产后抑郁症严重程度降低的出院教育方案的效果：一项随机对照评估研究。

Effectiveness of a discharge education program in reducing the severity of postpartum depression: a randomized controlled evaluation study.

机构信息

National Changhua University of Education, Taiwan.

出版信息

Patient Educ Couns. 2009 Oct;77(1):68-71. doi: 10.1016/j.pec.2009.01.009. Epub 2009 Apr 19.

DOI:10.1016/j.pec.2009.01.009

PMID:19376677

Abstract

OBJECTIVE

The effectiveness of a hospital discharge education program including information on postnatal depression was evaluated to reduce psychological morbidity after childbirth.

METHODS

A randomized controlled trial (RCT) was conducted in a regional hospital in Taipei. Two hundred first-time mothers agreed to take part and were randomly allocated to an intervention group (n=100) or control group (n=100). The intervention group received discharge education on postnatal depression provided by postpartum ward nurses. The control group received general postpartum education. The main outcome measure was the Edinburgh Postnatal Depression Scale (EPDS) administered by postal questionnaire at six weeks and three months after delivery.

RESULTS

Women who received discharge education intervention on postnatal depression were less likely to have high depression scores when compared to the control group at three months postpartum.

CONCLUSION

A discharge educational intervention including postnatal depression information given to women during the postpartum stay benefits psychological well-being.

PRACTICE IMPLICATIONS

A postpartum discharge education program including information on postnatal depression should be integrated into postpartum discharge care in general practice.

摘要

目的

评估包括产后抑郁症信息的医院出院教育计划对降低产后心理发病率的有效性。

方法

在台北的一家地区医院进行了一项随机对照试验（RCT）。200 名初产妇同意参与，并被随机分配到干预组（n=100）或对照组（n=100）。干预组接受由产后病房护士提供的产后抑郁症出院教育。对照组接受一般产后教育。主要结局指标是产后 6 周和 3 个月时通过邮寄问卷进行的爱丁堡产后抑郁量表（EPDS）评估。