Effect of horticultural therapy on postpartum posttraumatic stress disorder and medical coping method of perinatal depression patients / 中国实用护理杂志

ABSTRACT

Objective:To investigate the effect of horticultural therapy on postpartum posttraumatic stress disorder and medical coping method of perinatal depression patients and to provide reference for perinatal depression patients.Methods:A total of 124 perinatal depression patients in Xuchang Maternity and Child Health Hospital from January 2018 to December 2019 were divided into experimental group (62 cases) and control group (62 cases) by random digits table method. The control group received routine nursing, while patients in the experimental group carried out horticultural therapy based on the outine nursing. Before and after intervention, the depression levels were assessed by Postpartum Depression Screening Scale (PDSS), posttraumatic stress was evaluated by Posttraumatic stress CheckList-Civilian version (PCL-C), medical coping method was assessed by Medical Coping Method Questionnaire (MCMQ), respectively.Results:There was no significant difference in the score of PDSS, PCL-C, MCMQ before intervention between the two groups( P>0.05). After intervention, the scores of sleeping/eating disturbance, anxiety/insecurity, emotional lability, cognitive impairment, guilt/shame, contemplating harming oneself, and total PDSS were (8.95 ± 1.37), (9.53 ± 1.57), (10.02 ± 0.79), (7.78 ± 1.43), (9.36 ± 1.81), (7.14 ± 1.56), (61.86 ± 3.78) points in the experimental group, significantly lower than those in the control group (10.11 ± 1.45), (10.96 ± 2.41), (10.81 ± 1.43), (8.61 ± 1.67), (10.35 ± 1.64), (7.84 ± 1.72), (67.93 ± 5.12) points, the differences were statistically significant ( t values were 2.320-7.239, P<0.05). The scores of arousal symptoms, avoidance/numbing, re-experiencing symptoms and total PCL-C were (7.12 ± 0.81), (9.12 ± 1.61), (5.42 ± 1.09), (21.66 ± 2.03) points in the experimental group, significantly lower than in the control group (7.93 ± 1.32), (9.81 ± 2.07), (6.16 ± 1.35), (23.89 ± 2.37) pionts, the differences were statistically significant ( t values were 2.001-5.463, P<0.05). The MCMQ scores in avoidance and yielding were (10.78 ± 2.14), (9.81 ± 2.74) points in the experimental group, significantly lower than in the control group (11.89 ± 2.78), (10.86 ± 2.66) points; their score of facing were (17.39 ± 2.59) points in the experimental group, significantly higher than in the control group (15.95 ± 2.63) points, the difference was statistically significant ( t values were 2.413, 2.971, 2.085, P<0.05). Conclusions:Horticultural therapy can alliviate depression, decrease postpartum posttraumatic stress disorder and promote medical coping method of perinatal depression patients.