摘要

【摘要】
目的 探讨以家庭为中心的产科优质护理（FCMC）对于初产妇产后抑郁症以及自我效能的影响。

方法 选取2015年1月至2016年8月期间我院产科自然分娩的初产妇120例，随机分为2组：对照组（n=60）采用常规护理，观察组（n=60）在常规护理基础上实施FCMC。对比两组护理前后焦虑自评量表（SAS）、爱丁堡产后抑郁量表（EPDS）、自我效感（GSES）、盆底收缩力评分，比较两组产后泌乳时间、48h泌乳量及产后抑郁症（PPD）发生率。

结果 护理后观察组的SAS及EPDS显著低于对照组，GSES及盆底收缩力评分显著高于对照组（P<0.05）；观察组产后泌乳时间显著短于对照组，产后48h泌乳量显著高于对照组（P<0.05）；观察组的PPD发生率为3.33%，显著低于对照组的20.00%（P<0.05）。

结论 FCMC能够有效减轻初产妇的焦虑、抑郁情绪，降低产后PPD发生率，促进盆底功能的康复及产后泌乳。

关键词：【关键词】初产妇；产后抑郁症；以家庭为中心的产科优质护理模式；自我效能

ABSTRACT

[Abstract]
Objective To investigate the effects of family centered maternity care (FCMC) on postpartum depression and self-efficacy for primipara.

Methods A total of 120 cases of natural delivery women who were in the obstetrics of our hospital from January 2015 to August 2016 were randomly divided into two groups: control group (n=60) received conventional care, observation group (n=60) received FCMC on the basis of the conventional care.The scores of Self-Rating Anxiety Scale (SAS),Edinburgh Postpartum Depression Scale (EPDS), General self-efficacy scale (GSES), pelvic floor contractility, lactation time, 48h lactation amount and the incidence of postpartum pepression (PPD) were compared between the two groups.

Results The SAS and EPDS scores of the observation group were significantly lower than those of the control group, GSES and pelvic contractility scores were significantly higher than those of the control group (P<0.05). The postpartum lactation time of the observation group was significantly shorter than that of the control group,while the 48h lactation amount was significantly higher (P<0.05);The incidence of PPD was 3.33% in the observation group, which was significantly lower than 20.00% in the control group (P<0.05).

Conclusion   The FCMC can reduce the anxiety and depressive mood of primipara, reduce the incidence of PPD, promote the rehabilitation of pelvic floor function and postpartum lactation.

Key words: [Key words] Primipara;Postpartum depression; Family centered maternity care; Self-efficacy