摘要
目的研究家庭化产房叠加无痛分娩对产妇产后抑郁的作用及影响因素。方法将2018年9月至2019年3月于深圳市妇幼保健院产科接受规律性产检且拟行阴道分娩的240例产妇纳入研究。随机数字表法分成干预组和对照组,每组各120例。对照组实施常规分娩处理,干预组予以家庭化产房叠加无痛分娩处理。比较两组产妇产后抑郁情况及母婴结局,并对产后抑郁和相关因素的关系进行单因素、多因素Logistic回归分析。结果干预组产后抑郁发生率、VAS评分低于对照组(P<0.05)。单因素分析发现:产妇产后抑郁的发生和妊娠期合并症、无痛分娩、家庭化产房密切相关(均P<0.05),而与年龄、孕前BMI以及首次分娩与否无关(均P>0.05)。多因素Logistic回归分析可得:妊娠期合并症以及未接受无痛分娩叠加家庭化产房均是产妇产后抑郁的独立危险因素(P<0.05)。结论家庭化产房叠加无痛分娩可显著降低产妇产后抑郁的发生风险,同时有利于减轻产妇产后疼痛。此外,产妇产后抑郁的发生可能和妊娠期合并症以及未接受无痛分娩叠加家庭化产房有关,值得临床重点关注。
Objective To explore the effect and influencing factors of family delivery room superimposed painless delivery on postpartum depression.Methods From September 2018 to March 2019,240 women who received regular production inspection and planned to have vaginal delivery in Shenzhen Maternal and Child Health Hospital were divided into intervention group and control group by the method of random number table with 120 cases in each group.The puerperae in control group received routine delivery treatment.And the puerperae in intervention group received family delivery room superposition painless delivery treatment.The incidences of postpartum depression and outcomes were compared between the two groups.The relationship between postpartum depression and related factors was analyzed.Results The incidence of postpartum depression and postpartum VAS score in intervention group were lower than those of control group(P<0.05).The result of univariate analysis showed that the occurrence of postpartum depression was closely related to complications during pregnancy,painless delivery and family-oriented delivery room(all P<0.05),which was not associated with age,pre-pregnancy BMI and first delivery(all P>0.05).The result of multivariate logistic regression analysis showed that pregnancy complications and absence of painless delivery combined with family-oriented delivery room were independent risk factors for postpartum depression(P<0.05).Conclusions The combination of family-oriented delivery room and painless delivery can significantly reduce the risk of postpartum depression and relieve postpartum pain.In addition,the incidence of postpartum depression may be related to complications of pregnancy and the absence of painless delivery combined with family-oriented delivery room,which is worthy of clinical attention.
作者
江丽金
廖秋圆
叶冉冉
何贞
JIANG Lijin;LIAO Qiuyuan;YE Ranran;HE Zhen(Delivery Room, Shenzhen Maternal and Child Health Hospital Affiliated to Southern Medical University/Shenzhen Maternal & Child Healthcare Hospital, Shenzhen 518000,China)
出处
《医药高职教育与现代护理》
2021年第2期159-162,共4页
Medical Higher Vocational Education and Modern Nursing
关键词
产后抑郁
家庭化产房
无痛分娩
Postpartum depression
Family-oriented delivery room
Painless delivery
作者简介
通信作者:江丽金,女,本科,主管护师,研究方向:产房护理,Email:qiansulaiwo8@163.com。
