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目的:探讨心理干预对伴有抑郁症状的围生期孕妇抑郁状况及生活质量的影响。方法:将符合入组条件的60例第一胎围生期孕妇随机分为心理干预组30例,对照组30例,对心理干预组于妊娠30周时开始实施不少于7周的连续心理干预,包括支持性心理治疗、健康教育、个别深入的心理治疗、家庭和社会支持治疗等;对照组无特殊干预措施。两组均于妊娠30周、38周时进行两次抑郁自评量表及生活质量量表的测验。结果:妊娠38周时心理干预组孕妇的抑郁因子较对照组抑郁因子分低(P<0.01)。妊娠38周时对照组生活质量有下降,心理干预组生活质量评分较对照组有改善,主要表现在生理、心理、社会功能方面(P<0.01)。结论:积极进行心理干预,有助于减少孕妇抑郁,改善生活质量。
Objective: To investigate the psychological intervention on depressive symptoms of perinatal depression and quality of life of pregnant women. Methods: Sixty pregnant women with perinatal period were enrolled in this study. 30 pregnant women in the first perinatal period were randomly divided into psychological intervention group (n = 30) and control group (n = 30). The psychological intervention group Interventions included supportive psychotherapy, health education, individual psychotherapy, family and social support treatment, and no special intervention in the control group. Two groups were tested at 30 weeks and 38 weeks of pregnancy twice self-rating depression scale and quality of life scale. Results: At the 38th week of gestation, the depression factor of pregnant women in psychological intervention group was lower than that of control group (P <0.01). The quality of life of the control group decreased at the 38th week of gestation, and the quality of life scores of the psychological intervention group improved compared with that of the control group, which was mainly in the aspect of physiology, psychology and social function (P <0.01). Conclusion: Active psychological intervention can help reduce depression and improve quality of life in pregnant women.