中文摘要：

目的研究并探讨结构性产妇积极养育计划应用于社区产后访视中对产后抑郁的影响。方法选取5家社康服务中心于2010年1月1日～2012年12月31日期间收治的产后抑郁患者1053例，由经过正规培训的社区医护人员对其进行管理，并于产后第1周进行访视。将患者分为两组，对照组（500例）实施常规护理干预，治疗组（553例）在常规护理的基础上应用结构性积极养育计划。采用Zung焦虑-抑郁量表对产妇的抑郁程度进行全面调查，并于护理干预实施6周后，采用爱丁堡产后抑郁量表（EPDS）对两组患者的抑郁程度进行对比分析。结果结果显示，1053例患者的产后抑郁（轻、中、重度）发生率分别为61．82％、24．22％、13．96％。对两组患者实施6周护理干预后，比较其EPDS得分情况，治疗组EPDS得分明显低于对照组[（5．38±2.31）分比（7．35±2．69）分]，差异有统计学意义（P〈0．05）。结论目前，结构性积极养育计划在国内尚未有相关的报道，将结构性积极养育计划引人产后访视，形成一种更新的、更全面的产后访视的方法和模式。通过TripleP模式的干预，可以有效地降低产后抑郁程度。

英文摘要：

Objective To research and discuss the influences of maternal structural positive parenting on postpartum depression when applied in community postpartum visit. Methods 1053 patients with postpartum depression were se- lected from 5 social health communities admitted from January 1 in 2010 to December 12 in 2012. All the patients were managed by formal-trained community staff, and followed up at the first postpartum week. Patients were divided into two groups： the control group （500 cases） was given conventional nursing intervention, while the treatment group （553 cases） was given structural positive parenting in addition to the conventional nursing. Zung anxiety and depression Scale level was adopted to conduct a comprehensive survey of maternal depression, and in nursing intervention after six weeks, the Edinburgh postnatal depression scale （EPDS） degree of two groups of patients with depressibn were ana- lyzed. Results The results showed that the incidences of 1053 patients with postpartum depression （mild, moderate, se- vere） were 61.82%, 24.22% and 13.96% respectively. After a 6-week nursing intervention, EPDS scores were com- pared, and EPDS scores of treatment group were obviously lower than those of the control group [（5.38±2.31） scores vs （7.35±2.6） scores], with statistical significance （P 〈 0.05）. Conclusion Structural positive parenting has not yet been re- ported in China till present. So introducing the parenting plans to postpartum visit may form a newer and more com- prehensive method and model for postpartum visit. By the intervention of Triple P mode, the degree of postpartum de-