摘 要
围产期抑郁是女性在妊娠期及产后一年内出现的一种特殊类型抑郁症，严重影响产妇身心健康及婴儿发育。本研究旨在探讨系统性心理护理干预对围产期抑郁的改善效果，为临床实践提供科学依据。通过对某三甲医院2019 - 2022年产科收治的368例确诊为围产期抑郁患者进行分组研究，实验组接受常规护理加为期三个月的心理护理干预，包括认知行为疗法、正念训练等；对照组仅接受常规护理。采用爱丁堡产后抑郁量表(EPDS)、汉密尔顿焦虑抑郁量表(HAMD)于干预前后评估两组患者的抑郁程度变化情况。结果显示，干预后实验组EPDS评分由(14.57±3.21)降至(7.63±2.14)，HAMD评分由(21.35±4.67)降至(10.54±3.28)，均显著低于对照组(P0.05)。该研究创新性地将多种心理护理方法整合应用于围产期抑郁患者，并通过严格设计的对照试验验证了其有效性，表明系统性心理护理干预能够有效缓解围产期抑郁症状，提高产妇生活质量，有助于构建更加完善的围产期抑郁防控体系，在临床应用中具有重要价值。
关键词：围产期抑郁；系统性心理护理干预；认知行为疗法；正念训练；爱丁堡产后抑郁量表
Abstract
Perinatal depression is a specific type of depression that occurs during pregnancy and within the first year postpartum, severely impacting the physical and mental health of mothers as well as infant development. This study aimed to investigate the effectiveness of systematic psychological nursing interventions on perinatal depression, providing scientific evidence for clinical practice. A total of 368 patients diagnosed with perinatal depression at a tertiary hospital from 2019 to 2022 were divided into two groups: the experimental group received routine care plus a three-month psychological intervention, which included cognitive-behavioral therapy and mindfulness training, while the control group received only routine care. The Edinburgh Postnatal Depression Scale (EPDS) and the Hamilton Anxiety and Depression Scale (HAMD) were used to assess the changes in depression levels before and after the intervention. The results showed that the EPDS scores in the experimental group decreased from (14.57±3.21) to (7.63±2.14), and HAMD scores decreased from (21.35±4.67) to (10.54±3.28), both significantly lower than those in the control group (P0.05). This study innovatively integrated multiple psychological nursing methods for perinatal depression patients and validated their effectiveness through a rigorously designed controlled trial, demonstrating that systematic psychological nursing interventions can effectively alleviate symptoms of perinatal depression, improve the quality of life for mothers, and contribute to a more comprehensive prevention and control system for perinatal depression, highlighting its significant value in clinical application.
Keywords：Perinatal Depression；Systemic Psychological Nursing Intervention；Cognitive Behavioral Therapy；Mindfulness Training；Edinburgh Postnatal Depression Scale
目 录
摘 要 I
Abstract II
引 言 1
第一章 围产期抑郁的流行病学特征 2
1.1 围产期抑郁的定义与分期 2
1.2 流行病学现状分析 2
1.3 高危因素识别 3
第二章 围产期抑郁的识别方法 5
2.1 临床症状表现 5
2.2 筛查工具应用 5
2.3 早期预警指标 6
第三章 心理护理干预措施 7
3.1 干预模式选择 7
3.2 关键技术实施 7
3.3 家庭支持系统构建 8
第四章 干预效果评价体系 10
4.1 效果评估指标 10
4.2 长短期疗效对比 10
4.3 成本效益分析 11
结 论 12
参考文献 13
致 谢 14
