围生期抑郁信息化管理方案的构建与应用
Construction and application of an information based management program for peri-natal depression
朱远 1徐桂华 1张爱霞 2李纤 3唐小梅3
作者信息
- 1. 南京中医药大学护理学院(江苏南京,210000)
- 2. 南京市妇幼保健院护理部
- 3. 兴化市妇幼保健院护理部
- 折叠
摘要
目的 构建围生期抑郁信息化管理方案并应用于临床,降低孕产妇围生期抑郁的发生.方法 将375例孕产妇按照入院时间分为对照组185例与干预组190例.对照组实施常规干预;干预组汇总围生期抑郁管理的最佳证据,构建围生期抑郁管理方案,开发围生期抑郁信息化管理系统对孕产妇进行干预.干预前后比较两组抑郁评分、抑郁管理知信行评分及分娩结局.结果 对照组157例、干预组155例完成研究.干预组抑郁评分显著低于对照组,抑郁管理知识及行为评分显著高于对照组(均P＜0.05),干预组自然分娩及纯母乳喂养率显著高于对照组(均P＜0.05).结论 围生期抑郁信息化管理方案的应用可有效改善孕产妇围生期抑郁水平,从而改善分娩结局.
Abstract
Objective To construct an informatized management plan for perinatal depression and apply it in clinical practice to reduce the occurrence of perinatal depression in pregnant and postpartum women.Methods A total of 375 pregnant and postpartum women were divided into a control group of 185 cases and an intervention group of 190 cases based on admission time.The control group received routine interventions,while the intervention group compiled the best evidence for perinatal depression management,con-structed a management plan for perinatal depression,and developed an informatized management system to intervene with pregnant and postpartum women.Pre-and post-intervention comparisons were made between the two groups in terms of depression scores,knowledgebehavior scores related to depression management,and delivery outcomes.Results A total of 157 cases in the control group and 155 cases in the intervention group completed the study.The intervention group showed significantly lower depression scores compared to the control group,with significantly higher scores in knowledge and behavior related to depression management(all P＜0.05).Additionally,the intervention group exhibited significantly higher rates of natural delivery and exclusive breast feeding compared to the control group(both P＜0.05).Conclusion The application of informatized management plan for perinatal depression effectively improves the level of perinatal depression in pregnant and postpartum women,thereby maintaining their psy-chological outcomes.
关键词
孕产妇/围生期/产前抑郁/产后抑郁/母乳喂养/信息化管理/循证护理/心理健康Key words
pregnant women/perinatal period/antenatal depression/postnatal depression/breast feeding/informatized management/evidence-based care/mental health引用本文复制引用
基金项目
江苏省科技计划专项(重点研发计划社会发展)项目(BE2022676)
出版年
2024
NETL
NSTL
万方数据