摘要
目的研究在全科模式下主动早期筛查以及认知行为干预对产后抑郁发生率的影响。方法选取中堂社区卫生中心辖区内240例孕产妇为研究对象,随机分为观察组120例和对照组120例,观察组孕产妇采用全科模式下主动早期筛查及认知行为干预,对照组采用被动常规家庭访视模式,对两组孕产妇产后抑郁发生情况进行回顾分析。结果在产后42d、6个月、12个月的抑郁评分方面,两组比较差异有统计学意义(P <0.05)。在产后42d、6个月、12个月产后抑郁的发生率方面,观察组低于对照组,差异有统计学意义(P<0.05)。结论在孕产妇护理服务中应用全科模式下主动早期筛查与认知行为干预,有助于孕产妇早期抑郁的发现,从而能及时对产后抑郁患者进行认知行为干预,可预防与减少产后抑郁的发生,特别是可减少重度抑郁的发生,促进孕妇心理状态以及生活质量的改善,值得推广应用。
Objective To study the effects of active early screening and cognitive behavioral intervention under general practice on the incidence of postpartum depression. Methods Two hundred and forty cases of pregnant women in the area of Zhongtang Town Community Health Service Center were selected and randomly divided into the observation group（120 cases） and the control group（120 cases）. The observation group was treated with active early screening and cognitive behavioral intervention under general practice mode, and the control group was treated with passive routine family visit mode. The incidence of postpartum depression in two groups was analyzed retrospectively. Results In postnatal 42 days, 6 months and 12 months, there were significant differences in depression scores between the observation group and the control group（P 〈 0.05）. In postnatal 42 days, 6 months and 12 months, the incidence of postpartum depression was significantly lower in the observation group than in the control group（P 〈 0.05）. Conclusion In the nursing of pregnant and maternal women, the application of active early screening and cognitive behavioral intervention under general practice can help find the early depression, so as to provide timely cognitive behavioral intervention for patients with postpartum depression. It can also prevent and reduce the occurrence of postpartum depression, especially severe depression, and improve the mental state and quality of life of pregnant women. It is worthy of popularization and application.
作者
陈章凡
曾伟群
徐卫东
张少霞
李汉泉
CHEN Zhangfan;ZENG Weiqun;XU Weidong;ZHANG Shaoxia;LI Hanquan(The Seventh People＇s Hospital of Dongguan City, Dongguan 523000, China; Dongguan Zhongtang Town Community Health Service Center, Dongguan 523220, China)
出处
《中国医药科学》
2018年第18期69-71,143,共4页
China Medicine And Pharmacy
基金
广东省东莞市社会发展一般项目(201750715085367)
关键词
全科模式
产后抑郁
早期筛查
认知行为干预
General practice
Postpartum depression
Early screening
Cognitive behavioral intervention
