Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned
Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned
复制标题
DOI：
10.2147/jmdh.s91559
复制
发表时间：
2016-01-01
影响因子：
3.3
通讯作者：
Gillaspy, Stephen R.
中科院分区：
文献类型：
--
作者：
Cherry, Amanda S.;Blucker, Ryan T.;Gillaspy, Stephen R.
目的：本项目的目的是描述在新生儿重症监护病房为婴儿母亲制定的产后抑郁筛查计划，并评估该筛查计划的实施情况。护士协调员促进了与母亲的沟通，以增加筛查完成率，审查严重的自我伤害项目，并进行心理健康转介。在18个月的研究期间，793名符合条件的母亲中有385人完成了筛查。结果：大约36%的母亲筛查阳性，导致了心理健康转介，另外30%的母亲筛查结果表明有明显的症状。结论：确定了几个障碍，导致筛查过程的调整，并最终为未来的筛查计划和研究提出建议。在新生儿重症监护病房开发产后抑郁筛查程序需要管理人员、医务人员、新妈妈和心理健康专家的支持、培训、实施和协调。项目开发的几个可预见的挑战需要持续评估和应对这些挑战。相关性：这项研究强调了心理学家和行为健康提供者在卫生保健中的作用不断扩大，通过多学科项目的开发和实施，尽可能早地干预患有医疗并发症的儿童和家庭的生活，以及发起此类项目的机构的关键考虑因素。
Objective: The aims of this project were to describe the development of a postpartum depression screening program for mothers of infants in the Neonatal Intensive Care Unit and assess the implementation of the screening program.Methods: Screening began at 14 days postpartum and was implemented as part of routine medical care. A nurse coordinator facilitated communication with mothers for increasing screen completion, review of critical self-harm items, and making mental health referrals. During the 18-month study period, 385 out of 793 eligible mothers completed the screen.Results: Approximately 36% of mothers had a positive screen that resulted in a mental health-referral and an additional 30% of mothers had screening results indicating significant symptoms.Conclusion: Several barriers were identified, leading to adjustments in the screening process, and ultimately recommendations for future screening programs and research. Development of a postpartum depression screening process in the Neonatal Intensive Care Unit involves support, training, implementation, and coordination from administrators, medical staff, new mothers, and mental health specialists. Several predictable challenges to program development require ongoing assessment and response to these challenges.Relevance: This study highlights the expanding role of the psychologist and behavioral health providers in health care to intervene as early as possible in the life of a child and family with medical complications through multidisciplinary program development and implementation, as well as key considerations for institutions initiating such a program.