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目的探讨孕期综合心理干预对产后焦虑、抑郁的影响。方法 98例早孕建卡孕妇,随机分为观察组和对照组,各49例。对照组孕妇只接受常规孕期教育指导及产前检查,观察组主要针对孕妇的焦虑、抑郁情绪进行综合心理干预。比较两组临床效果。结果两组干预前焦虑自评量表(SAS)及抑郁自评量表(SDS)评分比较差异无统计学意义(P>0.05),产后1个月观察组SAS及SDS评分均低于对照组,差异具有统计学意义(P<0.05)。观察组产后7、15 d及产后1个月的爱丁堡产后抑郁量表(EPDS)评分为(4.48±3.06)、(4.11±3.25)、(3.39±3.17)分,对照组分别为(5.46±4.13)、(5.18±3.47)、(4.46±4.55)分;观察组产后7、15 d及产后1个月的EPDS评分均低于对照组,差异具有统计学意义(P<0.05)。结论孕期综合心理干预可缓解产妇产后的不良情绪,促进产妇产后的身心健康,提高生存质量。
Objective To investigate the effect of comprehensive psychological intervention during pregnancy on postpartum anxiety and depression. Methods 98 pregnant women with early pregnancy were randomly divided into observation group and control group, with 49 cases in each group. Pregnant women in the control group only received routine education guidance and prenatal care during pregnancy. The observation group mainly focused on the anxiety and depression of pregnant women for comprehensive psychological intervention. The clinical effects of two groups were compared. Results There was no significant difference in SAS and SDS between the two groups before and after intervention (P> 0.05). The score of SAS and SDS in the observation group one month after delivery was lower than that of the control group , The difference was statistically significant (P <0.05). The post-partum EPDS scores of the observation group were (4.48 ± 3.06), (4.11 ± 3.25) and (3.39 ± 3.17) at 7 and 15 days postpartum and 5.46 ± 4.13 ), (5.18 ± 3.47) and (4.46 ± 4.55) points respectively. The EPDS scores of the observation group at 7th and 15th postpartum and 1 month after delivery were lower than those in the control group (P <0.05). Conclusion Comprehensive psychological intervention during pregnancy can relieve postpartum unhealthy emotions, promote maternal postpartum physical and psychological health and improve quality of life.