Implementation of an innovative nurse-delivered depression intervention for mothers of NICU infants.
Implementation of an innovative nurse-delivered depression intervention for mothers of NICU infants.
复制标题
DOI：
10.1097/anc.0000000000000146
复制
发表时间：
2015-04
期刊：
影响因子：
--
通讯作者：
Segre LS
中科院分区：
文献类型：
--
作者：
Chuffo Siewert R;Cline M;Segre LS
抑郁症影响了大约19%的产后妇女，越来越多的证据表明早产儿母亲的风险增加，患病率估计在28%至67%之间。目前在新生儿重症监护室（NICU）中管理与产后抑郁症相关的产妇症状的方法包括不干预抑郁症筛查和转诊。对于新生儿重症监护室婴儿抑郁的母亲，获得治疗是特别困难的，通常成为第二优先事项，因此，我们期待护士提供咨询模式。倾听访问（LV）是一种经验支持的护士提供的干预措施，重点是通过积极的反思性倾听和协作解决问题，建立关系和探索母亲的问题。在新生儿重症监护室进行了一项左心室开放试验，以评估这种干预措施对住院婴儿母亲的有效性。结果表明，LV与产妇抑郁和焦虑症状的减少有关。在描述干预措施后，本病例研究将证明作者如何利用NICU开放试验的经验，以将LV的应用扩展到这种新环境。
Depression affects approximately 19% of all postpartum women and mounting evidence indicates increased risk for mothers of preterm infants, with prevalence estimates ranging from 28% to 67%. The current approach to management of maternal symptoms related to postpartum depression in the Neonatal Intensive Care Unit (NICU) ranges from no intervention to depression screening and referral. For depressed mothers of NICU infants, obtaining treatment is especially difficult and usually becomes a secondary priority; thus, we looked to a nurse delivered counseling model. Listening Visits (LV) is an empirically supported nurse-delivered intervention that focuses on relationship building and exploration of a mother's problems through active reflective listening and collaborative problem solving. A LV open trial in the NICU has been conducted to evaluate the effectiveness of this intervention for mothers of hospitalized infants. Results indicate that LV is associated with a reduction in both maternal depressive and anxiety symptoms. This case study following the description of the intervention will demonstrate how the authors utilized the experiences from the NICU open trial in order to expand the application of LV to this new setting.