摘要
目的产后抑郁症的发病率较高,但就诊的患者并不多。本文拟通过对无法,或不愿转诊进行心理治疗的产妇,社康中心产后访视人员通过向当地的社工团体寻求帮助和对有自杀倾向的产妇,社区医生主动联系心理医生家访或电话访视的方式,对患有产后抑郁的产妇进行帮助和治疗。方法对437例产妇分别在产后第7天或第14天,以及第28天,发放抑郁自评量表(SDS),进行回顾性分析。结果调查共发现产后抑郁症77例,发病率为18.33%,21例愿意接受专科医院的门诊心理咨询治疗,占27.27%,30例愿意接受社会工作者的帮助、治疗,占38.96%。经过社会的共同关心后,所有的患者均得到康复。结论社区关怀不仅能有效解决产后抑郁症患者面临的困难和问题,提高产后抑郁症患者的生活质量,同时还能够动员社会力量,预防和协助治疗产后抑郁症。
Objective The incidence of postpartum depression became higher,but not many patients received treatment.The reason was that whether patient,their families or the medical staff did not know the post-natal depression was a mental illness.This subject was represented the solutions for community physicians,who were going to help the mothers who were unable or unwilling to have psychological treatment： firstly,through postpartum visit to the local social work groups for help;secondly,contact a psychiatrist visits or telephone interview with suicidal mothers.Methods A questionnaire survey of 437 cases maternal by self-rating depression scale on the 7th,the 14th and 28th postpartum was conducted with retrospective analysis.Results There were 77 cases of postpartum depression,the incidence rate was 18.33%.21 patients were willing to accept hospital treatment of out-patient counseling,accounting for 27.27%.30 patients were willing to accept the help of social workers,accounting for 38.96%.After a community of common interest,all the patients were recovered.Conclusion Community care can not only solve difficulties and problems faced by patients and improve their quality of life,but also encourage the power of community to prevent and assist in the treatment of postpartum depression.
出处
《中华全科医学》
2011年第7期1098-1100,共3页
Chinese Journal of General Practice
基金
2010年广东省深圳市科技计划项目(201003394)
关键词
产后抑郁症
社区关怀
产后访视
Postnatal depression
Community care
Post-natal visits
