芳香疗法联合产后康复按摩对产褥期心理状态的改善作用

目的:探讨芳香疗法联合产后康复按摩对产褥期产妇心理状态的改善作用。方法:将2010年8月至2012年8月在广州市妇女儿童医疗中心分娩的产妇204例随机分为对照组及实验组,其中对照组99例,采取常规产后处理,实验组105例,给予产后康复精油按摩治疗。应用焦虑自评量表(SAS)、抑郁自评量表(SDS)及症状自评量表(SCL-90)对两组产妇在产前两天及产后一周的心理状态进行测评,将所得数据与全国常模相比,并进行组间比较。结果:实验组与对照组产前心理状况无显著性差异(P0.05);两组产妇产前SCL-90测试结果在抑郁、焦虑等因子得分显著高于全国成人常模,差异有统计学意义(P0.01),产后实验组与对照组相比,抑郁倾向明显减少,焦虑得分明显降低,差异有统计学意义(P0.05)。结论:分娩对产妇的心理状态会产生明显影响,芳香疗法联合产后康复按摩能明显改善产妇的产褥期心理状态。

Effect of Aromatherapy Combined with Postnatal Massage on the Improvement of Psychological States for Women in Puerperium

Objective:To investigate the effect of the aromatherapy combined with postnatal massage on the improvement of psychological states for women in puerperium.Methods:204 cases of primiparas who were treated in Guangzhou Women and Children''s Medical Center fromAugust 2010 to August 2012 were selected and randomly divided into the treatment group and the control group. 99 cases in the control group were treated by the conventional method, while another 105 cases in the treatment group were treated by the aromatherapy combined with postnatal massage. The self-rating anxiety scale (SAS), self-rating depression scale (SDS) and symptom checklist 90 (SCL-90) were displayed to evaluate the psychological states of patients in the two groups in two days before delivery and one week after delivery. Then the results were compared with the Chinese adult norm scale.Results:There was no statistically significant difference between the two groups before the interventions (P>0.05). Compared with the Chinese adult norm, the factor scores in anxiety and depression were significantly higher in SCL-90 in the two groups (P<0.01). The scores in SAS and SDS from treatment group were significantly lower than that of the control group (P<0.05).Conclusion:Psychological states of primiparas would be affected significantly by delivery. Aromatherapy combined with postnatal massage could improve the psychological states of women in puerperium.