Evaluation of an interpersonal-psychotherapy-oriented childbirth education programme for Chinese first-time childbearing women: A randomised controlled trial
Evaluation of an interpersonal-psychotherapy-oriented childbirth education programme for Chinese first-time childbearing women: A randomised controlled trial
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DOI：
10.1016/j.ijnurstu.2010.03.002
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发表时间：
2010-10-01
影响因子：
8.1
通讯作者：
Hao, Yuantao
中科院分区：
文献类型：
--
作者：
Gao, Ling-ling;Chan, Sally Wai-chi;Hao, Yuantao
目的：探讨以人际心理治疗为导向的分娩心理教育方案对中国初产妇产后抑郁、心理健康和人际关系满意度的影响。方法：在中国某地区医院妇产科门诊进行随机对照研究。干预是基于人际心理治疗的原则，包括两节90分钟的产前课程和产后2周内的电话随访。将194例初孕妇女随机分为干预组(96例)和对照组(98例)。采用爱丁堡产后抑郁量表、一般健康问卷和人际关系满意度量表分别对产后抑郁症状、心理健康状况和人际关系满意度进行测评。结果：接受分娩心理教育的产妇心理健康状况明显改善(t=-3.33，p=0.001)，抑郁症状明显减少(t=-3.76，p=0.000)，人际关系改善(t=3.25，p=0.000)。P=0.001)。结论：以人际心理治疗为导向的分娩心理教育方案可以作为常规分娩教育实施，并进行持续评估。在更多不同的研究群体中重复这项研究，如抑郁症高危母亲、多胎、多胎或经产妇，将提供有关该方案效果的进一步信息。(C)2010爱思唯尔有限公司。保留所有权利。
Objective: This study investigated the effects of an interpersonal-psychotherapy-oriented childbirth psychoeducation programme on postnatal depression, psychological wellbeing and satisfaction with interpersonal relationships in Chinese first-time childbearing women.Method: A randomised, controlled trial was conducted in the maternity clinic of a regional hospital in China. The intervention was based on the principles of interpersonal psychotherapy, and consisted of two 90-min antenatal classes and a telephone follow-up within 2 weeks after delivery. One hundred and ninety-four first-time pregnant women were randomly assigned to the intervention group (n = 96) or a control group (n = 98). Outcomes of the study included symptoms of postnatal depression, psychological wellbeing and satisfaction with interpersonal relationships, which were measured by the Edinburgh Postnatal Depression Scale (EPDS), General Health Questionnaire (GHQ) and Satisfaction with Interpersonal Relationships Scale (SWIRS), respectively.Results: Women receiving the childbirth psychoeducation programme had significantly better psychological well-being (t = -3.33, p = 0.001), fewer depressive symptoms (t = -3.76, p = 0.000) and better interpersonal relationships (t = 3.25, p = 0.001) at 6 weeks postpartum as compared with those who received only routine childbirth education.Conclusion: An interpersonal-psychotherapy-oriented childbirth psychoeducation programme could be implemented as routine childbirth education with ongoing evaluation. Replication of this study with more diverse study groups, such as mothers with high risks to depression, those with multiple, complicated or multiparas pregnancies, would provide further information about the effects of the programme. (C) 2010 Elsevier Ltd. All rights reserved.