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孕產(chǎn)婦焦慮抑郁情緒的相關(guān)因素及干預(yù)效果研究

發(fā)布時(shí)間:2018-03-05 15:09

  本文選題:孕產(chǎn)婦 切入點(diǎn):焦慮 出處:《吉林大學(xué)》2009年碩士論文 論文類型:學(xué)位論文


【摘要】: 研究目的通過對(duì)孕產(chǎn)婦進(jìn)行跟蹤調(diào)查和心理干預(yù),了解孕產(chǎn)婦焦慮抑郁情緒的相關(guān)因素,降低孕產(chǎn)婦焦慮抑郁量表分值,減少孕產(chǎn)婦的焦慮抑郁的發(fā)生率,提高孕產(chǎn)婦的生活質(zhì)量,促進(jìn)嬰幼兒茁壯成長(zhǎng)。研究對(duì)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(biāo)準(zhǔn))作為干預(yù)組;2007年12月1日至2008年3月31日在我院進(jìn)行產(chǎn)前檢查、分娩、隨訪的孕產(chǎn)婦(干預(yù)組以外、符合納入標(biāo)準(zhǔn))作為對(duì)照組。研究工具1.焦慮自評(píng)量表(SAS)2.抑郁自評(píng)量表(SDS)3.愛丁堡產(chǎn)后抑郁量表(EPDS)4.自行設(shè)計(jì)調(diào)查表(一般資料和相關(guān)因素)。研究方法對(duì)照組孕產(chǎn)婦進(jìn)行焦慮抑郁情緒的相關(guān)因素及發(fā)生情況調(diào)查;干預(yù)組孕婦進(jìn)行妊娠早期、中期、晚期和產(chǎn)后1周、產(chǎn)后42天焦慮抑郁情緒的相關(guān)因素和發(fā)生情況調(diào)查,并根據(jù)調(diào)查結(jié)果進(jìn)行心理干預(yù)。比較2組各個(gè)階段量表分值,計(jì)算其是否有統(tǒng)計(jì)學(xué)意義。結(jié)果根據(jù)SAS、SDS、EPDS和自行設(shè)計(jì)調(diào)查表調(diào)查結(jié)果顯示,干預(yù)組入組時(shí)(孕早期)和同期對(duì)照組的一般資料、SAS評(píng)分、SDS評(píng)分、EPDS評(píng)分沒有統(tǒng)計(jì)學(xué)差異,經(jīng)過心理干預(yù),干預(yù)組在孕晚期、產(chǎn)后1周和產(chǎn)后42天調(diào)查中,與同期對(duì)照組比較,SAS評(píng)分、SDS評(píng)分差異均有顯著性(P0.05),說明全程跟蹤心理干預(yù)能夠減輕孕產(chǎn)婦焦慮抑郁情緒。結(jié)論孕產(chǎn)婦作為一個(gè)特殊的群體,對(duì)焦慮抑郁情緒有易感傾向,全程跟蹤心理干預(yù)對(duì)減輕孕產(chǎn)婦焦慮抑郁情緒、提高孕產(chǎn)婦生活質(zhì)量有顯著效果,建議產(chǎn)科臨床工作者在維護(hù)孕產(chǎn)婦身體健康的同時(shí),更要關(guān)注其心理健康,以減輕不良情緒所致的危害,促進(jìn)家庭和社會(huì)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(xué)位授予單位】:吉林大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2009
【分類號(hào)】:R395.5

【引證文獻(xiàn)】

相關(guān)期刊論文 前1條

1 汪海英;;產(chǎn)前心理疏導(dǎo)結(jié)合孕婦學(xué)校干預(yù)產(chǎn)后抑郁的效果觀察[J];求醫(yī)問藥(下半月);2011年01期

相關(guān)碩士學(xué)位論文 前2條

1 孟志紅;健康教育對(duì)孕婦心理壓力及應(yīng)對(duì)方式影響的研究[D];天津醫(yī)科大學(xué);2011年

2 吳程曦;孕產(chǎn)婦心理變化特征及影響因素分析[D];第四軍醫(yī)大學(xué);2011年



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