延续健康管理预防产后抑郁效果评价

摘要

Objective To investigate the application of continuing health management on preventing post- partum depression .Methods A total of 152 maternal women were randomly divided into tw o groups ac- cording to the order of admission ,w ith 76 cases in each group .T he control g roup w as given routine health management ,and the observation group w as given postpartum continuing health management based on the control group .T he maternal infants＇healthy development level ,breastfeeding rate ,and PDSS score before and after intervention were compared .Results After the intervention ,the growth length ,head circumfer- ence and body w eight of the infants in the observation group w ere significantly higher than those in the control group ( P＜0 .05 or 0 .01).T he time of jaundice regression and umbilical cord shedding time w ere significantly earlier than the control g roup ( P＜0 .01).T here w as no significant difference in PDSS scores betw een the tw o groups before intervention ( P＞0 .05).After the intervention ,the observation group w as significantly lower than the control group ( P＜0 .01).Conclusions Continuing health management can ef- fectively prevent postpartum depression and is of great significance for maternal and child health .%目的 探讨延续健康管理对预防孕妇产后抑郁的效果.方法 将152例产妇按入院顺序随机分为两组,每组76例,对照组给予常规健康管理,观察组在对照组基础上采用产后延续健康管理,比较干预后两组产妇婴儿健康发育水平、母乳喂养率,干预前后产妇惊恐障碍严重度量表评分.结果 干预后观察组婴儿身长、头围、体质量增长幅度显著高于对照组( P＜0 .05或0 .01) ,黄疸消退时间、脐带脱落时间明显早于对照组(P＜0 .01) ,纯母乳喂养率、母乳喂养率均显著高于对照组(P＜0 .01).干预前两组产妇惊恐障碍严重度量表评分比较差异无统计学意义(P＞0 .05) ,干预后观察组显著低于对照组(P＜0 .01) .结论 延续健康管理能有效预防产后抑郁的发生,对母婴健康具有重要意义.