根因分析的多模式心理支持在产妇护理中的应用OA
Application of multimodal psychological support based on root cause analysis in the nursing of puerperae
目的:观察根因分析的多模式心理支持在产妇护理中的应用效果.方法:选取2021年10月—2023年10月在某院产科分娩的150例产妇纳入研究,按随机数表法分为研究组(基于根因分析的多模式心理支持干预,75例)和常规组(常规心理护理干预,75例).比较精神状态、泌乳情况、母亲角色适应水平、护理满意度差异.结果:干预后,研究组医院焦虑抑郁量表(HADS)中焦虑、抑郁维度得分均低于常规组(t=7.268,5.619;P<0.05),产后6周时研究组爱丁堡产后抑郁量表(EPDS)得分低于常规组(t=5.964,P<0.05);两组泌乳启动时间无明显差异(P>0.05),研究组产后72h内泌乳量大于常规组(t=3.422,P<0.05);研究组产后6周时母亲角色适应调查问卷得分高于常规组(Z=2.205,P<0.05);研究组护理满意度高于常规组(Z=2.037,P<0.05).结论:基于根因分析的多模式心理支持有助于引导产妇产后积极心理,减少产后抑郁风险,有利于产后泌乳,对于产后角色转变有积极作用,可获得较高满意度.
Objective:To observe the application effect of multimodal psychological support based on root cause a-nalysis in the nursing of puerperae.Methods:A total of 150 puerperae who gave birth in department of obstetrics of our hospital were included in the study from October 2021 to October 2023.They were divided into study group(multimodal psychological support intervention based on root cause analysis,75 cases)and routine group(routine psychological nursing intervention,75 cases)according to the random number table method.The differences in mental state,lactation,maternal role adaptation level and nursing satisfaction were compared.Results:After intervention,the scores of dimensions of anxiety and depression of Hospital Anxiety and Depression Scale(H ADS)in study group were lower than those in routine group(t=7.268,5.619;P<0.05).The score of Edinburgh Postpartum Depression Scale(EPDS)in study group at 6 weeks after delivery was lower than that in routine group(t=5.964,P<0.05).There was no significant difference in the starting time of lactation between groups.The lactation volume within 72 hours after delivery was greater in study group than that in routine group(t=3.422,P<0.05).The score of maternal role adaptation questionnaire in study group was higher compared to routine group at 6 weeks after delivery(Z=2.205,P<0.05).The nursing satisfaction in study group was higher than that in routine group(Z=2.037,P<0.05).Conclusion:Multimodal psychological support based on root cause analysis can help guide postpartum positive psy-chology,reduce the risk of postpartum depression,and facilitate postpartum lactation,and it has a positive effect on postpartum role change,and can obtain high satisfaction.
王涛;李素文
新乡医学院第一附属医院 453000
基础医学
根因分析多模式心理支持产后护理产后抑郁
Root cause analysisMultimodal psychological supportPostpartum nursingPostpartum depression
《中国健康心理学杂志》 2024 (007)
984-988 / 5
河南省医学科技攻关计划省部共建项目(编号:SBGJ2023062)
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