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目的探讨围生期身心健康干预对产妇阴道分娩依从性及抑郁焦虑状态的影响。方法选取十堰市太和医院2014年4月至2015年12月收治的146例产妇,按随机数字表法分为研究组和对照组,每组各73例。对照组实施围生期常规护理干预措施,研究组则在对照组的基础上进行护理身心健康干预。运用问卷调查的方法采集两组产妇对护理工作的满意度和遵医嘱行为以及纯母乳喂养等情况,同时运用自评量表测评两组产妇分娩前后焦虑和抑郁等情况。结果研究组产妇阴道分娩依从性、对护理工作的满意度和纯母乳喂养的比例均优于对照组;两组护理干预后焦虑自评量表、抑郁自评量表和爱丁堡产后抑郁量表评分均显著低于护理前;研究组各量表评分较对照组下降更为明显,护理前后评分差值明显大于对照组,以上各项结果差异均有统计学意义(P<0.05)。结论对孕产妇实施围生期护理身心健康干预措施能够有效提高孕产妇的临床依从性和对护理工作的满意度,同时能改善围生期的焦虑及抑郁状态。
Objective To investigate the effects of perinatal physical and mental health intervention on maternal vaginal delivery compliance and depression-anxiety status. Methods 146 maternal women who were treated in Taihe Hospital of Shiyan City from April 2014 to December 2015 were divided into study group and control group according to random number table method, with 73 cases in each group. The control group performed routine nursing interventions during the perinatal period, while the research group conducted physical and mental health interventions on the basis of the control group. The questionnaire survey was used to collect the satisfaction of the two groups of maternal nursing work and compliance with the doctor’s advice as well as exclusive breastfeeding and so on. At the same time, the self-rating scale was used to evaluate the anxiety and depression of the two groups before and after childbirth. Results The study group was superior to the control group in the compliance of vaginal delivery, satisfaction with nursing work and exclusive breastfeeding. Two groups of self-rating anxiety scale, self-rating depression scale and post-natal depression scale score (P <0.05). The score of each scale in the study group was significantly lower than that in the control group, and the difference in scores before and after nursing care was significantly greater than that in the control group. All the above results were statistically significant (P <0.05). Conclusion Perinatal nursing interventions can improve the clinical compliance and nursing satisfaction of maternity women and improve the perinatal anxiety and depression.