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目的:探讨孕期咨询式心理干预对降低高危抑郁孕妇产后抑郁发生率的有效性。方法:具有产后抑郁高危风险因素的孕妇138例,在常规产前检查和产前教育的基础上,接受系统的咨询式心理干预,并与对照组(147例)比较,观察产后3天、42天EPDS抑郁评分和产后抑郁的发生率,以EPDS总分值≥10分作为判断产后抑郁的标准。结果:产后3天,干预组抑郁的发生率为21.0%(29/138),对照组抑郁的发生率为32.7%(48/147);产后42天,干预组抑郁的发生率22.5%(31/138),对照组抑郁的发生率34.7%(51/147)。产后3天,干预组EPDS平均分(6.79±4.46)分,对照组为(7.93±4.87)分;产后42天,干预组EPDS平均分(7.02±4.68)分,对照组为(8.27±5.14)分。两组在两个时点产后抑郁的发生率及EPDS平均分比较差异有统计学意义(P<0.05)。结论:针对具有高危产后抑郁风险因素的孕妇,孕期心理干预能显著减轻其产后抑郁情绪,降低产后抑郁的发生率。
Objective: To investigate the effectiveness of counseling psychological intervention during pregnancy to reduce the incidence of postpartum depression in high-risk depression. Methods: 138 pregnant women with high risk factors for postpartum depression received systematic counseling psychological intervention on the basis of routine antenatal examination and prenatal education. Compared with the control group (147 cases), three days after delivery, 42 Day EPDS depression score and the incidence of postpartum depression to EPDS total score ≥ 10 points as a criterion for postpartum depression. Results: The incidence of depression was 21.0% (29/138) in the intervention group and 32.7% (48/147) in the control group on day 3 postpartum. The incidence of depression in the intervention group was 22.5% (42.5%) after 42 days / 138), the incidence of depression in the control group 34.7% (51/147). The average EPDS score was (6.79 ± 4.46) in the intervention group and (7.93 ± 4.87) in the intervention group at postnatal day 3. The average EPDS score was 7.02 ± 4.68 in the intervention group and (8.27 ± 5.14) in the control group Minute. The incidence of postpartum depression and EPDS mean scores of two groups at two time points were significantly different (P <0.05). Conclusion: For pregnant women with high risk of postpartum depression, psychological intervention during pregnancy can significantly reduce postpartum depression and reduce the incidence of postpartum depression.