摘 要

目的：探討實(shí)施護(hù)理干預(yù)對母嬰分離產(chǎn)婦的心理狀況的影響。

方法：將120名產(chǎn)婦隨機(jī)分到實(shí)驗(yàn)組和對照組，入組后首先狀態(tài)-特質(zhì)焦慮量表（STA-I）和愛丁堡產(chǎn)后抑郁量表（EPDS）對兩組患者進(jìn)行評估，然后對照組接受醫(yī)院常規(guī)護(hù)理，干預(yù)組在常規(guī)護(hù)理基礎(chǔ)上由研究者本人給予護(hù)理干預(yù)。兩周后再次用狀態(tài)-特質(zhì)焦慮量表（STA-I）對患者進(jìn)行評估。比較兩組的心理狀況是否存在差異。

結(jié)果：母嬰分離的焦慮抑郁水平明顯高于一般人群。干預(yù)前兩組患者的心理狀況無明顯差異。試驗(yàn)干預(yù)后實(shí)干預(yù)組的心理狀況較試驗(yàn)前明顯好轉(zhuǎn)，干預(yù)組的心理狀況明顯好于對照組。

結(jié)論：護(hù)理干預(yù)能明顯改善產(chǎn)婦的心理狀況，有效減輕產(chǎn)婦心理的應(yīng)激反應(yīng)。

關(guān)鍵詞：母嬰分離；產(chǎn)婦；抑郁；護(hù)理干預(yù)

Abstract

Objective: To discuss the influence of nursing intervention to pregnancy mothers’ psychological state after being separated from their newborns.

Methods: 120 pregnancy mothers were divided into two groups with 60 in intervention group and 60 in control group randomly. The pregnancy mothers’ psychological state of the two groups were eva lued with the method of STA-I scale and Edinburgh Postnatal Depression Scale（EPDS）. Then the control group was only given routine nursing care, while the intervention group, nursing intervention was provided by the researcher besides the routine nursing care, After two weeks， the two groups were eva lued again with the method of SAS、SDS and EPDS. Analysed the date of the two groups and found whether there was statistics differences.

Result：The psychological state of pregnancy mothers after being separated from their newborns: the S-AI score and postpartum depression incidence was significantly higher than the normal standard. The two groups have no significant differences before intervention performed, After intervention being performed, the S-AI score and postpartum depression incidence of the intervention group decreased significantly and had significantly difference compared with control group.

Conclusions：Nursing intervention can improve the psychological state significantly and effectively relieve the response intensity of the stress.

Key words: mother-baby separation ; mother; depression; nursing intervention