循证护理模式对自然分娩产妇产后抑郁的影响

[摘要] Abstract：Objective To investigate the influence of evidencebased nursing on postpartum depression of puerperal women after spontaneous labor. Methods A total of 100 puerperal women with spontaneous labor were selected and randomly divided in to an evidencebased nursing group ( Group P, n=50) and a routine nursing group ( Group N, n=50). Both of two groups were given routine nursing and health education, and the group P received the evidencebased nursing intervention. The Edinburgh postnatal depression scale(EPDS) was used to measure the level of depression at 1 d, 3 d, 1 w, 3 w and 6 w after postpartum .The score of EPDS and the occurrence of postpartum depression were compared between two groups. Results Both two groups had an increased EPDS score, which reached its maximum level at 1 week after postpartum. The EPDS score in group P was lower than that of group N at day 3, 1 week, 3 week after postpartum (P＜0.01). the incidence of postpartum depression was lower in group P than that of group at first week after postpartum (P＜0.05). Conclusion The evidencebased nursing is effective in improving the adverse psychological state of puerperal women and reducing the occurrence of postpartum depression.

[学科分类] 护理学

[关键词] 循证护理;产后抑郁;自然分娩;心理护理