Heh Shu-Shya, Huang Lian-Hua, Ho Shiao-Ming, Fu Yu-Ying, Wang Li-Lin
Graduate Institute of Nursing, National Taiwan University, Taipei, Taiwan.
Birth. 2008 Mar;35(1):60-5. doi: 10.1111/j.1523-536X.2007.00192.x.
Depression during the perinatal period should be identified as early as possible to avoid negative effects on the new family. The purpose of this study was to examine the effectiveness of an exercise support program on reducing psychological morbidity after childbirth.
A controlled trial was conducted in a regional hospital in Taipei, Taiwan. Eighty primiparas with an Edinburgh Postnatal Depression Scale (EPDS) score above 10 at 4 weeks postpartum agreed to participate. They were allocated alternately to an intervention (to receive exercise support) and control group (to receive standard care) at 6 weeks postpartum. The exercise support consisted of 1 hour per week at the hospital and two sessions at home for 3 months. Sixty-three primiparas finished the exercise support program. The main outcome measure was the EPDS score at 5 months postpartum.
Women who received the exercise support program were less likely to have high depression scores after childbirth when compared with the control group.
The exercise support program given to postpartum women appeared to benefit their psychological well-being. This promising finding should be tested in a well-designed randomized controlled trial.
围产期抑郁症应尽早识别，以避免对新组建的家庭产生负面影响。本研究旨在探讨运动支持计划对降低产后心理疾病发病率的有效性。
在台湾台北的一家地区医院进行了一项对照试验。80名产后4周时爱丁堡产后抑郁量表（EPDS）得分高于10分的初产妇同意参与。她们在产后6周时被交替分配到干预组（接受运动支持）和对照组（接受标准护理）。运动支持包括每周在医院进行1小时，在家中进行两期，为期3个月。63名初产妇完成了运动支持计划。主要结局指标是产后5个月时的EPDS得分。
与对照组相比，接受运动支持计划的女性产后出现高抑郁评分的可能性较小。
给予产后女性的运动支持计划似乎有益于她们的心理健康。这一有前景的发现应在精心设计的随机对照试验中进行验证。
