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目的 探讨基层妇女保健人员产后抑郁相关知识培训效果.方法 采用自身前后对照的方法,即在项目培训前后对207名调查对象进行问卷调查,对前后问卷得分进行对比分析,以评价项目培训效果,用SPSS18.0软件进行统计分析,统计学方法采用t检验和方差分析SNK检验.结果 调查共收到有效问卷170份,调查对象年龄(35.44±0.56)岁,培训前问卷得分(70.16±10.53)分,培训后问卷得分(85.92±9.31)分,培训前后问卷得分比较,差异有统计学意义(t=18.60、P＜0.0001).培训前不同劳动关系医务人员对产后抑郁知识的掌握情况比较,差异有统计学意义(P＜0.05),正式员工对知识掌握较聘用人员较好;培训后不同文化程度对产后抑郁知识的掌握情况比较,差异有统计学意义(P＜0.05).具体知识点掌握状况,问卷共25个考题,其中12个题目,培训前后掌握程度有显著提升,没有显著提升的13个题目,其中有11个题目培训前掌握普遍较好,分值达89分以上,培训前后比较,差异无统计学意义(P＞0.05);而其中2个问题培训后仍掌握欠缺.结论 基层妇女保健人员学历及职称偏低,既往对产后抑郁的防治知识了解有限,亟需对妇女保健人员提供有关心理保健知识的培训;培训后所有人员的对产后抑郁防治知识都得到了较大提升,项目培训工作达到预期效果;妇幼保健机构应进一步做好产后抑郁防治的规范化培训,项目培训内容需细化评估,持续改进.“,”Objective To explore the training effect of postpartum depression related knowledge in primary maternal health care workers.Methods A total of 187 subjects were invited to complete the questionnaires before and after the training.The scores before and after the training were compared and analyzed to evaluate the effect of training.The results were analyzed by SPSS18.0 software,the statistical methods included t test and variance analysis SNK test.Results One hundred and seventy effective questionnaires were received.The average age was (35.44±0.56) years old.The score before training was (70.16±10.53),and the score after training was (85.92±9.31).There was statistically significant difference in the score between before and after training (t =18.60,P＜0.000 1).Before the training,there was statistically significant difference in mastery of knowledge of postpartum depression among the medical staff with different labor relations (P＜0.05),the official staff was superior to the hiring staff.Mter training,there was statistically significant difference in mastery of knowledge of postpartum depression among the medical staff with different educational levels (P＜0.05).Among 25 items of the questionnaire,the scores of 12 items after training were improved significantly;among 13 items not improved significantly after training,the mastery level of 11 items before training was good,and the scores were more than 89,there was no statistically significant difference between before and after training (P＞0.05),and the mastery levels of 2 items after training were still low.Conclusion Primary maternal health care workers are found to have a low educational level and professional title,the knowledge of prevention and treatment of postpartum depression is limited,training of mental health knowledge should be provided for the primary maternal health care workers.The knowledge of prevention and treatment of postpartum depression among all the subjects is greatly improved after training,and the training have achieved the expected effect.Standardized training of prevention and treatment of postpartum depression should be further conducted in maternal and child health care institutions,the training content should be evaluated detailedly and improved continuously.