“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的应用研究
Application of "Internet +" hospital - community - family trinity linkage management model in maternal perinatal depression
投稿时间:2023-10-12  修订日期:2023-11-02
DOI:
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:绵阳市卫健委课题: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
作者单位地址
郭琼 绵阳市第三人民医院 绵阳市游仙区剑南路190号
李嫒* 绵阳市第三人民医院 四川省绵阳市游仙区剑南路东段190号
刘清秀 绵阳市第三人民医院 
李容 绵阳市第三人民医院 
杨阳 绵阳市第三人民医院 
杨帆 绵阳市第三人民医院 
雷江 绵阳市第三人民医院 
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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的孕产妇进行全程、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 选取绵阳市第三人民医院2022年1月-12月妇产科门诊建档、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,两组分别于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,出院后常规随访至产后42天,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。于干预前和产后42天采用爱丁堡产后抑郁量表(EPDS)、匹兹堡睡眠质量指数量表(PSQI)、生活质量综合评定量表(GQOLI-74)及护理满意度量表进行评定。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检出率,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 can have a serious negative impact on maternal and child physical health, such as affecting maternal role switching and identity, family relationships, etc., and seriously even causing maternal suicidal and infant killing behaviors, causing serious physical, psychological and economic burden to pregnant women and families. Therefore, how to build a hierarchical management model centered on maternal and integrating the joint participation of families, communities, and hospitals, and then achieving a full-scale management deserves further exploration. Objective To evaluate the 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 of perinatal depression in pregnant women. Methods Pregnant women with Edinburgh Postnatal Depression Scale (EPDS) score > 9 in the Department of Obstetrics and Gynecology of Mianyang Third People's Hospital from January to December 2022 were selected as the research objects. According to the random number table method, they were randomly divided into the study group and the control group, with 40 cases in each group. The two 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, and were followed up until 42 days after delivery, and the study group implemented the "Internet +" hospital-community-family ternary linkage management on the basis of the control group. The Edinburgh Postnatal Depression Scale (EPDS), Pittsburgh Sleep Quality Index scale (PSQI), General Quality of Life Inventory-74 (GQOLI-74) and nursing satisfaction scale were used to evaluate before intervention and 42 days after delivery. 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 reduce the incidence of perinatal depression, improve the quality of sleep and life, and increase the satisfaction of pregnant women.
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