摘要
目的探讨园艺疗法对轻度围生期抑郁产妇产后创伤后应激障碍和应对方式的影响,旨在为围生期抑郁护理提供参考。方法将2018年1月至2019年12月河南省许昌市妇幼保健院收治的124例轻度围生期抑郁产妇按随机数字表法分为试验组和对照组,每组62例。对照组给予常规干预,试验组在此基础上实施园艺疗法。分别于干预前和干预后采用产后抑郁症筛查量表(PDSS)、创伤后应激障碍平民版量表(PCL-C)、医学应对方式问卷(MCMQ)评价产妇抑郁症状、产妇产后创伤后应激障碍水平、产妇医学应对方式。结果2组干预前PDSS、PCL-C、MCMQ评分比较差异无统计学意义(P>0.05)。试验组干预后睡眠/饮食失调、焦虑/担心、情绪不稳定、精神错乱、内疚/羞耻、自杀的想法因子得分和PDSS总分分别为(8.95±1.37)、(9.53±1.57)、(10.02±0.79)、(7.78±1.43)、(9.36±1.81)、(7.14±1.56)、(61.86±3.78)分,低于对照组的(10.11±1.45)、(10.96±2.41)、(10.81±1.43)、(8.61±1.67)、(10.35±1.64)、(7.84±1.72)、(67.93±5.12)分,差异有统计学意义(t值为2.320~7.239,P<0.05);试验组干预后警觉性增高反应、回避反应、反复重现反应得分及PCL-C总分分别为(7.12±0.81)、(9.12±1.61)、(5.42±1.09)、(21.66±2.03)分,低于对照组的(7.93±1.32)、(9.81±2.07)、(6.16±1.35)、(23.89±2.37)分,差异有统计学意义(t值为2.001~5.463,P<0.05);试验组干预后回避、屈服应对得分分别为(10.78±2.14)、(9.81±2.74)分,低于对照组的(11.89±2.78)、(10.86±2.66)分,面对得分为(17.39±2.59)分高于对照组的(15.95±2.63)分,差异有统计学意义(t值为2.413、2.971、2.085,P<0.05)。结论园艺疗法可缓解围生期抑郁产妇的抑郁水平,降低其产后创伤后应激障碍症状,提高其积极的医学应对方式。
Objective To investigate the effect of horticultural therapy on postpartum posttraumatic stress disorder and medical coping method of perinatal depression patients and to provide reference for perinatal depression patients.Methods A total of 124 perinatal depression patients in Xuchang Maternity and Child Health Hospital from January 2018 to December 2019 were divided into experimental group(62 cases)and control group(62 cases)by random digits table method.The control group received routine nursing,while patients in the experimental group carried out horticultural therapy based on the outine nursing.Before and after intervention,the depression levels were assessed by Postpartum Depression Screening Scale(PDSS),posttraumatic stress was evaluated by Posttraumatic stress CheckList-Civilian version(PCL-C),medical coping method was assessed by Medical Coping Method Questionnaire(MCMQ),respectively.Results There was no significant difference in the score of PDSS,PCL-C,MCMQ before intervention between the two groups(P>0.05).After intervention,the scores of sleeping/eating disturbance,anxiety/insecurity,emotional lability,cognitive impairment,guilt/shame,contemplating harming oneself,and total PDSS were(8.95±1.37),(9.53±1.57),(10.02±0.79),(7.78±1.43),(9.36±1.81),(7.14±1.56),(61.86±3.78)points in the experimental group,significantly lower than those in the control group(10.11±1.45),(10.96±2.41),(10.81±1.43),(8.61±1.67),(10.35±1.64),(7.84±1.72),(67.93±5.12)points,the differences were statistically significant(t values were 2.320-7.239,P<0.05).The scores of arousal symptoms,avoidance/numbing,re-experiencing symptoms and total PCL-C were(7.12±0.81),(9.12±1.61),(5.42±1.09),(21.66±2.03)points in the experimental group,significantly lower than in the control group(7.93±1.32),(9.81±2.07),(6.16±1.35),(23.89±2.37)pionts,the differences were statistically significant(t values were 2.001-5.463,P<0.05).The MCMQ scores in avoidance and yielding were(10.78±2.14),(9.81±2.74)points in the experimental group,significantly lower than in the control group(11.89±2.78),(10.86±2.66)points;their score of facing were(17.39±2.59)points in the experimental group,significantly higher than in the control group(15.95±2.63)points,the difference was statistically significant(t values were 2.413,2.971,2.085,P<0.05).Conclusions Horticultural therapy can alliviate depression,decrease postpartum posttraumatic stress disorder and promote medical coping method of perinatal depression patients.
作者
王芳
Wang Fang(Department of Gynaecology and Obstetrics,Xuchang Maternity and Child Health Hospital,Xuchang 461000,China)
出处
《中国实用护理杂志》
2021年第13期990-996,共7页
Chinese Journal of Practical Nursing
关键词
园艺疗法
围生期抑郁
创伤后应激障碍
应对方式
Horticultural therapy
Perinatal depression
Posttraumatic stress disorder
Coping method
