Skocir Ana Polona, Hundley Vanora
Midwifery Department, College of Health Studies, Poljanska 26a, 1000 Ljubljana, Slovenia.
Midwifery. 2006 Mar;22(1):40-55. doi: 10.1016/j.midw.2005.05.001. Epub 2005 Dec 6.
to answer the question of whether Slovenian midwives and nurses feel prepared to take over the responsibility for the care of women with postnatal depression.
questionnaire survey using a tool designed with data from previously conducted focus groups and a literature review.
the central maternity hospital and six community centres in the Slovenian capital city of Ljubljana.
134 participants completed the questionnaire, out of 175 distributed. The sample consisted of 86 participants from the maternity hospital, who were almost evenly divided into midwives and nurses, and 48 participants from the community services, where nurses prevailed over midwives.
participants lacked knowledge of postnatal mental health, and 99% of them expressed the need for more information. They considered the woman's partner to be the most appropriate person to detect postnatal depression, and doctors to be the key people involved in the treatment. In order to take over the role of prevention, detection and management of postnatal depression, midwives and nurses felt that they would need more knowledge and more continuous contact with women.
most participants did not know the main characteristics of postnatal depression, and were not confident in their knowledge. They felt that they lacked continuity in the care they could provide, and this affected their ability to establish a trusting relationship with women.
information on postnatal mental health should be provided during undergraduate study of midwifery and nursing, and with continuous education through seminars and workshops in Slovenia. In order to enable continuity of carer, the role of the midwife should be expanded in pregnancy, and more visits in the puerperium should be planned.
回答斯洛文尼亚的助产士和护士是否觉得自己已做好准备承担起照顾产后抑郁症妇女的责任这一问题。
采用基于先前焦点小组数据和文献综述设计的工具进行问卷调查。
斯洛文尼亚首都卢布尔雅那的中央妇产医院和六个社区中心。
在分发的175份问卷中，有134名参与者完成了问卷。样本包括来自妇产医院的86名参与者，他们几乎平均分为助产士和护士，以及来自社区服务机构的48名参与者，其中护士人数多于助产士。
参与者缺乏产后心理健康方面的知识，99%的人表示需要更多信息。他们认为女性伴侣是发现产后抑郁症最合适的人选，而医生是治疗过程中的关键人物。为了承担起产后抑郁症的预防、发现和管理职责，助产士和护士觉得他们需要更多知识以及与女性进行更多持续接触。
大多数参与者不了解产后抑郁症的主要特征，对自己的知识也不自信。他们觉得自己在提供护理方面缺乏连续性，这影响了他们与女性建立信任关系的能力。
在斯洛文尼亚，应在助产士和护理专业本科学习期间提供产后心理健康方面的信息，并通过研讨会和工作坊进行持续教育。为了实现护理人员的连续性，应在孕期扩大助产士的职责，并安排更多产后访视。
