Research On The Effect Of Self-help Psychological Intervention Into Postpartum Depression Based On WeChat

ObjectiveThis study takes advantage of cellphone WeChat to design a self-help psychological intervening measure based on WeChat and explore the impact of the measure on postpartum depression,then provide a clinical basis for the intervention into postpartum depression.MethodsAccording to the inclusion exclusion criteria,300 puerperae who had the postpartum depression were screened in a three-level hospital in Linyi City from December 2017 to September 2018,and these puerperae were randomly divided into the control group and the experimental group,150 women in each of the two groups.The control group was given a health education intervention based on WeChat and on the base of the control group,the experimental group was given a self-help psychological intervention.The intervention to the puerperae of the two groups had lasted 6 weeks since the first day after the parturition.Before these puerperae were discharged from hospital and when the intervention was over,the following methods were used such as general information questionnaire,Edinburgh postpartum depression scale(EPDS),breastfeeding self-efficacy scale(BSES),mother role adaptation questionnaire,Pittsburgh sleep quality index(PSQI)to respectively evaluate the conditions of the mothers in the two groups on postpartum depression,breast-feeding self-efficacy,maternal role adaptation and sleep quality.The SPSS21.0 statistical software was used to process and analyze the above data.The main statistical methods are chi-square test,t-test and so on.Results1.Before the intervention,there was no significant difference in the general data,the scores of EPDS,the questionnaire score of maternal role adaptation,the scores of BSES and the scale scores of PSQI between the experimental group and the control group(t=0.604~1.882,P >0.05),which was comparable.2.After the intervention,the EPDS score of the experimental group was significantly lower than that of the control group,the difference was statistically significant(t=6.327,P<0.01).The EPDS score of the experimental group was significantly lower than that before the intervention,the difference was statistically significant(t=11.520,P<0.01).The EPDS scores of the control group were not significantly different from those before the intervention(t=1.870,P>0.05).3.In terms of breastfeeding self-efficacy,the scores of the experimental group after intervention were significantly higher than those of the control group,the difference was statistically significant(t=2.158,P<0.05).The experimental group was compared before and after intervention,the difference was statistically significant(t=2.954,P<0.01).But the difference between the control group before and after intervention was not statistically significant(t=1.861,P>0.05).4.In the adaptation of the mother's role,the score of the experimental group after the intervention was significantly higher than that of the control group,the difference was statistically significant(t=2.749,P<0.01).The experimental group was compared before and after the intervention,the difference was statistically significant(t=3.238,P<0.01).But the difference between the control group before and after the intervention was not statistically significant(t=0.174,P>0.05).5.In terms of sleep quality,there was no significant difference between the experimental group and the control group before and after intervention(t=0.009~1.609,P >0.05).Conclusion1.Self-help psychological intervention based on WeChat can effectively reduce the puerperal depressive emotion.2.Self-help psychological intervention based on WeChat can effectively improve the self-efficacy of maternal breastfeeding and is conducive to the implementation of breastfeeding.3.Self-help psychological intervention based on WeChat can effectively improve the adaptability of maternal mothers' roles.4.This study confirms that self-help psychological intervention based on WeChat is simple and easy to implement,the effect is obvious,and the cost is low,which can be promoted and applied to the women who have the postpartum depression.