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目的 观察心理护理对无痛分娩初产妇产后抑郁的护理效果.方法 将本院妇产科进行无痛分娩的81例初产妇按照入院时间的先后顺序分入对照组(2018年2月～2019年9月,40例)和观察组(2019年10月～2021年3月,41例),对照组患者给予常规护理,观察组患者在对照组护理基础上加强心理护理,对比两组患者不同时间段的抑郁评分情况、产后功能恢复情况、其他观察指标和护理满意度.结果 观察组患者产后24 h和出院当天的抑郁评分分值、产后24 h出血量和产褥病发生率比对照组低,胃肠功能恢复正常时间比对照组短,子宫三径之和比对照组短,健康知识掌握有效率、纯母乳喂养率和护理总满意度比对照组高(P＜0.05).结论 对无痛分娩初产妇加强心理护理可显著改善其产后抑郁症状,促进产后功能恢复,提高健康知识掌握有效率、纯母乳喂养率及护理满意度,值得大力推广.“,”Objective To observe the effect of psychological nursing on postpartum depression of primiparas in painless delivery. Methods 81 primiparas who performed painless delivery in the Department of Obstetrics and Gynecology of our hospital were divided into the control group (February 2018～September 2019, 40 cases) and the observation group (October 2019～March 2021, 41 cases), patients in the control group were given routine care, and patients in the observation group were given psychological care based on the care in the control group. The depression scores of the two groups of patients at different time periods, postpartum functional recovery, and other observation indicators and nursing satisfaction were compared. Results Observation group patients\'\' depression scores at 24 hours postpartum and the day of discharge, 24 hours postpartum bleeding and puerperal disease incidence were lower than those of the control group, gastrointestinal function returning to normal time was shorter than that of the control group, and the sum of three uterine paths was shorter than that of the control group, the effective rate of health knowledge mastering, the rate of exclusive breastfeeding and the total satisfaction of nursing are higher than those of the control group (P＜0.05). Conclusion Strengthening psychological care for primiparas in painless delivery can significantly improve their postpartum depression symptoms, promote postpartum functional recovery, improve the efficiency of health knowledge, the rate of exclusive breastfeeding and nursing satisfaction, which is worthy of vigorous promotion.