饮食指导结合心理干预对剖宫产产妇产后焦虑抑郁的影响
|
摘要
目的探讨饮食指导结合心理干预对剖宫产产妇产后情绪管理的影响。方法选取2016年2月～2017年9月期间在宝鸡市妇幼保健院实施剖宫产的初产妇126例作为研究对象,随机分为对照组和观察组,每组各63例。对照组给予常规护理,观察组在常规护理基础上再给予饮食指导和心理干预。在术后第1天(干预前)、术后1月(干预后),比较两组产妇焦虑抑郁情况。结果观察组产妇干预后焦虑、抑郁评分和焦虑、抑郁的发病数均明显低于对照组(P<0.05);观察组产妇护理满意度高于对照组(P<0.05)。结论饮食指导结合心理干预可有效改善剖宫产后产妇焦虑、抑郁状态。
Objective To explore the influence of diet guidance and psychological intervention on emotional management of puerperal women after cesarean section. Methods 126 primipara underwent cesarean section were randomly divided into observation group and control group, according to the sequence of operation time, 63 cases in each group. Both groups were given routine nursing after operation, and the observation group was given dietary guidance and psychological intervention. On the first day after operation and one month after operation, the anxiety and depression of the two groups were compared. Results The anxiety and depression scores and the incidence of anxiety and depression in the observation group were significantly lower than those in the control group after intervention(P<0.05). The satisfaction of the observation group was higher than that of the control group(P<0.05). Conclusion Diet guidance combined with psychological intervention can effectively improve the anxiety and depression of parturient women after cesarean section.
Objective To explore the influence of diet guidance and psychological intervention on emotional management of puerperal women after cesarean section. Methods 126 primipara underwent cesarean section were randomly divided into observation group and control group, according to the sequence of operation time, 63 cases in each group. Both groups were given routine nursing after operation, and the observation group was given dietary guidance and psychological intervention. On the first day after operation and one month after operation, the anxiety and depression of the two groups were compared. Results The anxiety and depression scores and the incidence of anxiety and depression in the observation group were significantly lower than those in the control group after intervention(P<0.05). The satisfaction of the observation group was higher than that of the control group(P<0.05). Conclusion Diet guidance combined with psychological intervention can effectively improve the anxiety and depression of parturient women after cesarean section.
引文
[1] 尹海燕.心理护理干预在剖宫产术产妇护理中的应用研究[J].中国组织化学与细胞化学杂志,2015,28(3):1413-1414.
[2] 陈宏英,吴晓路,张玉杰,等.剖宫产孕妇伴焦虑抑郁患者心理护理干预体会[J].河北医药,2013,35(15):2379-2380.
[3] 喻才华.心理护理干预对剖宫产初产妇焦虑情绪及疼痛的影响分析[J].社区医学杂志,2016,14(9):53-54.
[4] 公小纪,王丽萍,张新红,等.不同分娩方式对产妇抑郁的影响[J].西部医学,2015,27(5):667-668.
[5] 张小芹,田苗,高海婷.剖宫产产妇住院期间实施护理干预对焦虑情绪的影响[J].临床医学研究与实践,2018,(1):143-144.
[6] 江红英,周玉英.优质护理对剖宫产产妇焦虑和抑郁情绪的影响探讨[J].基层医学论坛2016,20(1):122-123.
[7] 张玲恩.综合护理对高龄初产妇焦虑和抑郁的影响[J].河南医学高等专科学校学报,2016,28(2):140-141.
[8] 谢艳华.阴道分娩和剖宫产术后焦虑抑郁情绪对比研究[J].中国医疗前沿,2013,34(1):716-717.
[9] 李彩云,胡晓芳,李启芝.产妇不良情绪的原因分析与护理策略[J].中国社区医生,2013,15(6):292-292.
[10] 张红霞.人性化护理缓解剖宫产焦虑抑郁情况的效果分析[J].中国当代医药,2012,19(35):123-125.
[11] 张青花.急症剖宫产与择期剖宫产临床处理对比[J].社区医学杂志,2012,10(8):15-16.
[12] 韩代花,何新蓉,梁裕杰,等.国内外剖宫产现状及原因分析[J].国际妇产科学杂志,2015,42(3):339-341.
[13] 何冰君,曹睿.剖宫产妇疼痛及产后康复的影响因素分析及临床干预[J].西部医学,2016,28(10):1474-1477.
[14] 邱海花,蓝彩旋,钟玉旋.全面优质护理对剖宫产产妇康复质量及满意度的影响[J].临床医学工程,2015,22(3):369-370.
[15] 吕莹.剖宫产产妇应用共情护理服务对满意度及焦虑情绪的干预价值探究[J].中国实用医药,2018,13(4):129-130.
[16] 王娜娜.优质护理对剖宫产产妇产后抑郁的影响[J].黑龙江医药,2015,28(1):195-196.
[17] 柴亚玲,白根玲,朱雪荣,等.自控静脉镇痛泵在剖宫产术后护理中的应用价值[J].西部医学,2014,26(12):1724-1727.
[18] 车玉兰.产妇产生焦虑抑郁情绪的原因分析及护理干预[J].吉林医学,2013,34(11):2147-2148.
[19] 胡绣华,封红伟,鲁娟.产妇产后初期抑郁状况及影响因素[J].中国健康心理学杂志,2018,26(2):194-197.
[20] 姜蕾,王竹珍,邱丽蓉,等.社会支持对产后抑郁的影响分析[J].中国妇幼保健,2013,28(16):2576-2579.
[21] 杨芳,陈长香,王瑜,等.心理干预想象训练对剖宫产产妇术前生理及心理状态的影响[J].护理研究,2013,27(6):1755-1756.
[22] 王文娟,王静波,齐晓彦,等.中医五行音乐在剖宫产后产妇情绪管理中的应用[J].中医药管理杂志,2016,24(22):22-25.
[23] 赵彦辉.剖宫产产妇的焦虑抑郁发生率与干预效果分析[J].中国民康医,2013,25(4):47,87.
[24] Shin HS,Kim JH.Music therapy on anxiety,stress and maternal attachment in pregnant women during transvaginal ultrasound [J].Aursing Nursing Research,2011,5(1):19-27.
[25] 李洋,钟玉杰,罗曼,等.音乐疗法应用于分娩产妇的护理研究现状[J].全科护理,2012,10(12):3343-3344.
[2] 陈宏英,吴晓路,张玉杰,等.剖宫产孕妇伴焦虑抑郁患者心理护理干预体会[J].河北医药,2013,35(15):2379-2380.
[3] 喻才华.心理护理干预对剖宫产初产妇焦虑情绪及疼痛的影响分析[J].社区医学杂志,2016,14(9):53-54.
[4] 公小纪,王丽萍,张新红,等.不同分娩方式对产妇抑郁的影响[J].西部医学,2015,27(5):667-668.
[5] 张小芹,田苗,高海婷.剖宫产产妇住院期间实施护理干预对焦虑情绪的影响[J].临床医学研究与实践,2018,(1):143-144.
[6] 江红英,周玉英.优质护理对剖宫产产妇焦虑和抑郁情绪的影响探讨[J].基层医学论坛2016,20(1):122-123.
[7] 张玲恩.综合护理对高龄初产妇焦虑和抑郁的影响[J].河南医学高等专科学校学报,2016,28(2):140-141.
[8] 谢艳华.阴道分娩和剖宫产术后焦虑抑郁情绪对比研究[J].中国医疗前沿,2013,34(1):716-717.
[9] 李彩云,胡晓芳,李启芝.产妇不良情绪的原因分析与护理策略[J].中国社区医生,2013,15(6):292-292.
[10] 张红霞.人性化护理缓解剖宫产焦虑抑郁情况的效果分析[J].中国当代医药,2012,19(35):123-125.
[11] 张青花.急症剖宫产与择期剖宫产临床处理对比[J].社区医学杂志,2012,10(8):15-16.
[12] 韩代花,何新蓉,梁裕杰,等.国内外剖宫产现状及原因分析[J].国际妇产科学杂志,2015,42(3):339-341.
[13] 何冰君,曹睿.剖宫产妇疼痛及产后康复的影响因素分析及临床干预[J].西部医学,2016,28(10):1474-1477.
[14] 邱海花,蓝彩旋,钟玉旋.全面优质护理对剖宫产产妇康复质量及满意度的影响[J].临床医学工程,2015,22(3):369-370.
[15] 吕莹.剖宫产产妇应用共情护理服务对满意度及焦虑情绪的干预价值探究[J].中国实用医药,2018,13(4):129-130.
[16] 王娜娜.优质护理对剖宫产产妇产后抑郁的影响[J].黑龙江医药,2015,28(1):195-196.
[17] 柴亚玲,白根玲,朱雪荣,等.自控静脉镇痛泵在剖宫产术后护理中的应用价值[J].西部医学,2014,26(12):1724-1727.
[18] 车玉兰.产妇产生焦虑抑郁情绪的原因分析及护理干预[J].吉林医学,2013,34(11):2147-2148.
[19] 胡绣华,封红伟,鲁娟.产妇产后初期抑郁状况及影响因素[J].中国健康心理学杂志,2018,26(2):194-197.
[20] 姜蕾,王竹珍,邱丽蓉,等.社会支持对产后抑郁的影响分析[J].中国妇幼保健,2013,28(16):2576-2579.
[21] 杨芳,陈长香,王瑜,等.心理干预想象训练对剖宫产产妇术前生理及心理状态的影响[J].护理研究,2013,27(6):1755-1756.
[22] 王文娟,王静波,齐晓彦,等.中医五行音乐在剖宫产后产妇情绪管理中的应用[J].中医药管理杂志,2016,24(22):22-25.
[23] 赵彦辉.剖宫产产妇的焦虑抑郁发生率与干预效果分析[J].中国民康医,2013,25(4):47,87.
[24] Shin HS,Kim JH.Music therapy on anxiety,stress and maternal attachment in pregnant women during transvaginal ultrasound [J].Aursing Nursing Research,2011,5(1):19-27.
[25] 李洋,钟玉杰,罗曼,等.音乐疗法应用于分娩产妇的护理研究现状[J].全科护理,2012,10(12):3343-3344.