综合护理干预对母婴分离产妇心理的影响.doc

摘 要

目的：探讨实施护理干预对母婴分离产妇的心理状况的影响。

方法：将120名产妇随机分到实验组和对照组，入组后首先状态-特质焦虑量表（STA-I）和爱丁堡产后抑郁量表（EPDS）对两组患者进行评估，然后对照组接受医院常规护理，干预组在常规护理基础上由研究者本人给予护理干预。两周后再次用状态-特质焦虑量表（STA-I）对患者进行评估。比较两组的心理状况是否存在差异。

结果：母婴分离的焦虑抑郁水平明显高于一般人群。干预前两组患者的心理状况无明显差异。试验干预后实干预组的心理状况较试验前明显好转，干预组的心理状况明显好于对照组。

结论：护理干预能明显改善产妇的心理状况，有效减轻产妇心理的应激反应。

关键词：母婴分离；产妇；抑郁；护理干预

Abstract

Objective: To discuss the influence of nursing intervention to pregnancy mothers’ psychological state after being separated from their newborns.

Methods: 120 pregnancy mothers were divided into two groups with 60 in intervention group and 60 in control group randomly. The pregnancy mothers’ psychological state of the two groups were eva lued with the method of STA-I scale and Edinburgh Postnatal Depression Scale（EPDS）. Then the control group was only given routine nursing care, while the intervention group, nursing intervention was provided by the researcher besides the routine nursing care, After two weeks， the two groups were eva lued again with the method of SAS、SDS and EPDS. Analysed the date of the two groups and found whether there was statistics differences.

Result：The psychological state of pregnancy mothers after being separated from their newborns: the S-AI score and postpartum depression incidence was significantly higher than the normal standard. The two groups have no significant differences before intervention performed, After intervention being performed, the S-AI score and postpartum depression incidence of the intervention group decreased significantly and had significantly difference compared with control group.

Conclusions：Nursing intervention can improve the psychological state significantly and effectively relieve the response intensity of the stress.

Key words: mother-baby separation ; mother; depression; nursing intervention