梁佩杰广东省珠海市斗门区妇幼保健院门诊，广东珠海　519100

P产妇焦虑抑郁情绪的相关因素及护理干预效果研究

梁佩杰
广东省珠海市斗门区妇幼保健院门诊，广东珠海519100

目的 分析导致P产妇产生焦虑、抑郁情绪的相关因素，并探讨有效的护理干预方法。方法 将2013年6月～2014年3月在我院接受产前检查、分娩的100例P产妇设为研究组，调查研究组P产妇焦虑、抑郁情绪的发生情况及相关诱发因素，并根据调查结果制定护理干预措施。纳入2014年5月～2015年4月在我院接受产前检查、分娩的120例P妇，随机分为干预组和一般组，仅对干预组实施干预措施，对比两组P产妇妊娠期、产后的焦虑、抑郁状况。结果经调查发现妊娠期P妇产生焦虑、抑郁情绪的相关因素包括担忧胎儿健康、担忧婴儿性别等，产后产妇产生焦虑、抑郁情绪的相关因素包括担心母乳喂养影响工作、产后恢复等。对干预组P产妇实施干预措施后，经调查发现，干预组P产妇妊娠期、产后1个月的SAS（焦虑自评量表）评分、SDS（抑郁自评量表）评分均较一般组P产妇低（P＜0.05）。结论导致P产妇产生焦虑、抑郁情绪的相关因素较多，临床加强对P产妇的护理干预，能够有效改善P产妇的心理状态，有利于降低P产妇不良妊娠结局和产生并发症的发生率。

P产妇；焦虑；抑郁；相关因素；护理干预效果

［Abstract］Objective To analyze the relevant factors of anxiety and depression in pregnant and lying-in women，and to discuss the effective of nursing interveningmethods.M ethods A total of 100 pregnant and lying-in women receiving antenatal examination and delivering in our center from June 2013 to March 2014 were selected as the study group. The incidence of anxiety and depression and relevant factors in the study group were investigated and interveningmeasures were formulated according to the results of investigation.120 pregnant and lying-in women receiving antenatal examination and delivering in our center from May 2014 to April 2015 were selected and randomly divided into intervention group and general group.Only patients in the intervention group were given interveningmeasures.The anxiety and depression conditions of these patients during pregnancy and each time period after delivery were compared between two groups.Results Relevant factors of anxiety and depression in pregnantwomen included worries about health of fetus and gender of fetus，while in lying-in women included worries about breast feeding affectwork and postpartum recovery.In the intervention group，the self-rating anxiety scale（SAS）scores and self-rating depression scale（SDS）scores of those patients after intervention were significantly lower than those in the general group（P＜0.05）.Conclusion There aremany relevant factors of anxiety and depression in pregnant and lying-in women.Strengthening intervention nursing can effectively improve the mental conditions of pregnant and lying-in women，thus help to reduce the incidence rates of adverse pregnancy outcomes and complications.

［Key words］Pregnantand lying-in women；Anxiety；Depression；Relevant factor；Nursing intervention effect

妊娠和分娩是育龄期女性的一种正常生理现象，但对于育龄期女性本身来说却具有非凡的意义，是一次非常强烈的身体和情感体验［1］。长期观察发现，P产妇在妊娠、分娩以及产后恢复的过程中会产生多种心理变化，焦虑情绪和抑郁情情绪就是其中最为常见的两种［2］。……