个体化心理辅导联合耳穴压豆对产褥期产妇焦虑和抑郁的干预效果

袁丹丹; 周静; 吴宁宁; 胡蒙蒙; 叶国柳

doi:10.16766/j.cnki.issn.1674-4152.002106

个体化心理辅导联合耳穴压豆对产褥期产妇焦虑和抑郁的干预效果

doi: 10.16766/j.cnki.issn.1674-4152.002106

1.
亳州市人民医院妇产科，安徽亳州 236800
2.
蚌埠医学院第一附属医院妇产科，安徽蚌埠 233004

基金项目:

安徽省高校自然科学研究项目 KJ2019A0343

详细信息

通讯作者:
叶国柳, E-mail：465387317@qq.com

中图分类号: R395.6 R245.9
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- 文章访问数: 118
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- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2020-09-21
- 网络出版日期: 2022-02-15

Intervention effect of individualised psychological counselling combined with ear acupoint pressing on anxiety and depression during puerperium

1.
Department of Obstetrics and Gynecology, Bozhou People's Hospital, Bozhou, Anhui 236800, China

摘要

摘要: 目的探讨个体化心理辅导联合耳穴压豆对产褥期产妇焦虑、抑郁的影响。方法按照纳入标准随机选择2019年1月—2020年1月在亳州市人民医院分娩的产妇100例。采用随机数字表法分为观察组和对照组，每组50例。对照组仅进行常规护理，观察组在常规护理基础上行个体化心理辅导联合耳穴压豆。比较2组产妇分娩前后汉密尔顿焦虑量表(Hamilton anxiety scale，HAMA)，汉密尔顿抑郁量表(Hamilton depression scale，HAMD)评分和心理健康知识知晓率评分。结果 2组产妇的年龄、妊娠周期、教育水平等指标比较差异均无统计学意义(均P>0.05)；观察组产褥期健康知识问卷知晓率达94.00%，显著高于对照组74.00%，差异有统计学意义(P < 0.05)。分娩前对照组HAMA评分为(11.74±1.20)分，HAMD评分为(12.10±2.35)分，观察组HAMA评分为(11.72±1.99)分，HAMD评分为(12.04±2.37)分，2组差异无统计学意义(均P>0.05)，而分娩后1周，对照组HAMA评分为(11.38±0.75)分，HAMD评分为(11.80±0.98)分，观察组HAMA评分为(5.90±0.54)分，HAMD评分为(7.29±1.55)分，2组比较差异有统计学意义(均P < 0.05)。结论在产妇产褥期护理中，个体化心理辅导联合耳穴压豆方案可以有效改善产褥期产妇的焦虑、抑郁情况，提高产妇的自理能力，促进产妇产褥期恢复。
- 个体化心理辅导 /
- 耳穴压豆 /
- 产褥期 /
- 焦虑 /
- 抑郁
Abstract: Objective To explore the effect of individualised psychological counselling combined with ear acupoint pressing beans on anxiety and depression during puerperium. Methods According to the inclusion criteria, 100 women who gave birth in Bozhou People's Hospital from January 2019 to January 2020 were randomly selected. Using the random number table method, they were divided into observation group and control group, with 50 cases each. The pregnant women in the control group only received routine nursing care, whilst the observation group was given individualised psychological counselling combined with ear acupoint pressing on the basis of routine nursing care. The Hamilton anxiety scale (HAMA), Hamilton depression scale (HAMD) and mental health knowledge awareness scores were compared between the two groups before and after delivery. Results No significant differences were observed in the age, pregnancy cycle, education level and other indicators of the two groups (all P>0.05). The awareness rate of the puerperal health knowledge questionnaire in the observation group reached 94.00%, which was significantly higher than that in the control group (74.00%), and the difference was statistically significant (P < 0.05). The HAMA score (11.74±1.20) and HAMD score (12.10±2.35) of the control group before delivery were not significantly different from those (11.72±1.99 and 12.04±2.37) of the observation group (all P>0.05). One week after delivery, the HAMA and HAMD scores of the control group (11.38±0.75 and 11.80±0.98) and observation group (5.90±0.54 and 7.29±1.55) were statistically different (all P < 0.05). Conclusion In puerperium nursing, individualised psychological counselling combined with ear acupoint pressing can effectively improve the anxiety and depression, improve the self-care ability and promote the recovery of the puerpera.
- Individualised psychological counselling /
- Ear pressing beans /
- Puerperium /
- Anxiety /
- Depression

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表 1 2组产妇基线资料比较

组别	例数	年龄(x±s, 岁)	妊娠周期(x±s, 周)	教育水平(例)
组别	例数	年龄(x±s, 岁)	妊娠周期(x±s, 周)	大专及以下	本科及以上
观察组	50	25.08±2.17	39.95±0.92	31	19
对照组	50	25.24±2.20	39.92±0.88	34	16
统计量		0.387^a	0.164^a	0.396^b
P值		0.460	0.871	0.529
注：^a为t检验, ^b为χ²值。

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表 2 2组产妇分娩前与分娩1周后HAMA、HAMD评分比较(x±s，分)

组别	例数	HAMA评分		t值	P值	HAMD评分		t值	P值
组别	例数	分娩前	分娩后	t值	P值	分娩前	分娩后	t值	P值
对照组	50	11.74±1.20	11.38±0.75	1.800	0.075	12.10±2.35	11.80±0.98	0.833	0.497
观察组	50	11.72±1.99	5.90±0.54	21.546	< 0.001	12.04±2.37	7.29±1.55	11.861	< 0.001
t值		0.256	41.930			0.132	9.387
P值		0.799	< 0.001			0.901	< 0.001

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