| 郭琼,李嫒,刘清秀,李容,涂素华,杨阳,杨帆,雷江.“互联网+”医院-社区-家庭三元联动管理模式在围产期抑郁中的应用[J].四川精神卫生杂志,2023,36(6):503-508.Guo Qiong,Li Ai,Liu Qingxiu,Li Rong,Tu Suhua,Yang Yang,Yang Fan,Lei Jiang,Application of "Internet +" hospital-community-family trinity linkage management model in maternal perinatal depression[J].SICHUAN MENTAL HEALTH,2023,36(6):503-508 |
| “互联网+”医院-社区-家庭三元联动管理模式在围产期抑郁中的应用 |
| Application of "Internet +" hospital-community-family trinity linkage management model in maternal perinatal depression |
| 投稿时间：2023-10-12 |
| DOI：10.11886/scjsws20231012003 |
| 中文关键词: 互联网+ 医院-社区-家庭 围产期抑郁 孕产妇 |
| 英文关键词:Internet + Hospital-community-family Perinatal depression Pregnant women |
| 基金项目:绵阳市卫健委科研课题（项目名称：孕产妇围产期抑郁风险筛查及“医院-社区-家庭”干预模式的构建，项目编号：202134） |
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| 中文摘要: |
| 背景 围产期抑郁严重影响孕产妇身心健康，如影响其角色转换及认同感、家庭关系等，严重者甚至引起自杀行为，给孕产妇及家庭造成沉重的负担。以孕产妇为中心，家庭、社区、医院共同参与的分级管理模式，有助于对存在围产期抑郁者进行全程、动态管理。目的 评价“互联网+”医院-社区-家庭三元联动管理模式在孕产妇围产期抑郁中的应用效果，以期为孕产妇围产期抑郁的临床干预提供参考。方法 选取2022年1月—12月在绵阳市第三人民医院妇产科门诊建档、且爱丁堡产后抑郁量表（EPDS）评分>9分的80例孕妇为研究对象，采用随机数字表法分为研究组和对照组各40例，两组分娩前在妇产科门诊孕妇学校、入院待产后在妇产科住院部学习室接受常规护理干预，研究组在此基础上接受“互联网+”医院-社区-家庭三元联动管理。于干预前和干预后（产后42天）采用EPDS、匹兹堡睡眠质量指数量表（PSQI）、生活质量综合评定问卷（GQOLI-74）及自编护理满意度问卷进行评定。结果 干预后，研究组EPDS评分和PSQI评分均低于对照组（F=42.823、60.453，P均<0.05），GQOLI-74评分和护理满意度均高于对照组（F=198.902，χ2=5.165，P均<0.05）。结论 “互联网+”医院-社区-家庭三元联动管理模式可能有助于降低孕产妇围产期抑郁的严重程度，改善睡眠质量与生活质量，提高孕产妇满意度。 |
| 英文摘要: |
| Background Perinatal depression seriously affects the physical and mental health of pregnant women， such as affecting their role transition， identity， and family relationships， etc. In severe case， it can even lead to suicidal behavior， causing a heavy burden on pregnant women and their families. A hierarchical management model centered on pregnant women， involving collaboration of families， communities， and hospitals， facilitates comprehensive and dynamic management of perinatal depression.Objective To evaluate the application effect of "Internet +" hospital-community-family trinity linkage management model on perinatal depression in pregnant women， in order to provide a reference for the clinical intervention.Methods 80 pregnant women who established medical records from the Department of Obstetrics and Gynecology of Mianyang Third People's Hospital from January to December 2022， with Edinburgh Postnatal Depression Scale （EPDS） score>9， were selected as the research objects. According to the random number table method， they were divided into a study group and a control group， each group consisting of 40 cases. Both groups received routine nursing intervention in the pregnant women's school of obstetrics and gynecology outpatient department before delivery， and in the study room of the department of obstetrics and gynecology after being admitted to the hospital for delivery. After discharge， they received routine follow-up until 42 days postpartum. The study group received the "Internet +" hospital-community-family ternary linkage management on the basis. EPDS， Pittsburgh Sleep Quality Index （PSQI）， Generic Quality of Life Inventory （GQOLI-74） and Nursing Satisfaction questionnaire were assessed before intervention and 42 days postpartum.Results After intervention， the EPDS score and PSQI score of the study group were lower than those of the control group （F=42.823， 60.453， P<0.05）， GQOLI-74 score and nursing satisfaction were higher than those of the control group （F=198.902， χ2=5.165， P<0.05） .Conclusion "Internet +" hospital-community-family trinity linkage management model may help to improve the severity of perinatal depression symptoms， improve the quality of sleep and life， and increase the satisfaction of pregnant women.［Funded by Mianyang Health Scientific Research Commission Project （number， 202134）］ |
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