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目的探讨产妇接受责任制整体护理模式对预防产后抑郁的临床价值。方法 130例产妇随机分为对照组和观察组,每组65例。对照组实行常规护理模式,观察组实施责任制整体护理模式,对比两组的应用效果。结果对照组产妇中,10例产后发生抑郁症,发病率为15.4%;观察组产妇中,3例产后发生抑郁症,发病率为4.6%,观察组产妇产后抑郁症发病率明显低于对照组,差异具有统计学意义(P<0.05)。两组产妇护理后的抑郁自评量表(SDS)、焦虑自评量表(SAS)、爱丁堡产后抑郁量表(EPDS)评分较护理前均显著改善(P<0.05),且观察组EPDS、SAS、SDS评分减小幅度大于对照组,差异具有统计学意义(P<0.05)。结论责任制整体护理模式应用于产后抑郁的预防具有良好的临床价值,能有效缓解产妇的焦虑和抑郁状态,明显减少产后抑郁的发生,值得临床采纳和大力推广。
Objective To explore the clinical value of holistic nursing mode of postpartum depression to prevent postpartum depression. Methods 130 maternal women were randomly divided into control group and observation group, 65 cases in each group. The control group underwent routine nursing mode, and the observation group implemented the overall nursing model of responsibility system, and compared the effect of the two groups. Results In the control group, the incidence of depression was 10 in postpartum among 10 maternal women. The incidence of postpartum depression in the observation group was 3% and the morbidity was 4.6%. The incidence of postpartum depression in the observation group was significantly lower than that in the control group , The difference was statistically significant (P <0.05). SDS, SAS and EPDS scores of two groups after maternal care were significantly improved (P <0.05), and the scores of EPDS, SAS, SDS score decreased more than the control group, the difference was statistically significant (P <0.05). Conclusion Responsibility-based holistic nursing model has a good clinical value in the prevention of postpartum depression. It can effectively relieve maternal anxiety and depression and significantly reduce the incidence of postpartum depression, which deserves clinical adoption and promotion.