认知干预对早产孕妇焦虑抑郁情绪的影响

摘要

Objective To explore the effects of cognitive intervention on anxious-depressive emotions of premature gravidas.Methods A total of 100 premature gravidas were randomly assigned to two groups of 50 ones each according to admission time nodes.Both groups received routine clinical nursing, medication and postpartum rehabilitation and intervention group was plus cognitive behavior intervention (CBI) on this basis.Whole courses of hospitalization were observed.Anxious-depressive states were assessed with the State Anxiety Inventory (S-AI) and Edinburgh Postnatal Depression Scale (EPDS)on admission and at discharge.Results At discharge the S-AI and EPDS score lowered more significantly than those on admission in observation group (P<0.01), so did the EPDS score in control group (P<0.01), and those were significantly lower in observation than in control group (P<0.01).Conclusion Cognitive intervention could significantly improve anxious-depressive emotions of premature gravidas.%目的 探讨认知干预对早产孕妇焦虑抑郁情绪的影响.方法 将100例早产孕妇按入院时间节点随机分为两组,每组50例.两组均予以常规临床护理、药物治疗及产后康复治疗,干预组在此基础上联合认知干预.观察住院全程.于入院时和出院当天,采用状态焦虑量表和爱丁堡产后抑郁量表评定焦虑抑郁状况. 结果 出院时干预组状态焦虑量表及爱丁堡产后抑郁量表评分均较入院时显著降低(P<0.01),对照组爱丁堡产后抑郁量表评分较入院时显著降低(P<0.01),干预组显著低于对照组(P<0.01).结论 认知干预能显著改善早产孕妇的焦虑抑郁情绪,提高其心理健康水平.