动机访谈对孕产妇知觉压力及抑郁水平的影响

Impact of Motivational Interviewing on the Perceived Stress and the Level of Depression in Pregnant Women

摘要: 目的：探讨动机访谈对孕产妇知觉压力及抑郁水平的影响。方法：将68例孕产妇分为干预组和对照组各34例，两组均接受常规护理，干预组在此基础上进行动机访谈干预。分别于产前38周、产后10天、产后42天及产后3个月测评孕产妇的心理反应。结果：最终干预组有效样本28例，对照组有效样本31例。孕产妇接受动机访谈后，产后10天、产后42天及产后3个月CPSS得分(33.42 ± 6.69、32.08 ± 8.06、31.05 ± 8.24)、EPDS得分(8.49 ± 4.34、6.94 ± 2.33、6.07 ± 1.92)均低于对照组，差异有统计学意义(P < 0.05)。结论动机访谈能有效降低孕产妇的知觉压力水平，改善其抑郁状况。

Abstract: Objective: To investigate the impact of motivational interviewing on the perceived stress and the level of depression in pregnant women. Methods: 68 pregnant women were randomly divided into two groups. The patients in the control group received routine care, with the patients in the expe-rimental group receiving motivational interviewing intervention on this basis. The psychological reaction of the pregnant women was measured at 38 weeks pregnancy, 10 days postpartum, 42 days postpartum and 3 months postpartum. Results: The effective sample of the final intervention group was 28, and the control group had 31 cases. After the motivational interviewing, the scores of CPSS (33.42 ± 6.69, 32.08 ± 8.06, 31.05 ± 8.24) and EPDS (8.49 ± 4.34, 6.94 ± 2.33, 6.07 ± 1.92) of the intervention group were all lower than the control group (P < 0.01) at 10 days postpartum, 42 days postpartum and 3 months postpartum. The difference was statistically significant (P < 0.05). Conclusion: Motivational interviewing can effectively reduce the perceived stress and improve the depressive status of the pregnant women.