临床路径管理配合卓越护理服务对顺产产妇产后抑郁评分影响

Analysis effect of clinical pathway management combining with excellence nursing service on postpartum depression scores for trans-vaginal delivery women

中文关键词: 临床路径管理  卓越护理服务  顺产产妇  产后抑郁

英文关键词: Clinical pathway management  Excellence nursing service  Trans-vaginal delivery  Postpartum depression

中文摘要:

      目的：探讨临床路径管理配合卓越护理服务对初产产妇产后抑郁评分的影响。方法：将120例初产产妇随机分为临床路径组和对照组，每组各60例。对照组产妇产前、产后接受一般护理服务，临床路径组严格按照产科临床路径管理以及产科护理卓越服务基本规范要求并结合本院实际展开护理服务。两组产前、产后分别采用汉密尔顿抑郁量表（HAMD）和Edinburgh产后抑郁量表（EPDS）进行评估。结果：产前两组监测对象汉密尔顿抑郁量表（HAMD）评分分别为（12.6±1.6）分、（13.1±2.1）分，差异不具有统计学差异。产后两组的产后抑郁人数（Edinburgh>12）和护理满意人数（服务满意度>7）具有显著差异（P＜0.05）。且产后6月随访发现，产后婴儿就医次数、产妇乳腺疾患发生率，临床路径组明显低于对照组。结论：临床路径管理配合卓越护理服务提高产妇护理服务满意度，降低产后抑郁评分，改善初产产妇产后抑郁情绪，可在产后抑郁症防治中起到一定作用，并且惠及哺乳期妇女及婴儿。

英文摘要:

      Objective: To explore the effect of clinical pathway management combining with excellence nursing service on the postpartum depression scores of the first time trans-vaginal delivery women. Methods: 120 primigravid women, who would like to have trans-vaginal delivery were collected. They were randomly distributed into two groups, the control group and clinical pathway group. Each group had 60 cases. The normal one received normal nursing service during the perinatal period. The other group accepted clinical pathway management and received the excellence nursing service protocols refer to the principle of excellence nursing service in obstetrics department. The protocols were modified accordance with the real situation of the hospital. Each one was evaluated with Hamilton Depression Scale (HAMD) and Edinburgh postpartum depression scale (EPDS) before and after delivery, respectively. Results: Before the delivery, the HAMD scores were (12.6±1.6) points for the normal group and (13.1±2.1) points for the clinical pathway group, there is no difference between them. But, after the delivery, the clinical pathway group had fewer cases who had more than 12 postpartum depression score (P<0.05). The women belonged to the clinical pathway group had higher service content scores (P<0.05). The clinical pathway group women had lower newborn clinical problems and no mammary disease. Conclusions: The clinical pathway management combining with excellence nursing service could improve the service content scores, and it could decrease the postpartum depression scores of the trans-vaginal delivery women and better primipara depression emotion. New service may play a certain role in postpartum depression prevention. It is also good for newborn’s health.