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目的探讨认知行为护理干预联合系统性家庭护理干预对于轻中度产后抑郁的效果。方法将2012年8月至2015年2月来我院接受治疗的94例轻中度产后抑郁患者纳入本研究。并随机分为实验组和对照组,每组47例。对照组予以常规产后护理干预。实验组在对照组的基础上,进行认知行为护理干预联合系统性家庭护理干预。结果实验组干预后,匹兹堡睡眠质量指数(PSQI)评分低于干预前和对照组,有统计学差异(P<0.05),实验组干预后,爱丁堡产后抑郁量表(EPDS)评分低于干预前和对照组,有统计学差异(P<0.05);实验组干预后,入睡潜伏期、夜间觉醒次数低于干预前和对照组,睡眠时间高于干预前和对照组,有统计学差异(P<0.05)。结论认知行为护理干预联合系统性家庭护理干预对于轻中度产后抑郁患者效果较好,能够改善患者的PSQI评分,EPDS评分,降低患者的入睡潜伏期、夜间觉醒次数,延长患者的睡眠时间。
Objective To explore the effect of cognitive behavioral nursing intervention combined with systemic home-care intervention on mild to moderate postpartum depression. Methods Ninety-four patients with mild to moderate postpartum depression who came to our hospital from August 2012 to February 2015 were enrolled in this study. And randomly divided into experimental group and control group, 47 cases in each group. The control group was given routine postpartum nursing intervention. The experimental group in the control group, based on the cognitive behavioral nursing intervention combined with family care intervention. Results PSQI score was significantly lower in the experimental group than in the pre-intervention group and control group (P <0.05). After the intervention in the experimental group, the EPDS score in Edinburgh was lower than that before intervention (P <0.05). After intervention, the latent period of falling asleep, the number of awakenings at night were lower than those of the control group and the control group, and the sleep time was higher than that of the control group (P < 0.05). Conclusions Cognitive behavioral nursing intervention combined with systematic home nursing intervention is effective for patients with mild to moderate postpartum depression. It can improve patients ’PSQI score, EPDS score, reduce patients’ latency to fall asleep, night awakening times and prolong sleep time.