目的探讨心理护理对产褥期抑郁症患者治疗依从性及对母乳喂养的影响。方法分析2014年12月至2016年11月,余姚市人民医院收治的81例产褥期抑郁症患者,随机分为对照组(40例)与观察组(41例),对照组予以常规护理干预,观察组在对照组基础上实施心理护理,观察比较两组治疗依从性、母乳喂养情况及汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)评分,并统计两组患者住院时间及护理满意度。结果观察组总依从率92.68%(38/41),高于对照组72.50%(29/40),差异有统计学意义(χ~2=5.769,P<0.05)。观察组母乳喂养率95.12%(39/41),高于对照组70.00%(28/40),差异有统计学意义(χ~2=8.938,P<0.05)。干预后,观察组HAMD评分(6.31±2.61)分低于对照组(8.66±2.32)分,差异有统计学意义(t=4.279,P<0.05);观察组HAMA评分(7.83±1.52)分低于对照组(13.42±1.94)分,差异有统计学意义(t=14.455,P<0.05)。观察组住院时间(6.88±1.58)d,低于对照组(9.22±1.28)d,差异有统计学意义(t=7.313,P<0.05)。观察组护理满意度为97.56%(40/41),高于对照组75.00%(30/40),差异有统计学意义(χ~2=8.781,P<0.05)。结论心理护理可改善产褥期抑郁症患者治疗依从性,提高母乳喂养率,改善患者抑郁与焦虑情绪,缩短住院时间,提高护理满意度。 Objective To investigate the effect of psychological nursing on post-pudendal depression treatment compliance and breastfeeding. Methods From December 2014 to November 2016, 81 cases of puerperal depression treated in Yuyao People’s Hospital were randomly divided into control group (40 cases) and observation group (41 cases). The control group was given routine nursing intervention and observed Group based on the control group to implement psychological care, observe and compare the two groups treatment compliance, breastfeeding and HAMD, HAMA score, and statistics of two groups of patients hospitalization time And nursing satisfaction. Results The total compliance rate of the observation group was 92.68% (38/41), which was higher than that of the control group (72.50%, 29/40). The difference was statistically significant (χ ~ 2 = 5.769, P <0.05). The rate of breastfeeding in the observation group was 95.12% (39/41), which was higher than that in the control group (70.00%, 28/40). The difference was statistically significant (χ ~ 2 = 8.938, P <0.05). After the intervention, the HAMD score of the observation group (6.31 ± 2.61) was lower than that of the control group (8.66 ± 2.32), the difference was statistically significant (t = 4.279, P <0.05); HAMA score of the observation group was 7.83 ± 1.52 In the control group (13.42 ± 1.94), the difference was statistically significant (t = 14.455, P <0.05). The length of stay in the observation group (6.88 ± 1.58) d was lower than that in the control group (9.22 ± 1.28) d, the difference was statistically significant (t = 7.313, P <0.05). The nursing satisfaction of the observation group was 97.56% (40/41), which was higher than that of the control group (75.00%) (30/40). The difference was statistically significant (χ ~ 2 = 8.781, P <0.05). Conclusions Psychological nursing can improve treatment compliance, increase breastfeeding rate, improve depression and anxiety, reduce hospitalization time and improve nursing satisfaction in puerperal depression patients.