摘要
目的探讨导乐陪伴分娩对初产妇产后抑郁症发病率及严重程度的影响。方法将358名初产妇随机分为两组:实验组179名给予导乐陪伴分娩服务模式,对照组179名采用传统分娩服务模式。两组产妇产后6周行汉米尔顿抑郁量表测评,并对抑郁症的程度进行评定。结果实验组发生产后抑郁症13例(7.26%),对照组发生产后抑郁症31例(17.32%),实验组产后抑郁症发生率显著低于对照组(x^2=8.40,P<0.01)。实验组中患产后抑郁症的产妇中-重度抑郁患者2例(15.38%),明显低于对照组中患产后抑郁症的产妇中-重患者15例(48.39%),差异有统计学意义(x^2=4.21,P<0.05)。结论导乐陪伴分娩有利于初产妇的心理健康,可有效减少产后抑郁症的发病率及产后抑郁症患者的严重程度。
Objective To discuss the influence of Doula delivery on incidence and severity of postpartum depression of primipara. Methods A total of 358 primiparas were randomly divided into two groups, experimental group （n=179） given Doula service mode and control group （n=179） using traditional delivery mode.Hamilton Depression Scale was used to assess postpartum depression 6 months after delivery and the degree of depression was compared between two groups.Results There were 13 cases with postpartum depression in the experimental group （7.26%） and 31cases in the control group （17.32%）, and the incidence of postpartum depression was significantly lower in the experimental group than in the control group （χ^2 =8.40, P 〈0.01 ） .There were 2 cases （ 15.38%） with moderate or severe degree of postpartum depression in the experimental group, which was significantly fewer than in the control group （15, 48.39%） （χ^2 =4.21,P 〈0.05）.Conclusion Doula delivery is helpful to maternal mental health, and it can effectively reduce the incidence and severity of postpartum depression of primiparas.
出处
《中国妇幼健康研究》
2015年第2期359-360,共2页
Chinese Journal of Woman and Child Health Research
关键词
导乐分娩
初产妇
产后抑郁症
发生率
Doula delivery
primipara
postpartum depression
incidence
