助產士門診個體化輔導對初產婦焦慮、抑郁情緒影響的研究

摘要：目的 探討助產士產前門診對孕產婦進行個體化輔導，對初產婦焦慮抑郁情緒的影響。方法 應用隨機數字表法將2015年 1月～2015 年 6月在本院產科建卡并定期產檢的466例正常初產婦分為對照組和觀察組。對照組給予常規產前門診，觀察組在對照組基礎上給予助產士產前門診的個體化輔導，觀察并比較兩組初產婦焦慮、抑郁情緒的發生情況和嚴重度。結果 觀察組在產前及產后焦慮、抑郁標準分均明顯低于對照組，差異有統計學意義。結論 助產士產前門診能夠有效減少初產婦的焦慮及抑郁程度，孕產保健質量。

關鍵詞：助產士門診；個體化輔導；焦慮；抑郁

Effect of Individualized Counseling on Anxiety and Depression of the Early Pregnant Women

SUN Ke，FU Chun-feng，YANG Yu

（Obstetrics and Gynecology Department，The Third Affiliated Hospital of Zhongshan University，Guangzhou 510630，Guangdong，China）

Abstract：Objective To investigate the midwife antenatal clinics to individualized counseling， maternal effects on primipara anxiety depression. Methods The random number table method will be between January 2015 and June 2015 in our hospital obstetric JianKa and regular prenatal 466 cases of normal primipara were divided into control group and observation group. Control group given routine prenatal clinics， observation group in the control group on the basis of giving a midwife antenatal clinic individualized counseling， observe and compare the two groups of first-time mothers the occurrence and the severity of anxiety and depression. Results The observation group in the prenatal and postnatal anxiety， depression， norm were significantly lower than the control group， the difference was statistically significant. Conclusion Midwife antenatal clinics can effectively reduce the degree of anxiety and depression primipara， maternal health care quality.

Key words：Midwife outpatient service；Individual counseling；Anxiety；Depression

焦慮、抑郁是孕產婦最常見的心理反應，孕產婦的情緒狀態直接影響著胎兒的健康和分娩的結局。因此降低孕產期的焦慮、抑郁水平意義重大。目前，國外很多醫院開設了助產士門診，對孕產婦進行心理輔導，取得了一定的效果。本研究選擇自2015年1月～6月在本院產科建卡并定期產檢的正常初產婦為觀察對象，旨在探尋助產士個體化咨詢對初產婦產前、產后焦慮抑郁情緒的影響，提高圍產保健質量。

1資料與方法

1.1一般資料 選取 2015年1月～6月在本院產科建卡并定期產檢的466例正常初產婦為研究對象。樣本納入條件：單胎初產婦，無嚴重妊娠合并癥及并發癥，無嚴重精神疾病。兩組初產婦入組時在平均年齡、平均體重、平均身高和平均孕周等一般資料方面差異均無統計學意義，具有可比性。……