心理干預對獨生女孕產婦圍產期抑郁癥的應用效果分析

熊志琴　李璐　孫鶯

【摘要】 目的：分析心理干預對獨生女孕產婦圍產期抑郁癥的應用效果。方法：選取2016年

3月-2017年4月于本院婦產科就診且經檢測有抑郁癥狀的獨生女孕婦70例，采用隨機數字表法分為治療組和對照組，每組35例。對照組施行常規孕產期臨床治療，治療組在此基礎上給予心理干預，應用抑郁評分量表分別于心理干預治療前后對兩組患者進行心理測評，分析兩者的抑郁狀態變化。結果：治療前對照組與治療組患者SDS和EPDS得分比較，差異無統計學意義（P>0.05），均為輕度抑郁癥狀；治療后，兩組SDS和EPDS分值均下降，且治療組優于對照組，差異均有統計學意義（P<0.05）。結論：臨床心理干預有助于改善圍產期獨生女患者的抑郁癥狀，幫助其更好地適應生活角色轉變，有較高的應用前景，值得實踐和推廣。

【關鍵詞】 圍產期抑郁癥； 獨生女孕產婦； 心理干預

Application Effect Analysis of Psychological Intervention for Perinatal Depression of Only Daughter Maternal/XIONG Zhi-qin，LI Lu，SUN Ying.//Medical Innovation of China，2017，14（22）：141-143

【Abstract】 Objective：To analyze the effect of psychological intervention for perinatal depression of only daughter maternal.Method：From March 2016 to April 2017，70 only daughter maternal who with perinatal depression treated in our hospital were selected，and divided into treatment group and control group according to the random number table method，control group was given routine pregnancy and perinatal treatment，treatment group was given psychological intervention on the basis of control group，the depression scale were used to evaluate the psychological status of two groups before and after the psychological intervention，and analyzed the depressive state change of two groups.Result：Before treatment，there were no significant differences between SDS and EPDS of two groups，they both had mild depressive symptoms.After treatment，the SDS and EPDS scores were decreased of two groups，and the scores of treatment group were better than those of control group，the differences were statistically significant（P<0.05）.Conclusion：Clinical psychological intervention is benefit for improve the depressive symptoms of the only daughter maternal during perinatal period，and help them adapt to the change of life role，which has a high application prospect and worthy of practice and promotion.

【Key words】 Perinatal depression； Only daughter maternal； Psychological intervention

First-authors address：The Peoples Hospital of Guangming New District in Shenzhen City，Shenzhen 518106，China

doi：10.3969/j.issn.1674-4985.2017.22.042

圍產期（懷孕28周-產后1周）對于孕產婦是一段生理及心理特殊時期。研究表明，80、90后獨生女由于其獨特的生活環境易造成她們凡事以自我為中心、忍耐力低、獨立性差的個性[1]，導致其在圍產期易發生抑郁癥狀，主要表現為焦慮、抑郁等，嚴重降低生活質量和心理健康[2-3]。隨著社會經濟和臨床心理學的發展，圍產期獨生女孕產婦抑郁癥的情況越來越受到重視，因此有效的預防及治療方案已成為婦產科學和臨床心理學共同關注的問題。本研究擬通過給予圍產期獨生女孕產婦心理干預措施，比較心理干預前后患者的心理及精神狀況，分析心理干預對獨生女孕產婦圍產期抑郁癥的應用效果。

1 資料與方法

1.1 一般資料 選取2016年3月-2017年4月于本院婦產科就診且經檢測有抑郁癥狀的獨生女孕婦70例，采用隨機數字表法分為治療組和對照組，每組35例。納……