Comparison of effects of nursing care to problem solving training on levels of depressive symptoms in postpartum women
Comparison of effects of nursing care to problem solving training on levels of depressive symptoms in postpartum women
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DOI：
10.1016/j.pec.2005.08.011
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发表时间：
2006-10-01
影响因子：
3.5
通讯作者：
Gozum, Sebahat
中科院分区：
文献类型：
--
作者：
Tezel, Ayfer;Gozum, Sebahat
目的：比较护理干预与问题解决训练对产后抑郁症状的影响。方法：采用前测-后测交互对照半实验模型。这项研究包括62名妇女(护理组30名，训练组32名)，她们都有产后抑郁的风险，但没有严重的抑郁症状。这些妇女没有接受药物或心理治疗，他们都识字，并同意加入土耳其埃尔祖鲁姆的这项研究。参与者(N=62)，招募了9个月，被随机分配到两组中的一组。护理组(平均年龄21岁，33.3%)对其抑郁症状进行护理。训练组(平均年龄25岁，33.9%)接受问题解决技能培训。结果：护理干预前后均进行抑郁症状评定。我们发现护理对有抑郁症状的妇女是有效的(麦克内玛检验，p<；0.001)，解决问题的训练也是有效的(mcnemar检验，p<；0.05)。采用BDI量表对护理效果和问题解决教育效果进行比较，发现护理效果明显优于单纯教育(t=4.529，p<0.05)。结论：护理和问题解决培训可以自信地应用于产后抑郁症状的初级护理中。实践提示：护士在产后抑郁症状的检测中发挥着重要的作用，可以减少抑郁症状。公共卫生护士配备了护理路径，以满足初级抑郁妇女的具体健康需求。护理环境。我们的发现表明，这两个研究项目可以取得有意义的结果，也许未来的研究可以在理论框架中解决这些问题。(C)2005爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: The aim of this study was to compare the effect of nursing intervention to the effect of problem solving training on the level of postpartum depressive symptom.Methods: We utilized a pretest-postlest mutual controlled semi experimental model for this study. The study consisted of 62 women (30 in care group and 32 in training group), all of who were at risk for postpartum depression, but without major depressive symptoms. These women were not undergoing pharmacologic or psychotherapeutic treatment, were all literate and consented to join the study in Erzurum, Turkey. Participants (N = 62), recruited over a 9 month, were randomly assigned to one of two groups. Women in care group (average age = 21, 33.3% primaparus) were given nursing care for her depressive symptoms. Women in training group (average age = 25, 33.9% primaparus) were taught problem solving skills.Results: Depressive symptoms were assessed before and after nursing interventions. We found that nursing care was effective women for with depressive symptoms (McNemar test, p < 0.001), and problem-solving training was also effective (McNemar test, p < 0.05). When the effectiveness of nursing care and the problem solving education was compared utilizing the BDI, it was found out that the nursing care was more effective than education alone (t = 4.529, p < 0.05).Conclusion: Results from this study suggest that nursing care and problem solving training may be use confidently in the primary care setting by nurses for women with postpartum depressive symptoms.Practice implication: Nurses play on important role in its detection and can reduce depressive symptoms. Public health nurses are equipped with care paths addressing specific health needs of depressed women in the primary. care setting. Our finding indicate that these two programs of study can converge with meaningful results, and perhaps future research could address these points in a theoretical frame work. (c) 2005 Elsevier Ireland Ltd. All rights reserved.