四川精神卫生2023，Vol.36Issue(6)：503-508,6.DOI:10.11886/scjsws20231012003
"互联网+"医院-社区-家庭三元联动管理模式在围产期抑郁中的应用
Application of"Internet +"hospital-community-family trinity linkage management model in maternal perinatal depression
摘要
Abstract
Background Perinatal depression seriously affects the physical and mental health of pregnant women,such as affecting their role transition,identity,and family relationships,etc.In severe case,it can even lead to suicidal behavior,causing a heavy burden on pregnant women and their families.A hierarchical management model centered on pregnant women,involving collaboration of families,communities,and hospitals,facilitates comprehensive and dynamic management of perinatal depression.Objective To evaluate the application effect of"Internet +"hospital-community-family trinity linkage management model on perinatal depression in pregnant women,in order to provide a reference for the clinical intervention.Methods 80 pregnant women who established medical records from the Department of Obstetrics and Gynecology of Mianyang Third People's Hospital from January to December 2022,with Edinburgh Postnatal Depression Scale(EPDS)score＞9,were selected as the research objects.According to the random number table method,they were divided into a study group and a control group,each group consisting of 40 cases.Both groups received routine nursing intervention in the pregnant women's school of obstetrics and gynecology outpatient department before delivery,and in the study room of the department of obstetrics and gynecology after being admitted to the hospital for delivery.After discharge,they received routine follow-up until 42 days postpartum.The study group received the"Internet +"hospital-community-family ternary linkage management on the basis.EPDS,Pittsburgh Sleep Quality Index(PSQI),Generic Quality of Life Inventory(GQOLI-74)and Nursing Satisfaction questionnaire were assessed before intervention and 42 days postpartum.Results After intervention,the EPDS score and PSQI score of the study group were lower than those of the control group(F=42.823,60.453,P＜0.05),GQOLI-74 score and nursing satisfaction were higher than those of the control group(F=198.902,χ2=5.165,P＜0.05).Conclusion"Internet +"hospital-community-family trinity linkage management model may help to improve the severity of perinatal depression symptoms,improve the quality of sleep and life,and increase the satisfaction of pregnant women.关键词
互联网+/医院-社区-家庭/围产期抑郁/孕产妇Key words
Internet +/Hospital-community-family/Perinatal depression/Pregnant women分类
临床医学引用本文复制引用
郭琼,李嫒,刘清秀,李容,涂素华,杨阳,杨帆,雷江.."互联网+"医院-社区-家庭三元联动管理模式在围产期抑郁中的应用[J].四川精神卫生,2023,36(6):503-508,6.基金项目
绵阳市卫健委科研课题(项目名称:孕产妇围产期抑郁风险筛查及"医院-社区-家庭"干预模式的构建,项目编号:202134)Funded by Mianyang Health Scientific Research Commission Project(number,202134) （项目名称:孕产妇围产期抑郁风险筛查及"医院-社区-家庭"干预模式的构建,项目编号:202134）
