Clinical nursing strategies and psychological intervention for self-injurious lip trauma in patients with breastfeeding depression
哺乳期抑郁症患者自伤性唇外伤的临床护理对策与心理干预研究

摘要

目的 探讨哺乳期抑郁症伴自伤性唇外伤的护理与心理干预效果。方法 选取2022年1月-2025年12月本院口腔科联合外院妇产科、临床心理科协同收治的42例哺乳期抑郁症自伤性唇外伤患者，行急诊清创缝合术，术后给予专科护理、哺乳期安全护理及系统化心理干预，对比干预前后抑郁情绪、自伤风险评分，观察伤口愈合、母乳喂养率及护理满意度。结果 42例患者唇部伤口均甲级愈合，平均拆线时间（5.2±0.8）d；干预后EPDS、HAMD-17、SIS评分均显著低于干预前（P<0.05）；护理满意度97.62%，出院后1个月纯母乳喂养率90.48%。结论 个性化临床护理联合系统化心理干预可促进伤口愈合，缓解抑郁情绪，降低自伤风险，保障母乳喂养安全，值得推广。

Abstract

Objective To investigate the nursing and psychological intervention outcomes for lactational depression patients with self-injurious lip trauma.
Methods A total of 42 patients with lactational depression and self-injurious lip trauma admitted to our hospital’s Department of Stomatology from January 2022 to December 2025, in collaboration with other hospitals’ Departments of Obstetrics/Gynecology and Clinical Psychology, underwent emergency debridement and suturing. Postoperative care included specialized nursing, lactation safety measures, and systematic psychological intervention. Depression scores and self-injury risk scores were compared before and after intervention, while wound healing, breastfeeding rates, and nursing satisfaction were evaluated.
Results All 42 patients achieved Grade A wound healing, with an average suture removal time of 5.2 ± 0.8 days. Post-intervention EPDS, HAMD-17, and SIS scores were significantly lower than pre-intervention levels (P <0.05). Nursing satisfaction reached 97.62%, and the exclusive breastfeeding rate at one month post-discharge was 90.48%.
Conclusion   Personalized clinical nursing combined with systematic psychological intervention promotes wound healing, alleviates depressive symptoms, reduces self-injury risk, and ensures safe breastfeeding, making this approach worthy of widespread adoption.