吴慧萍

[摘要]目的 研究产后延续护理对初产妇产后抑郁和生活質量的影响作用。方法 本次研究选取的研究对象为2015年12月1日～2016年11月30日期间在我院进行治疗的初产妇，将110例初产妇计算机随机分为两组，每组55例。其中，对照组初产妇实施产后常规护理，观察组产后实施延续护理。对比两组初产妇的抑郁程度、健康知识知晓率、母婴保健自我护理能力以及生活质量。结果 观察组初产妇产后抑郁程度比对照组轻，健康知识知晓率（94.55%）、母婴保健自我护理能力良好率（90.91%）均高于对照组（65.45%、52.73%），躯体功能[（94.25±3.41）分]、认知功能[（88.57±6.27）分]、角色功能[（87.46±5.21）分]、社会功能[（89.58±5.42）分]、总体健康[（93.48±5.12）分]5项生活质量评分均高于对照组[（76.98±3.79）、（73.64±5.83）、（74.98±4.83）、（75.84±4.16）、（72.66±4.75）分）]，P<0.05。结论 产后延续护理能够有效改善初产妇的产后抑郁程度，提高患者的健康知识知晓率以及母婴保健自我护理能力，使初产妇的生活质量得到较大改善。

[关键词]初产妇；产后延续护理；产后抑郁；生活质量

[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2017）08（a）-0151-03

[Abstract]Objective To study the influence of continuous nursing on postpartum depression and quality of life in primiparae.Methods A total of 110 primiparae treated in our hospital from December 1st 2015 to November 30th 2016 were selected as research objects.They were evenly divided into two groups in random by computerization.Patients were treated by regular nursing after delivery were classified into control group，and the other group treated by continuous nursing was categorized into observation group.The degree of depression，awareness rate of health knowledge，self-care ability of maternal and child health，and quality of life in primiparae were compared in the two groups.Results Compared with the control group，the degree of postpartum depression in the observation group was milder.The awareness rate of health knowledge and self-care ability of maternal and child health were 94.55% and 90.91%，higher than those in the control group accounting for 65.45% and 52.73% in turn.The scores of quality of life including physical function [（94.25±3.41） points]，cognitive function [（88.57±6.27） points]，role of function [（87.46±5.21） points]，social function [（89.58±5.42） points]，and total health [（93.48±5.12） points] were much higher in comparison with those in the control group[（76.98±3.79），（73.64±5.83），（74.98±4.83），（75.84±4.16），（72.66±4.75） points）].Conclusion Continuous nursing can effectively improve the postpartum depression degree，awareness rate of health knowledge and self-care ability of maternal and child health，and lead to great improvement of quality of life in primiparous women.

[Key words]Primipara；Postpartum continuous nursing；Postpartum depression；Quality of life

初产妇在妊娠期由于缺乏孕期相关知识会产生焦虑、抑郁等心理问题[1-2]，在产后不了解新生儿喂养、护理等方面的知识，存在多方面的担心，产后容易出现抑郁症[3-4]，因此在初产妇产后实施延续性护理的意义重大，为探讨产后延续护理对初产妇产后抑郁和生活质量的影响，将产后常规护理作为对照，从我院收治的初产妇中抽取110例作为对象展开研究，现报道如下。endprint

1资料与方法

1.1一般资料

选取2015年12月1日～2016年11月30日我院收治的110例初产妇作为研究对象，计算机随机分为两组，各55例。本次研究已经由医院伦理委员会审批通过，所有初产妇均知情本次研究目的及内容，并自愿签署了知情同意书。对照组初产妇年龄21～38岁，平均（27.96±3.42）岁；……