首页|期刊导航|中国药物经济学|抑郁自评量表筛查联合孕期正念干预与心理治疗在孕期抑郁患者中的应用价值

抑郁自评量表筛查联合孕期正念干预与心理治疗在孕期抑郁患者中的应用价值OA

The Application Value of Self-rating Depression Scale Screening combined with Mindfulness Intervention and Psychotherapy in Patients with Depression during Pregnancy

中文摘要英文摘要

目的 探讨抑郁自评量表(SDS)筛查联合孕期正念干预、心理治疗在孕期抑郁患者中的应用价值.方法 选取2022 年 1 月至 2023 年 1 月于九江市妇幼保健院建档并定期产检的孕妇 196 例作为研究对象,所有研究对象均在孕中期进行SDS筛查,筛查结果异常者共计 160 例,将其随机分为对照组(n=80)和试验组(n=80).对照组进行常规孕期保健,试验组根据患者病情严重程度不同,对轻中度异常者进行孕期正念干预,对重度异常者进行心理治疗.比较两组患者干预前后 SDS 评分、生命质量评分以及临床干预满意度.结果 干预后,两组 SDS 评分降低,且试验组低于对照组,差异有统计学意义(P<0.05);干预后,试验组 36 条简明健康状况调查量表(SF-36)各维度评分高于对照组(P<0.05);试验组临床干预满意度高于对照组(P<0.05).结论 对孕妇进行SDS筛查,并根据病情程度不同进行孕期正念干预、心理治疗,能为孕期抑郁患者提供及时、恰当、有效的干预治疗,从而有效改善孕期抑郁情绪,以获得良好的母婴预后.

Objective To explore the application value of self-rating depression scale(SDS)screening combined with mindfulness intervention during pregnancy and psychotherapy in patients with depression during pregnancy.Methods A total of 196 pregnant women who were registered in Jiujiang Maternal and Child Health Hospital from January 2022 to January 2023 and had regular birth check-up were selected as the study subjects.All the study subjects underwent SDS screening during the second trimester.A total of 160 patients with abnormal screening results were randomly divided into the control group(n=80)and the experimental group(n=80).The control group received routine health care during pregnancy,and the experimental group received mindfulness intervention during pregnancy for mild to moderate abnormalities and psychological treatment for severe abnormalities according to the severity of the patients'conditions.SDS scores,quality of life scores before and after intervention,and clinical intervention satisfaction were compared between the two groups.Results After intervention,the SDS score of the two groups was decreased,and the test group was lower than the control group,the difference was statistically significant(P<0.05).After the intervention,the scores of 36 Simple Health Survey Scale(SF-36)in experimental group were higher than those in control group(P<0.05).The satisfaction of clinical intervention in experimental group was higher than that in control group(P<0.05).Conclusion SDS screening for pregnant women,and mindfulness intervention and psychological treatment in pregnancy according to different levels of illness can provide timely,appropriate and effective intervention and treatment for pregnant depressed patients,so as to effectively improve the depressive mood during pregnancy and obtain a good prognosis for mothers and infants.

孙曼;周丽英;吴红东;温瑶

九江市妇幼保健院产科门诊,江西 九江 332000九江市妇幼保健院产科门诊,江西 九江 332000九江市第五人民医院精神二科,江西 九江 332000九江市妇幼保健院产科门诊,江西 九江 332000

临床医学

抑郁自评量表孕期正念干预心理治疗孕期抑郁

Self-rating depression scaleMindfulness intervention during pregnancyPsychotherapyDepression during pregnancy

《中国药物经济学》 2024 (11)

126-129,4

江西省卫生健康委科技计划(202211915)

10.12010/j.issn.1673-5846.2024.11.026

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