案例分析：產(chǎn)后抑郁的診斷和調(diào)試CaseStudy:DiagnosisandAdjustmentofPostpartumDepression產(chǎn)后恢復(fù)與塑形PostpartumRecoveryandBodyShaping目錄（Content）產(chǎn)后抑郁的診斷（Diagnosisofpostpartumdepression）2.產(chǎn)后抑郁的調(diào)試（Adjustmentofpostpartumdepression）案例分析：產(chǎn)后抑郁的診斷和調(diào)試（CaseStudy:DiagnosisandAdjustmentofPostpartumDepression）產(chǎn)婦，焦女士，30歲。自然分娩一足月女嬰，產(chǎn)后5天，體格檢查：T36.6℃，P82次/min，R18次/min，Bp110/mmHg。惡露為淺紅色，量少，會(huì)陰側(cè)切傷口有疼痛感，雙乳分泌量少。產(chǎn)婦經(jīng)濟(jì)條件一般，在家坐月子，自訴晚上害怕聽見孩子哭鬧，內(nèi)心覺得煩躁，老公工作繁忙，無法幫忙照看孩子，多是婆婆幫忙照看，與婆婆在帶孩子方式上有矛盾，經(jīng)常發(fā)生口角。最近出現(xiàn)情緒低落、易怒、失眠等情況，有時(shí)會(huì)無緣無故嘆氣、落淚。(Puerpera,Ms.Jiao,30yearsold,deliveredafull-termbabygirlnaturally.5daysafterdelivery,physicalexamination:Temperature36.6℃,Pulse82beats/min,Respiration18resp/min,Bloodpressure110/mmHg.Lochiaislightredandsmallinquantity.Painfullateralepisiotomywound,lowbreastmilksecretionofbothbreasts.Theeconomicconditionofthepuerperaisaverage,shewas“sittingthemonth”athome,andselfreportedthatfearofbaby’scryingatnightandfeelirritable.Herhusbandistoobusyatworktohelptakecareofthebaby,sohermother-in-lawmostlyhelps.Theyhaveconflictsinthewayoftakingcareofthebaby,andargumentsoftenoccur.Recently,shehasbeendepressed,irritableandinsomnic,andsometimesshesighsandtearsfornoreason.)案例分析：盆底恢復(fù)指導(dǎo)(CaseStudy:Exerciseinstructionforloosenedpelvicfloormuscle)任務(wù)（Task）:03根據(jù)焦女士心理異常的表現(xiàn)，指導(dǎo)護(hù)理人員給予其合理的心理調(diào)適。(GuidenursingstafftogivereasonablepsychologicaladjustmenttoMs.Jiaoaccordingtohersignsofpsychologicalabnormality.)01請(qǐng)?jiān)u估焦女士的產(chǎn)后心理狀態(tài)，并分析其影響因素。(PleaseevaluateMs.Jiao'spostpartumpsychologicalstateandanalyzeitsinfluencingfactors.)02根據(jù)焦女士心理異常的表現(xiàn)，正確評(píng)估焦女士心理異常的類型。(CorrectlyevaluatethetypesofpsychologicalabnormalitiesofMs.Jiaoaccordingtohersignsofpsychologicalabnormality.)產(chǎn)后心理問題的影響因素(Influencingfactorsofpostpartumpsychologicalproblems)任務(wù)實(shí)施前評(píng)估（Assessmentbeforetaskimplementation）:干凈，整潔，安全，溫度24-26℃，濕度50-60%，可播放柔和的音樂。(clean,tidy,safe,temperature24-26℃,humidity50-60%,softmusiccanbeplayed.)環(huán)境條件(Environmentalconditions)舒服的椅子或者沙發(fā)，筆，紙，手消毒劑等。(comfortablechairorsofa,pen,paper,handsanitizer,etc.)物品準(zhǔn)備(Supplypreparation)產(chǎn)后心理問題的影響因素(Influencingfactorsofpostpartumpsychologicalproblems)任務(wù)實(shí)施前評(píng)估（Assessmentbeforetaskimplementation）:產(chǎn)婦的分娩方式，健康狀況，精神狀態(tài)。(typeofdelivery,healthstatusandmentalstate.)產(chǎn)婦評(píng)估(Maternalassessment)產(chǎn)后心理問題的影響因素(Influencingfactorsofpostpartumpsychologicalproblems)任務(wù)實(shí)施前評(píng)估（Assessmentbeforetaskimplementation）:著裝整齊，洗手(dressneatlyandwashhands)操作者(Operators)產(chǎn)后心理問題的影響因素(Influencingfactorsofpostpartumpsychologicalproblems)任務(wù)實(shí)施(Taskimplementation)是否計(jì)劃內(nèi)妊娠，孕婦和家人對(duì)胎兒的接受程度，性別期望，家屬對(duì)產(chǎn)婦的關(guān)愛程度，妊娠期的生活照護(hù)，孕婦和胎兒的健康狀況。(Whetherthepregnancyisplanned,theacceptanceofthefetusbythepregnantwomanandherfamily,genderexpectations,degreeofcareforthepregnantwomanbythefamily,careduringpregnancy,maternalandfetalhealthstatus.）妊娠期(Taskimplementation)產(chǎn)后心理問題的影響因素(Influencingfactorsofpostpartumpsychologicalproblems)分晚方式、環(huán)境，新生兒健康狀況，家屬對(duì)產(chǎn)日和新生兒的態(tài)度。(Deliverymethod,environment,healthstatusofthenewborn,family'sattitudetowardthepuerperaandthenewborn.)()分娩期(Deliveryperiod)產(chǎn)后心理問題的影響因素(Influencingfactorsofpostpartumpsychologicalproblems)產(chǎn)褥期（Puerperium）家庭方面（Family）.自身方面（Self）能力方面(Ability)其他(Other)產(chǎn)后心理問題的影響因素(Influencingfactorsofpostpartumpsychologicalproblems)任務(wù)實(shí)施(Taskimplementation)該女士產(chǎn)后心理問題的影響因素(Factorsinfluencingthiswoman'spostpartumpsychologicalproblemsare）在妊娠期間，家人非?？释淠苌鷤€(gè)男孩，期望值太高，但生的是一女嬰。家庭對(duì)其認(rèn)可度降低，導(dǎo)致該婦女出現(xiàn)心理問題。(Duringdelivery,althoughitwasanaturalbirth,episiotomywasperformedandthewoundhealedpoorlywithpain.Combinedwiththefamily'spatriarchalattitude,ledtothepuerpera'sdepressedmood.)01產(chǎn)后心理問題的影響因素(Influencingfactorsofpostpartumpsychologicalproblems)任務(wù)實(shí)施(Taskimplementation)該女士產(chǎn)后心理問題的影響因素(Factorsinfluencingthiswoman'spostpartumpsychologicalproblemsare）在分娩期間，雖說是自然分娩，但進(jìn)行側(cè)切，傷口愈合不佳，有疼痛感。再加上家人重男輕女的態(tài)度，導(dǎo)致產(chǎn)婦心情郁悶。(Duringpregnancy,thefamilywasdesperateforababyboyandhadhighexpectations,butababygirlwasborn.Thelackofrecognitionbythefamilyledtothewoman'spsychologicalproblems.)02產(chǎn)后心理問題的影響因素(Influencingfactorsofpostpartumpsychologicalproblems)任務(wù)實(shí)施(Taskimplementation)在產(chǎn)褥期間，由于產(chǎn)婦家里經(jīng)濟(jì)條件一般，在家坐月子，孩子晚上哭鬧不止，再加上其老公工作繁忙，無法幫忙照看孩子，多是婆婆幫忙照看，又與婆婆在帶孩子方式上有矛盾，經(jīng)常發(fā)生口角。所以產(chǎn)婦出現(xiàn)情緒低落、易怒、失眠等心理問題。(Duringpuerperium,thepuerperawassittingthemonthathomeduetoaverageeconomicconditionofherfamily,thebabycriesatlotatnight,andherhusbandistoobusytotakecareofthebaby,sohermother-in-lawsteppedin.However,shehasconflictswithhermother-in-lawonthewayoftakingcareofchild,andverbalargumentswasfrequent.Therefore,thepuerperahaspsychologicalproblemssuchasdepression,irritabilityandinsomnia.)03產(chǎn)后心理問題的影響因素(Influencingfactorsofpostpartumpsychologicalproblems)任務(wù)實(shí)施后整理(Organizationaftertaskimplementation)協(xié)助產(chǎn)婦休息。(Assistthepuerperatorest)1歸納總結(jié)記錄內(nèi)容。(Summarizeandrecord)整理用物，洗手。(Organizesuppliesandwashhands)23產(chǎn)后心理異常表現(xiàn)的類型(Typesofabnormalpostpartumpsychologicalmanifestations)任務(wù)實(shí)施前評(píng)估(Assessmentbeforetaskimplementation)

環(huán)境條件:干凈，整潔，安全，溫度24-26℃，濕度50-60%，可播放柔和的音樂。(Environmentalconditions:clean,tidy,safe,temperature24-26℃,humidity50-60%,softmusiccanbeplayed.)01

物品準(zhǔn)備:舒服的椅子或者床，小型音響設(shè)備，手消毒劑等。(Supplypreparation:comfortablechairorbed,smallaudioequipment,handsanitizer,etc.)02產(chǎn)后心理異常表現(xiàn)的類型(Typesofabnormalpostpartumpsychologicalmanifestations)任務(wù)實(shí)施前評(píng)估(Assessmentbeforetaskimplementation)產(chǎn)婦評(píng)估:產(chǎn)婦的心理狀態(tài)。(Maternalassessment:thepsychologicalstateofthemother.)03操作者:著裝整齊，洗手。(Operators:dressneatlyandwashhands)04產(chǎn)后心理異常表現(xiàn)的類型(Typesofabnormalpostpartumpsychologicalmanifestations)任務(wù)實(shí)施(Taskimplementation)

產(chǎn)后抑郁(Postpartumblues)：煩躁易怒、食欲缺乏、疲勞、失眠、沮喪無助、注意力和記憶力減退，甚至莫名哭泣。(Irritability,lackofappetite,fatigue,insomnia,frustrationandhelplessness,lossofconcentrationandmemory,andeveninexplicablecrying.)01產(chǎn)后心理異常表現(xiàn)的類型(Typesofabnormalpostpartumpsychologicalmanifestations)任務(wù)實(shí)施(Taskimplementation)

產(chǎn)后抑郁癥(Postpartumdepression)：緊張、疑慮、內(nèi)疚、恐懼等癥狀，極少數(shù)嚴(yán)重者會(huì)有絕望、離家出走、傷害孩子或自殺的想法和行動(dòng)。(Symptomssuchasnervousness,doubt,guilt,fear,etc.,andinveryfewseverecases:despair,runawayfromhome,hurtthechildorsuicidalthoughtsandactions)02產(chǎn)后心理異常表現(xiàn)的類型(Typesofabnormalpostpartumpsychologicalmanifestations)產(chǎn)后精神病狀態(tài)(Postpartumpsychosis)不能休息、煩躁、失眠、幻想幻覺思維障礙錯(cuò)亂行為和退縮行為。(Inabilitytorest,irritability,insomnia,hallucination,thoughtdisorder,disorganizedbehaviorandwithdrawalbehavior)抑郁狀態(tài):情緒低落、抑郁自卑、自責(zé)(Depressivestate:depressedmood,depression,lowself-esteem,self-blame.)1譫妄狀態(tài):易激惹、猜疑。(Delirium:irritableandsuspicious.)2躁狂狀態(tài):少睡眠、情緒高漲。(Manicstate:lesssleep,highmood.)3幻覺妄想狀態(tài):妄想、傷人、傷物。(Hallucinatorydelusionalstate:delusions,hurtingpeopleandobjects.)4反應(yīng)性精神病:意識(shí)欠缺、定向障礙。(Reactivepsychosis:lackofconsciousness,disorientation.)5感染性精神病:高熱、行為紊亂。

(Infectiouspsychosis:hyperthermia,behavioraldisorders)6產(chǎn)后心理異常表現(xiàn)的類型(Typesofabnormalpostpartumpsychologicalmanifestations)任務(wù)實(shí)施(Taskimplementation)通過對(duì)產(chǎn)后心理異常表現(xiàn)類型的學(xué)習(xí)，我們可以判斷出該產(chǎn)婦只是出現(xiàn)產(chǎn)后抑郁，還沒有嚴(yán)重到產(chǎn)后抑郁癥。是可以通過心理調(diào)適恢復(fù)正常的。(Bylearningtheabnormalmanifestationsofpostpartumpsychology,wecanseethatthepuerperaisonlysufferingfrompostpartumblues,butnotseriouspostpartumdepression,whichcanberestoredtonormalstatethroughpsychologicaladjustment.）產(chǎn)后心理問題的影響因素(Influencingfactorsofpostpartumpsychologicalproblems)任務(wù)實(shí)施后整理(Organizationaftertaskimplementation)協(xié)助產(chǎn)婦休息。(Assistthepuerperatorest)1歸納總結(jié)記錄內(nèi)容。(Summarizeandrecord)整理用物，洗手。(Organizesuppliesandwashhands)23任務(wù)實(shí)施前評(píng)估(Assessmentbeforetaskimplementation)

環(huán)境條件:干凈，整潔，安全，溫度24-26℃，濕度50-60%，可播放柔和的音樂。(Environmentalconditions:clean,tidy,safe,temperature24-26℃,humidity50-60%,softmusiccanbeplayed.)01

物品準(zhǔn)備:舒服的椅子或者床，小型音響設(shè)備，手消毒劑等。(Supplypreparation:comfortablechairorbed,smallaudioequipment,handsanitizer,etc.)02產(chǎn)后心理異常的調(diào)適(Adjustmentofpostpartumpsychologicalabnormalities)任務(wù)實(shí)施前評(píng)估(Assessmentbeforetaskimplementation)產(chǎn)婦評(píng)估:產(chǎn)婦的心理狀態(tài)。(Maternalassessment:thepsychologicalstateofthemother.)03操作者:著裝整齊，洗手。(Operators:dressneatlyandwashhands)04產(chǎn)后心理異常的調(diào)適(Adjustmentofpostpartumpsychologicalabnormalities)產(chǎn)后心理異常的調(diào)適(Adjustmentofpostpartumpsychologicalabnormalities)產(chǎn)后抑郁（postpartumblues）加強(qiáng)與產(chǎn)婦的溝通宣傳男女平等的思想指導(dǎo)產(chǎn)婦產(chǎn)后飲食正確指導(dǎo)產(chǎn)婦嚴(yán)后的休息或鍛煉做好產(chǎn)后心理變化的宜教（Propereducationonpostpartumpsychologicalchanges）(Strengthencommunicationwithpuerpera.)(Promotetheideaofequalitybetweenmenandwomen.)(Guidepostpartumdietofthepuerpera)(Correctlyinstructthepuerperatorestorexerciseafterdelivery.)01加強(qiáng)妊娠期、分娩期及產(chǎn)褥期的健康教育，以及新生兒和嬰幼兒保健。(Strengthenhealtheducationduringpregnancy,deliveryandpuerperium,aswellasnewbornandinfanthealthcare.)產(chǎn)后心理異常的調(diào)適(Adjustmentofpostpartumpsychologicalabnormalities)產(chǎn)后抑郁癥（Postpartumdepression）02010203幫助產(chǎn)婦和家屬認(rèn)識(shí)到產(chǎn)后抑郁癥的早期癥狀和體征。(.Helpmothersandfamiliestorecognizetheearlysignsandsymptomsofpostpartumdepression.)幫助產(chǎn)婦了解如何表達(dá)內(nèi)心的煩躁和焦慮。(Helpthepuerperaunderstandhowtoexpressinn