基于微信公众平台的围产期认知干预对产妇的妊娠期抑郁症状及睡眠质量的作用
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摘要
目的观察基于微信公众平台的围产期认知干预对改善妊娠期抑郁症状及睡眠质量的作用。方法选取在我院接受产检的妊娠期抑郁症产妇118例作为研究对象,按照随机数字表法分为观察组和对照组,各59例,其中对照组采用常规干预,观察组采用基于微信公众平台的围产期认知干预。观察对比两组抑郁状况、睡眠质量、护理满意度。结果干预前两组产妇的抑郁自评量表(SDS)和爱丁堡产后抑郁量表(EPDS),匹兹堡睡眠指数量表(PSQI)评分,组间无明显差异(P>0.05);干预后两组SDS、EPDS评分显著低于干预前(P<0.05),且观察组显著低于对照组(P<0.05);干预后两组PSQI评分显著低于干预前,且观察组显著低于对照组(P<0.05);观察组护理满意度评分显著高于对照组(P<0.05)。结论相较于常规干预方式,基于微信公众平台的围产期认知干预能够更有效减轻妊娠期产妇抑郁症状,提高睡眠质量和护理满意度。
Objective To observe the effect of perinatal cognitive intervention based on WeChat public platform on pregnancy depression and sleep quality of maternals. Methods 118 cases of maternals with depression received medical examination in our hospital were selected as the study objects,and then divided into observation group and control group according to random number table method,59 cases in each group. The control group were given routine intervention,and the observation group were given perinatal cognitive intervention based on WeChat public platform. Depression status,sleep quality and nursing satisfaction were observed and compared between the two groups. Results Before the intervention,there was significant difference of Self-rating Depression Scale(SDS)and the Edinburgh Postnatal Depression Scale(EPDS),Pittsburgh Sleep Quality Index(PSQI)scores between the two groups(P>0.05);After intervention,SDS and EPDS scores were significantly lower than those before intervention in the two groups(P< 0.05),and those in the observation group were significantly lower than those in the control group(P<0.05). PSQI scores were significantly lower than those before intervention in the two groups(P<0.05),and those in the observation group were significantly lower than those in the control group(P<0.05). Nursing satisfaction scores of the observation group were significantly higher than those of the control group(P<0.05). Conclusion Perinatal cognitive intervention based on WeChat public platform can effectively reduce depression symptoms and improve sleep quality as well as nursing satisfaction of maternals with depression.
Objective To observe the effect of perinatal cognitive intervention based on WeChat public platform on pregnancy depression and sleep quality of maternals. Methods 118 cases of maternals with depression received medical examination in our hospital were selected as the study objects,and then divided into observation group and control group according to random number table method,59 cases in each group. The control group were given routine intervention,and the observation group were given perinatal cognitive intervention based on WeChat public platform. Depression status,sleep quality and nursing satisfaction were observed and compared between the two groups. Results Before the intervention,there was significant difference of Self-rating Depression Scale(SDS)and the Edinburgh Postnatal Depression Scale(EPDS),Pittsburgh Sleep Quality Index(PSQI)scores between the two groups(P>0.05);After intervention,SDS and EPDS scores were significantly lower than those before intervention in the two groups(P< 0.05),and those in the observation group were significantly lower than those in the control group(P<0.05). PSQI scores were significantly lower than those before intervention in the two groups(P<0.05),and those in the observation group were significantly lower than those in the control group(P<0.05). Nursing satisfaction scores of the observation group were significantly higher than those of the control group(P<0.05). Conclusion Perinatal cognitive intervention based on WeChat public platform can effectively reduce depression symptoms and improve sleep quality as well as nursing satisfaction of maternals with depression.
引文
1.伊凤蕊,蒋娟,胡华.心理干预对围产期抑郁症的疗效观察[J].中国妇幼保健,2016,31(08):1608-1610.
2.张学军,李冰,王心.妊娠期系统健康教育对分娩方式及产后抑郁等的影响观察[J].人民军医,2016,59(09):952-953.
3.邹文霞,何秀玲,潘继红,等.围产期心理健康管理模式对改善妊娠期抑郁症状的临床研究[J].中国妇幼保健,2013,28(24):3922-3924.
4.W.K.Zung.Self-Rating Depression Scale,SDS[M].1965.
5.仇剑崟,王祖承,罗来敏,等.爱丁堡产后抑郁量表的临床应用[J].上海精神医学(Shanghai Archives of Psychiatry),2001,13(4):219-221.
6.路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,43(3):260-263.
7.周笠.认知式自助疗法应用于妊娠期抑郁的综合效果分析[J].中国医药导刊,2013,15(07):1189-1191.
8.盖芸,李志坚.护理干预对产褥期抑郁症患者焦虑抑郁情绪的影响[J].中国实用医药,2013,8(14):199-200.
9.向琴.认知疗法在改善妊娠期抑郁症状的临床效果研究[J].中国妇幼保健,2012,27(05):674-675.
10.杨谨,李秋玲,张志涛,等.认知疗法改善妊娠期抑郁症状的效果观察[J].中国医科大学学报,2011,40(05):441-443.
11.刘红莲,杨雪平,马莉,等.心理护理对妊娠晚期孕妇心身状态、睡眠质量及分娩结局的改善作用[J].国际精神病学杂志,2016,43(02):334-336.
2.张学军,李冰,王心.妊娠期系统健康教育对分娩方式及产后抑郁等的影响观察[J].人民军医,2016,59(09):952-953.
3.邹文霞,何秀玲,潘继红,等.围产期心理健康管理模式对改善妊娠期抑郁症状的临床研究[J].中国妇幼保健,2013,28(24):3922-3924.
4.W.K.Zung.Self-Rating Depression Scale,SDS[M].1965.
5.仇剑崟,王祖承,罗来敏,等.爱丁堡产后抑郁量表的临床应用[J].上海精神医学(Shanghai Archives of Psychiatry),2001,13(4):219-221.
6.路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,43(3):260-263.
7.周笠.认知式自助疗法应用于妊娠期抑郁的综合效果分析[J].中国医药导刊,2013,15(07):1189-1191.
8.盖芸,李志坚.护理干预对产褥期抑郁症患者焦虑抑郁情绪的影响[J].中国实用医药,2013,8(14):199-200.
9.向琴.认知疗法在改善妊娠期抑郁症状的临床效果研究[J].中国妇幼保健,2012,27(05):674-675.
10.杨谨,李秋玲,张志涛,等.认知疗法改善妊娠期抑郁症状的效果观察[J].中国医科大学学报,2011,40(05):441-443.
11.刘红莲,杨雪平,马莉,等.心理护理对妊娠晚期孕妇心身状态、睡眠质量及分娩结局的改善作用[J].国际精神病学杂志,2016,43(02):334-336.