基于时机理论的持续性护理预防产后抑郁症研究
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摘要
目的探讨以时机理论为框架的持续性护理对预防产后抑郁的作用。方法将101例产妇随机分成干预组50例和对照组51例,对照组实施产科常规护理,干预组在常规护理基础上实施基于时机理论的持续性护理模式,分别于干预前、出院当天、产后3个月应用爱丁堡产后抑郁量表、一般自我效能感量表,产后3个月应用母亲角色适应调查问卷进行调查。结果产后3个月,干预组抑郁得分及抑郁发生率显著低于对照组,自我效能感和母亲角色适应得分显著高于对照组(P <0. 05,P <0. 01)。结论基于时机理论的持续性护理可有效提高产妇自我效能感及母亲角色适应能力,预防产后抑郁症的发生。
Objective To explore the effect of continuous care intervention based on timing it right( TIR) framework on postpartum depression. Methods A total of 101 patients were randomly divided into an intervention group( n = 50) and a control group( n = 51). The control group received routine obstetric nursing care,while the intervention group were given TIR framework based continuous care intervention.The Edinburgh Postnatal Depression Scale and the General Self-Efficacy Scale were used to measure the participants before intervention,on the day of discharge,and 3 months after delivery; and the Mother Role Adaptation Questionnaire was used to evaluation the participants at3 months after delivery. Results Three months after delivery,the intervention group had lower scores and incidence rate of depression,and higher self-efficacy scores and mother role adaptation scores( P < 0. 05,P < 0. 01). Conclusion TIR framework based continuous care intervention could effectively improve self-efficacy of postpartal women and their adaptability of the mother's role,therefore prevent the incidence rate of postpartum depression.
Objective To explore the effect of continuous care intervention based on timing it right( TIR) framework on postpartum depression. Methods A total of 101 patients were randomly divided into an intervention group( n = 50) and a control group( n = 51). The control group received routine obstetric nursing care,while the intervention group were given TIR framework based continuous care intervention.The Edinburgh Postnatal Depression Scale and the General Self-Efficacy Scale were used to measure the participants before intervention,on the day of discharge,and 3 months after delivery; and the Mother Role Adaptation Questionnaire was used to evaluation the participants at3 months after delivery. Results Three months after delivery,the intervention group had lower scores and incidence rate of depression,and higher self-efficacy scores and mother role adaptation scores( P < 0. 05,P < 0. 01). Conclusion TIR framework based continuous care intervention could effectively improve self-efficacy of postpartal women and their adaptability of the mother's role,therefore prevent the incidence rate of postpartum depression.
引文
[1]安力彬,陆虹.妇产科护理学[M].北京:人民卫生出版社,2017:343-353.
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[5]金培勇,王凯,吴耀亮.照顾者教育对改善脑卒中患者及其照顾者健康状况的效果[J].中国康复理论与实践,2012,18(7):649-651.
[6]王姗姗,薛小玲,杨小芳,等.基于时机理论对急性心肌梗死患者家属不同阶段照护体验的质性研究[J].中华护理杂志,2014,49(9):1066-1071.
[7]周俊辉,田银,王永娥,等.基于时机理论对妊娠糖尿病孕妇家属不同阶段照护体验的质性研究[J].安徽医药,2016,20(11):2190-2193.
[8]薛文星,许志红,张玲.家庭护理及其在我国的发展现状[J].临床医药实践杂志,2008,17(8):706-708.
[9]王玉琼,郭秀静.EPDS在成都地区孕妇产后抑郁筛查中的临界值研究[J].中国实用护理杂志,2009,25(2):1-3.
[10]Zhang J X,Schwarzer R.Measuring optimistic self-beliefs:a Chinese adaptation of the General Self-Efficacy Scale[J].Psychology,1995,38(3):174-181.
[11]吴婉华,陆红.初产妇产褥期母亲角色适应状况调查研究[J].护理研究,2009,23(7):596-598.
[12]罗丽波,王培红,邓六六,等.产褥期新生儿父亲产后抑郁发生现状及影响因素调查[J].护理学杂志,2017,32(4):84-87.
[13]罗岗,董林红.产妇配偶产后抑郁研究进展[J].护理学报,2015,22(8):26-29.
[14]文艳玲.产后抑郁干预效果分析[J].医学与社会,2012,25(8):82-84.
[15]殷灯明,蒋前锋,刘静,等.早期筛查产后抑郁高危人群并积极干预[J].哈尔滨医药,2014,34(5):332-333.
[16]瞿雪燕,柯旦琴.孕期家庭亲密度适应性对产后抑郁的影响[J].护理学杂志,2013,28(6):76-78.
[17]林以环,王俊清,张华娜.瑜伽放松训练对抑郁症患者睡眠的影响[J].护理学杂志,2011,26(5):63-65.
[18]俞微,张红梅.自我效能感、归因方式与产后抑郁的相关性研究[J].护士进修杂志,2012,27(24):1317-1318.
[2]Yozwiak J A.Postpartum depression and adolescent mothers:a review of assessment and treatment approaches[J].J Pediatr Adolesc Gyneco,2010,23(3):172-178.
[3]Cameron J I,Mam G."Timing it Right":a conceptual framework for addressing the support needs of family caregivers to stroke survivors from the hospital to the home[J].Patient Educ Couns,2008,70(3):305-314.
[4]Cameron J I,Naglie G,Gignac M A,et al.Randomized clinical trial of the timing it right stroke family support program:research protocol[J].BMC Health Serv Res,2014,14(1):18.
[5]金培勇,王凯,吴耀亮.照顾者教育对改善脑卒中患者及其照顾者健康状况的效果[J].中国康复理论与实践,2012,18(7):649-651.
[6]王姗姗,薛小玲,杨小芳,等.基于时机理论对急性心肌梗死患者家属不同阶段照护体验的质性研究[J].中华护理杂志,2014,49(9):1066-1071.
[7]周俊辉,田银,王永娥,等.基于时机理论对妊娠糖尿病孕妇家属不同阶段照护体验的质性研究[J].安徽医药,2016,20(11):2190-2193.
[8]薛文星,许志红,张玲.家庭护理及其在我国的发展现状[J].临床医药实践杂志,2008,17(8):706-708.
[9]王玉琼,郭秀静.EPDS在成都地区孕妇产后抑郁筛查中的临界值研究[J].中国实用护理杂志,2009,25(2):1-3.
[10]Zhang J X,Schwarzer R.Measuring optimistic self-beliefs:a Chinese adaptation of the General Self-Efficacy Scale[J].Psychology,1995,38(3):174-181.
[11]吴婉华,陆红.初产妇产褥期母亲角色适应状况调查研究[J].护理研究,2009,23(7):596-598.
[12]罗丽波,王培红,邓六六,等.产褥期新生儿父亲产后抑郁发生现状及影响因素调查[J].护理学杂志,2017,32(4):84-87.
[13]罗岗,董林红.产妇配偶产后抑郁研究进展[J].护理学报,2015,22(8):26-29.
[14]文艳玲.产后抑郁干预效果分析[J].医学与社会,2012,25(8):82-84.
[15]殷灯明,蒋前锋,刘静,等.早期筛查产后抑郁高危人群并积极干预[J].哈尔滨医药,2014,34(5):332-333.
[16]瞿雪燕,柯旦琴.孕期家庭亲密度适应性对产后抑郁的影响[J].护理学杂志,2013,28(6):76-78.
[17]林以环,王俊清,张华娜.瑜伽放松训练对抑郁症患者睡眠的影响[J].护理学杂志,2011,26(5):63-65.
[18]俞微,张红梅.自我效能感、归因方式与产后抑郁的相关性研究[J].护士进修杂志,2012,27(24):1317-1318.