圍產(chǎn)期孕產(chǎn)婦焦慮抑郁狀況及心理干預(yù)效果觀察

田梅 李夢赟 張寧芝 王靜 曹玲玲

【摘要】目的：研究探討圍產(chǎn)期孕產(chǎn)婦焦慮抑郁狀況及心理干預(yù)效果。方法：對2019年9月—2021年5月圍產(chǎn)期女性心理健康現(xiàn)狀進行調(diào)查分析，選取本科室接受治療的圍產(chǎn)期焦慮抑郁孕產(chǎn)婦400例作為本次研究的對象，所有產(chǎn)婦隨機分組，分為對照組和觀察組；每組200例。對照組產(chǎn)婦給予常規(guī)干預(yù)；觀察組產(chǎn)婦在對照組基礎(chǔ)上給予心理干預(yù)。觀察對比兩組產(chǎn)婦干預(yù)后的情況。結(jié)果：觀察組產(chǎn)婦的心理健康癥狀自評表分值更佳，兩組對比差異具有統(tǒng)計學(xué)意義（P<0.05）；觀察組產(chǎn)婦的心理癥狀改善情況更佳，兩組對比差異具有統(tǒng)計學(xué)意義（P<0.05）；觀察組產(chǎn)婦的分娩結(jié)局明顯更佳，差異具有統(tǒng)計學(xué)意義（P<0.05）；觀察組產(chǎn)婦的滿意度明顯更高，差異具有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論：對圍產(chǎn)期孕產(chǎn)婦焦慮抑郁狀況進行心理干預(yù)效果十分顯著，有效改善孕產(chǎn)婦的心理狀態(tài)，改善妊娠結(jié)局，產(chǎn)婦和家屬的滿意度較高，是一種非常科學(xué)有效的干預(yù)方式，非常具有臨床價值，值得推薦。

【關(guān)鍵詞】圍產(chǎn)期；孕產(chǎn)婦；焦慮抑郁；心理干預(yù)

The Anxiety and Depression Status of Pregnant and Lying-in Women in Perinatal Period and the Effect of Psychological Intervention

TIAN Mei， LI Mengyun， ZHANG Ningzhi， WANG Jing， CAO Lingling

Department of Obstetrics， Fuyang Peoples Hospital， Fuyang， Anhui 236000， China

【Abstract】Objective： To study the anxiety and depression status of pregnant women during the perinatal period and the effect of psychological intervention. Methods： The mental health status of perinatal women from September 2019 to May 2021was investigated and analyzed . 400 cases of perinatal anxiety and depression pregnant women who received treatment in the undergraduate room were selected as the subjects of this study. All women were randomly divided into control group and observation group； 200 cases in each group. The women in the control group were given routine intervention； The women in the observation group were given psychological intervention on the basis of the control group，The conditions of the two groups after the intervention were observed and compared.Results： The mental health symptoms selfevaluation table scores in the observation group were better， and the difference between the two groups was statistically significant（P<0.05）；The improvement of psychological symptoms in the observation group was better， and the difference between the two groups was statistically significant（P<0.05）；The delivery outcome of the observation group was significantly better， and the difference was statistically significant（P<0.05）；The satisfaction of pregnant women in the observation group was significantly higher， and the difference was statistically significant（P<0.05）.Conclusion： The effect of psychological intervention on the anxiety and depression of pregnant women during the perinatal period is very significant. It can effectively improve the mental state of the pregnant women and improve the pregnancy outcome，and the satisfaction of the mother and family members is high. It is a very scientific and effective intervention method， which has great clinical value and is worth recommending.

【Key Words】Perinatal period； Pregnant women； Anxiety and depression； Psychological intervention

近年來，孕產(chǎn)期的女性出現(xiàn)不良情緒的情況越來越多，焦慮和抑郁逐漸受到重視，對引起產(chǎn)期心理問題的原因進行分析，圍產(chǎn)期女性激素水平變化大[1-3]。容易出現(xiàn)情緒波動，并且情緒的控制能力下降，易發(fā)脾氣、愛哭、易激惹等等，如果家屬不理解，會加重孕產(chǎn)婦的情緒問題，產(chǎn)婦生完孩子后沒有恢復(fù)好還要照顧孩子，睡眠減少、失眠焦慮。新生兒的飲食睡眠，與成人大不相同，新媽媽的時間管理不好，會導(dǎo)致自己的睡眠減少，睡眠質(zhì)量差，甚至失眠[4]。長時間睡眠質(zhì)量不高，容易導(dǎo)致產(chǎn)婦心煩、易怒，心理脆弱，情緒低落。本次研究探討圍產(chǎn)期孕產(chǎn)婦焦慮抑郁狀況及心理干預(yù)效果，現(xiàn)總結(jié)如下。

1 資料與方法

1.1 一般資料

選取將2019年9月—2021年5月圍產(chǎn)期女性心理健康現(xiàn)狀進行調(diào)查分析，選取本科室接受治療的圍產(chǎn)期焦慮抑郁孕產(chǎn)婦400例作為本次研究的對象，所有產(chǎn)婦隨機分組，分為對照組和觀察組，每組200例。……