摘要
目的 探讨医院焦虑抑郁量表（HAD）在住院期间孕妇心理评估及干预中的应用.方法 选取2012年1月～2013年1月在本院住院的孕妇1000例,将其随机分为研究组与对照组各500例,对两组孕妇在孕24周及38周时进行HAD问卷调查,分析影响孕妇产生焦虑抑郁情绪的因素,对照组采用常规的干预措施,研究组采用针对影响焦虑抑郁的因素的干预措施,并在两组产后1、2、4周再次进行HAD问卷调查,对两组干预后的焦虑抑郁情绪进行比较.结果 两组在孕24、38周及产后1、2周的焦虑情绪差异无统计学意义（P＞0.05）,产后4周研究组的焦虑情绪干预效果优于对照组（P＜0.05）.两组在孕24、38周及产后1周的抑郁情绪差异无统计学意义（P＞0.05）,产后2、4周研究组的抑郁情绪干预效果优于对照组（P＜0.05）.结论 HAD问卷在住院期间孕妇心理评估中的作用及干预效果显著,有效降低了孕产妇焦虑抑郁的产生,提高了护理服务质量,值得临床推广应用.
Objective To investigate the intervention application of hospital anxiety and depression scale （HAD） in pregnant during hospitalization psychological assessment.Methods 1000 cases of pregnant women in our hospital from January 2012 to January 2013 were randomly divided into study group and the control group of 500 cases in each,two groups of pregnant women in 24 weeks and 38 weeks were given HAD questionnaire investigation,the anxiety and depression factors were analyzed,control group were given conventional interventions,the study group were used for anxiety and depression factors affecting interventions,and postpartum 1,2,4 weeks HAD questionnaire was used again in the two groups and the anxiety and depression were compared.Results There was no significant difference about anxiety of two groups at 24,38 weeks gestation and postpartum 1,2 weeks （P〉0.05）; 4 weeks postpartum anxiety intervention efficacy in study group was better than that of the control group （P〈0.05）.There was no significant difference about depression of two groups at gestation 24,38 weeks and one week postpartum （P〉0.05）; 2,4 weeks postpartum depression intervention efficacy in study group was better than that of the control group （P〈0.05）.Conclusion The role of psycho logical assessment and intervention effect of HAD questionnaire during hospitalization of pregnant women is remarkable,can effectively decrease the anxiety and depression,increase the nursing quality,is worthy of clinical application.
出处
《中国当代医药》
2013年第35期154-155,164,共3页
China Modern Medicine
关键词
医院焦虑抑郁量表
住院期间
孕妇心理评估
干预措施
Hospital anxiety and depression scale
During hospitalization
Sychological assessment
Intervention
