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目的探讨连续型产科服务模式对于预防产后抑郁症的临床效果,进一步指导临床。方法选取分娩的单胎初产妇80例,按照随机对照的原则,将患者分为实验组和对照组,每组各40例,给予实验组孕妇的是连续型产科服务模式,而给予对照组孕妇的是传统的服务模式。根据抑郁自评量表(SDS),对比两组孕妇孕早期及妊娠足月后抑郁状态,根据爱丁堡产后抑郁量表(EPDS),对比两组产妇产后忧郁症的发病情况,从而评价新型服务模式对预防产后抑郁症的效果。结果实验组产后抑郁症的发病率明显低于对照组,差异具有统计学意义(P<0.05);实验组产妇焦虑-抑郁情绪EPDS≥13分者明显低于对照组,差异具有统计学意义(P<0.05)。结论连续型产科新型服务模式能够明显预防产后抑郁症发病率,能提高母婴的身心健康,值得临床推广应用。
Objective To explore the clinical effect of continuous obstetric service mode on preventing postpartum depression and further guide the clinical practice. Methods Totally 80 singleton primiparous women of childbirth were selected. According to the principle of randomized control, the patients were divided into experimental group and control group, 40 cases in each group. The pregnant women given experimental group had continuous obstetric service mode, while those in control group The traditional service model. According to the self-rating depression scale (SDS), the depression status of pregnant women in the first trimester and the third trimester of pregnancy were compared. According to the Edinburgh Postnatal Depression Scale (EPDS), the incidence of postpartum depression was compared between the two groups to evaluate the new service model The effect of preventing postpartum depression. Results The incidence of postpartum depression in the experimental group was significantly lower than that in the control group (P <0.05). The EPDS≥13 scores in the experimental group were significantly lower than those in the control group (P <0.05) P <0.05). Conclusions Continuous obstetric new service model can obviously prevent the incidence of postpartum depression and improve the physical and mental health of maternal and infant, which is worthy of clinical application.