中文摘要：

目的 探讨结构性积极养育计划对产后抑郁患病的影响及其在产后访视中的应用.方法 针对在本院5家社区健康服务中心管理的723例产妇,在第1周产后访视时,利用Zung焦虑-抑郁自评量表进行评分,评分结果显示有61例产妇患有不同程度的抑郁症,将抑郁症患者随机分为治疗组31例、对照组30例.对照组采用常规护理模式进行一般护理,治疗组在对照组常规护理的基础上进行结构性积极养育计划的干预,在治疗6周后利用爱丁堡产后抑郁量表（EPDS）对患者进行测评.结果 产后1周,723例产妇中有抑郁症状的患者有61例,比例为8.44%.经过6周的干预后,将治疗组和对照组患者的EPDS得分进行比较,差异有统计学意义（P 〈 0.05）.结论 将结构性积极养育计划应用于产后访视能够有效降低抑郁程度,值得社区推广应用.

英文摘要：

Objective To investigate the influence of positive parenting program （Triple P） in reducing postpartum depres- sion and its application in postpartum visits. Methods Seven hundred and twenty-three cases of maternal in five commu- nity health service centers were visited after one week postpartum, and all filled in Zung Evaluation Form, 61 cases of postpartum depression occurred, who were divided into 31 cases of treatment group and 30 cases of control group. General care was implemented in all groups, besides, positive parenting program was applied to the treatment group. The two group patients filled in the EPDS Form after six weeks＂ treatment, and the result was reevaluated. Results In the 723 maternal, there were 61 cases of postpartum depression, accounted for 8.44%. After six weeks＂ positive parenting programs, there was significant difference of the EPDS Form bwtween two groups （P 〈 0.05）. Conclusion The positive parenting program can effectively reduce the severity of depression and the widely use of them in post-natal visits should be encouraged.