摘要
[目的]探讨集体心理干预、个别心理干预和家庭教育课程相结合的模式对妊娠期抑郁症的作用。[方法]选择2010年6月—2011年10月在本院产科门诊规律产检和建档的孕妇,采用爱丁堡产后抑郁量表和世界卫生组织生存质量测定量表进行评定,筛选出符合纳入标准的具有妊娠期抑郁症状的孕妇76名,随机分成对照组和试验组,每组38例。对照组采用认知疗法进行心理干预,试验组采用集体心理干预和(或)个别心理干预、家庭教育课程相结合的模式,分别在妊娠早、中、晚期进行干预。完成妊娠晚期干预后采用上述量表对两组孕妇进行评估。[结果]干预后试验组抑郁量表评分显著低于对照组和试验组干预前(P<0.01),而生存质量量表中生理领域、心理领域和社会领域评分均显著高于对照组和试验组干预前(P<0.05)。[结论]试验组所采用的综合干预模式能有效地改善妊娠期抑郁症孕妇的抑郁症状和生理、心理及社会支持方面的生存质量,且干预疗效显著优于认知疗法。
Objective：To probe into the effect of collective psychological intervention,individual psychological intervention and family education courses combined mode for depression in pregnancy.Methods： The pregnant women who accepted regular obstetric examination and archiving in maternity clinics in our hospital were selected from June in 2010 to October in 2011,and they were evaluated by using the questionnaire of Edinburgh Postnatal Depression Scale（Edinburgh postpartum depression scale,EPDS） and World Health Organization Quality of Life Scale（World Health Organization Quality of Life,WHOQOL-BREF）.A total of 72 pregnant women with depressive symptoms during pregnancy and meeting the inclusion criteria were screened and randomly divided into control group and experimental group,36 cases in each.The control group cases were given cognitive therapy for psychological intervention,the experimental group cases used collective psychological intervention,individual psychological intervention and family education courses combined mode,intervention was carried out during respectively early,middle and late pregnancy.Results：EPDS scores of the experimental group after intervention were significantly lower than that of the control group before and after intervention,and the scores of physical domain,psychological domain and social support domain in WHOQOL scale of the experimental group were significantly higher than those of the control group and those of the test group before intervention（P0.05）.Conclusion：Comprehensive intervention mode can effectively improve the depression symptoms and quality of life in the physical,psychological and social support domain of pregnant women with depression,and the intervention effect was significantly better than that of the cognitive therapy.
出处
《护理研究（下旬版）》
2012年第12期3366-3369,共4页
Chinese Nursing Researsh
基金
2010年度广东省医学科研基金立项课题
编号:A2010079
关键词
妊娠期
抑郁
生存质量
综合干预
pregnancy
depression
quality of life
comprehensive intervention
