中图分类号：R749.4 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.002
, http://www.100md.com
文章編号：1006-1959(2018)08-0005-05
Study on Comprehensive Intervention Measures of Postpartum Depression Based on Community
YAO Hui-jiao，XU Xiao-ping，MEI Yi-ning，LIANG Shao-ying，SU Xiao-min，CHEN Ying，YANG Jing
(Ningbo Institute of Health Vocational Technology，Ningbo 315100，Zhejiang，China)
Abstract：Objective To explore the effect of comprehensive community intervention on postpartum depression in puerpera.Methods 280 pregnant women with first 12 weeks of pregnancy were screened by the self-made general questionnaire and the related factors questionnaire and the anxiety and depression scale of the comprehensive hospital(HAD).102 pregnant women with high risk factors for postpartum depression were selected，and 51 cases were divided into the experimental group and the control group according to the random principle.The control group participated in the routine maternal health care，the experimental group was given comprehensive community based intervention.Both groups were evaluated on the 3rd day after childbirth，the HAD on the 2，4 and 8 postpartum，the Edinburgh Postpartum Depression Scale(EPDS)，and the standards developed by the American Psychiatry in"Diagnosis and Statistics of Mental Illness."Results The HAD and EPDS scores were lower in the experimental group than in the control group at the 4 postpartum points，there was statistical significance(P<0.05)；the HAD and EPDS scores of the pregnant women in the experimental group decreased at each of the 8 time points，and the difference was statistically significant(P<0.05)；The incidence of depression at the 4 postpartum points in the experimental group was lower than that in the control group，with statistical significance(P<0.05). Conclusion The comprehensive comprehensive intervention of community-based postpartum depression has a certain effect and can reduce the incidence of postpartum depression.
Key words：Postpartum depression；Full course；Comprehensive；Community intervention, http://www.100md.com(姚慧娇 徐小萍 梅一宁 梁少英 苏晓敏 陈莺 杨晶)
关键词：产后抑郁症；全程；综合性；社区干预
中图分类号：R749.4 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.002
, http://www.100md.com
文章編号：1006-1959(2018)08-0005-05
Study on Comprehensive Intervention Measures of Postpartum Depression Based on Community
YAO Hui-jiao，XU Xiao-ping，MEI Yi-ning，LIANG Shao-ying，SU Xiao-min，CHEN Ying，YANG Jing
(Ningbo Institute of Health Vocational Technology，Ningbo 315100，Zhejiang，China)
Abstract：Objective To explore the effect of comprehensive community intervention on postpartum depression in puerpera.Methods 280 pregnant women with first 12 weeks of pregnancy were screened by the self-made general questionnaire and the related factors questionnaire and the anxiety and depression scale of the comprehensive hospital(HAD).102 pregnant women with high risk factors for postpartum depression were selected，and 51 cases were divided into the experimental group and the control group according to the random principle.The control group participated in the routine maternal health care，the experimental group was given comprehensive community based intervention.Both groups were evaluated on the 3rd day after childbirth，the HAD on the 2，4 and 8 postpartum，the Edinburgh Postpartum Depression Scale(EPDS)，and the standards developed by the American Psychiatry in"Diagnosis and Statistics of Mental Illness."Results The HAD and EPDS scores were lower in the experimental group than in the control group at the 4 postpartum points，there was statistical significance(P<0.05)；the HAD and EPDS scores of the pregnant women in the experimental group decreased at each of the 8 time points，and the difference was statistically significant(P<0.05)；The incidence of depression at the 4 postpartum points in the experimental group was lower than that in the control group，with statistical significance(P<0.05). Conclusion The comprehensive comprehensive intervention of community-based postpartum depression has a certain effect and can reduce the incidence of postpartum depression.
Key words：Postpartum depression；Full course；Comprehensive；Community intervention, http://www.100md.com(姚慧娇 徐小萍 梅一宁 梁少英 苏晓敏 陈莺 杨晶)