首页|"医院-家庭-疾病同伴者"模式下疾病管理网络在产妇围生期抑郁干预中的应用效果

"医院-家庭-疾病同伴者"模式下疾病管理网络在产妇围生期抑郁干预中的应用效果

扫码查看
目的 观察"医院-家庭-疾病同伴者"模式下疾病管理网络在产妇围生期抑郁干预中的应用效果.方法 纳入2020年12月至2022年12月于濮阳市中医医院分娩的160例产妇,随机分为常规干预组与网络干预组,各80例,常规干预组接受常规干预,网络管理组接受"医院-家庭-疾病同伴者"模式下疾病管理网络干预,两组患者均从产前干预至产后3个月.比较产后1周、产后3个月时两组产妇抑郁情况[爱丁堡产后抑郁量表(EPDS)]、家庭功能[中文版家庭功能评定量表(FAD)]、母亲角色适应情况(初产妇角色转变量表)、母婴互动情况[婴儿喂哺评估量表(NCAFS)].结果 产后3个月时,两组产妇EPDS、FAD评分较产后1周时降低,且网络干预组低于常规干预组(P<0.05);两组产妇初产妇角色转变量表、NCAFS评分较产后1周时升高,且网络干预组高于常规干预组(P<0.05).结论 "医院-家庭-疾病同伴者"模式下疾病管理网络用于产妇围生期抑郁干预中,可有效缓解其抑郁症状,并提高产妇家庭功能,促进产妇适应母亲角色.
Application Effect of Disease Management Network Under the Model of"Hospital-Family-Disease Companion"in the Intervention of Maternal Perinatal Depression
Objective To observe the application effects of disease management network under the model of"hospital-family-disease companion"in the intervention of maternal perinatal depression.Methods A total of 160 maternal who gave birth in Puyang Hospital of Traditional Chinese Medicine from December 2020 to December 2022 were enrolled and randomly divided into conventional intervention group and network intervention group,with 80 cases in each group.The conventional intervention group received conventional intervention,and the network management group received disease management network intervention under the model of"hospital-family-disease companion".Both groups of patients were intervened from before delivery to 3 months after delivery.Maternal depression[Edinburgh postnatal depression scale(EPDS)],family function[Chinese version of family assessment device(FAD)],maternal role adaptation(role change scale of primipara)and maternal-infant interaction[nursing child assessment feeding scale(NCAFS)]were compared between the two groups at 1 week and 3 months after delivery.Results At 3 months after delivery,the scores of EPDS and FAD in both groups were decreased compared with that at 1 week after delivery,and the scores in network intervention group were lower than those in conventional intervention group(P<0.05).The scores of role change scale of primipara and NCAFS were enhanced in both groups compared with those at 1 week after delivery,and the scores were higher in network intervention group than those in conventional intervention group(P<0.05).Conclusion The application of disease management network under the model of"hospital-family-disease companion"in the intervention of maternal perinatal depression can effectively alleviate the depression symptoms,enhance the family function,and promote the adaptation to maternal role.

hospital-family-disease companiondisease management networkmaternaldepressionmaternal role adapta-tion

宋卓玲、朱君、张杰

展开 >

濮阳市中医医院妇产科,河南濮阳 457001

濮阳市中医医院供应室,河南濮阳 457001

医院-家庭-疾病同伴者 疾病管理网络 产妇 抑郁 母亲角色适应

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(4)
  • 20