孕產婦焦慮抑郁情緒的相關因素及干預效果研究
發(fā)布時間:2018-03-05 15:09
本文選題:孕產婦 切入點:焦慮 出處:《吉林大學》2009年碩士論文 論文類型:學位論文
【摘要】: 研究目的通過對孕產婦進行跟蹤調查和心理干預,了解孕產婦焦慮抑郁情緒的相關因素,降低孕產婦焦慮抑郁量表分值,減少孕產婦的焦慮抑郁的發(fā)生率,提高孕產婦的生活質量,促進嬰幼兒茁壯成長。研究對象2007年12月1日至2008年1月31日在我院診斷為早孕的孕婦50例(符合納入標準)作為干預組;2007年12月1日至2008年3月31日在我院進行產前檢查、分娩、隨訪的孕產婦(干預組以外、符合納入標準)作為對照組。研究工具1.焦慮自評量表(SAS)2.抑郁自評量表(SDS)3.愛丁堡產后抑郁量表(EPDS)4.自行設計調查表(一般資料和相關因素)。研究方法對照組孕產婦進行焦慮抑郁情緒的相關因素及發(fā)生情況調查;干預組孕婦進行妊娠早期、中期、晚期和產后1周、產后42天焦慮抑郁情緒的相關因素和發(fā)生情況調查,并根據(jù)調查結果進行心理干預。比較2組各個階段量表分值,計算其是否有統(tǒng)計學意義。結果根據(jù)SAS、SDS、EPDS和自行設計調查表調查結果顯示,干預組入組時(孕早期)和同期對照組的一般資料、SAS評分、SDS評分、EPDS評分沒有統(tǒng)計學差異,經(jīng)過心理干預,干預組在孕晚期、產后1周和產后42天調查中,與同期對照組比較,SAS評分、SDS評分差異均有顯著性(P0.05),說明全程跟蹤心理干預能夠減輕孕產婦焦慮抑郁情緒。結論孕產婦作為一個特殊的群體,對焦慮抑郁情緒有易感傾向,全程跟蹤心理干預對減輕孕產婦焦慮抑郁情緒、提高孕產婦生活質量有顯著效果,建議產科臨床工作者在維護孕產婦身體健康的同時,更要關注其心理健康,以減輕不良情緒所致的危害,促進家庭和社會的和諧。
[Abstract]:Objective to investigate the related factors of anxiety and depression in pregnant women, to reduce the score of anxiety and depression scale and to reduce the incidence of anxiety and depression in pregnant and parturient women through follow-up investigation and psychological intervention. Improving the quality of life of pregnant women, From December 1st 2007 to January 31st 2008, 50 pregnant women who were diagnosed as early pregnancy in our hospital (in accordance with the inclusion criteria) were selected as intervention group, and antenatal examination was conducted in our hospital from December 1st 2007 to December 1st 2007. Delivery, follow-up of pregnant and lying-in women (other than intervention group, Self-rating anxiety scale (SAS). 3. Edinburgh postpartum depression scale EPDS4.Self-designed questionnaire (general information and related factors). The related factors of anxiety and depression were investigated. The related factors and occurrence of anxiety and depression were investigated during the first trimester, the second trimester, the late and the first week postpartum in the intervention group, and the psychological intervention was carried out according to the results of the investigation. The scores of each stage of the two groups were compared. Results according to the results of SASS-SDSU EPDS and self-designed questionnaire, there was no significant difference in SDS scores and EPDS scores between the intervention group and the control group at the time of entering the group (early pregnancy) and the control group. After psychological intervention, the intervention group was investigated in the third trimester of pregnancy, 1 week postpartum and 42 days postpartum. Compared with the control group, there were significant differences in SAS score and SDS score between the control group and the control group (P 0.05), which indicated that the psychological intervention during the whole course of follow-up could reduce the anxiety and depression mood of pregnant and lying-in women. Conclusion as a special group, pregnant and lying-in women are susceptible to anxiety and depression. The follow up psychological intervention has significant effect on reducing anxiety and depression and improving the quality of life of pregnant and lying-in women. It is suggested that clinical obstetrics workers should pay more attention to their mental health while maintaining their physical health. In order to reduce the harm caused by bad emotions, promote family and social harmony.
【學位授予單位】:吉林大學
【學位級別】:碩士
【學位授予年份】:2009
【分類號】:R395.5
【引證文獻】
相關期刊論文 前1條
1 汪海英;;產前心理疏導結合孕婦學校干預產后抑郁的效果觀察[J];求醫(yī)問藥(下半月);2011年01期
相關碩士學位論文 前2條
1 孟志紅;健康教育對孕婦心理壓力及應對方式影響的研究[D];天津醫(yī)科大學;2011年
2 吳程曦;孕產婦心理變化特征及影響因素分析[D];第四軍醫(yī)大學;2011年
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