Department of Obstetrics, Hunan People's Hospital, Changsha, 410000 Hunan, China.
Comput Math Methods Med. 2022 May 27;2022:8993144. doi: 10.1155/2022/8993144. eCollection 2022.
A case-control study was conducted to explore the effect of psychological support intervention based on structure-process-result three-dimensional quality assessment on maternal role adaptation and pelvic floor rehabilitation exercise compliance.
110 parturients who delivered naturally in our hospital from January 2019 to October 2021 were randomly divided into the control group and the study group. Patients in the former group received routine nursing measures, while patients in the latter group received psychological support intervention based on structure-process-outcome three-dimensional quality assessment (intervention group). Psychological intervention measures include health education, cognitive therapy, behavioral therapy, collective psychological intervention, and happiness therapy. The Edinburgh postpartum depression (PPD) scale and general self-efficacy scale were adopted before intervention, on the day of discharge, and 42 days after delivery. Meanwhile, the mother's role adaptation questionnaire was adopted 42 days after delivery. The PPD, the change of self-efficacy, the function of the pelvic floor, the role adaptation of mothers, and the compliance of pelvic floor rehabilitation exercise in the control group and the intervention group were analyzed.
There was a significant difference in the EPDS score between the two groups at 42 days after delivery. There was a significant difference in the incidence of depression 42 days after delivery between the two groups ( < 0.05). The score of pelvic floor function in the two groups after intervention was higher than that before intervention, and that in the intervention group was higher than that in the control group ( < 0.05). The score of self-efficacy in the two groups after intervention was higher than that before intervention, and that in the intervention group was higher than that in the control group ( < 0.05). The role adaptation of mothers in the intervention group was better than that in the control group ( < 0.05). The compliance rate of pelvic floor rehabilitation exercise in the intervention group was higher than that in the control group ( < 0.05).
Psychological support intervention based on structure-process-result three-dimensional quality assessment can effectively enhance the sense of self-efficacy, pelvic floor function, maternal role adaptation, and pelvic floor rehabilitation exercise compliance of parturients and can effectively reduce the incidence of PPD and play a positive role in the prevention of PPD.
采用病例对照研究方法，探讨基于结构-过程-结果三维质量评估的心理支持干预对产妇角色适应和盆底康复锻炼依从性的影响。
选取 2019 年 1 月至 2021 年 10 月在我院自然分娩的 110 例产妇，随机分为对照组和研究组。前者接受常规护理措施，后者接受基于结构-过程-结果三维质量评估的心理支持干预（干预组）。心理干预措施包括健康教育、认知疗法、行为疗法、集体心理干预和快乐疗法。采用爱丁堡产后抑郁量表（PPD）和一般自我效能感量表于干预前、出院当天和产后 42 天进行评估。同时，产后 42 天采用产妇角色适应问卷进行评估。分析对照组和干预组的 PPD、自我效能变化、盆底功能、产妇角色适应和盆底康复锻炼依从性。
产后 42 天两组 EPDS 评分比较，差异有统计学意义（ < 0.05）。产后 42 天两组抑郁发生率比较，差异有统计学意义（ < 0.05）。两组干预后盆底功能评分均高于干预前，且干预组高于对照组（ < 0.05）。两组干预后自我效能评分均高于干预前，且干预组高于对照组（ < 0.05）。干预组产妇角色适应情况优于对照组（ < 0.05）。干预组盆底康复锻炼依从率高于对照组（ < 0.05）。
基于结构-过程-结果三维质量评估的心理支持干预可有效增强产妇自我效能感、盆底功能、产妇角色适应和盆底康复锻炼依从性，有效降低 PPD 发生率，对 PPD 的预防起到积极作用。
