School of Nursing and Midwifery, Maternity and Family Unit, Research Centre for Clinical and Community Practice Innovation, Griffith Health Institute, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia.
Midwifery. 2013 Mar;29(3):217-24. doi: 10.1016/j.midw.2011.12.008. Epub 2012 Nov 11.
to describe perceptions of participating in a study testing the effectiveness of a perinatal emotional support intervention (Promoting Resilience in Mothers Emotions; PRIME) by women identified as experiencing emotional distress after birth.
qualitative descriptive approach. Semi-structured telephone interviews with 33 women recruited as part of a larger RCT to test the efficacy of a counselling intervention (PRIME). Women who received either (1) the intervention (counselling (or PRIME)) (n=16), (2) active control (Parenting support) (n=12), or (3) matched control (standard care) (n=5), were interviewed at 12 months postpartum. Thematic analysis of data was used.
'promoting reflection' and 'feeling cared for', were phrases that all participants used to describe their experience in the project regardless of group allocation. Women receiving PRIME reported 'getting in touch with (their) feelings' and 'moving on' as beneficial outcomes. Two women who received counselling reported 'having things left unresolved' indicating that their needs had not been met. Some women in both the active control and intervention identified that contact was 'nice but not hugely helpful or needed'.
positive outcomes of PRIME were evident and most participants desired postpartum contact. Some women needed additional follow up and targeted assistance. Findings support the importance of providing personalised postnatal care that addresses women's emotional health needs.
描述经历过产后情绪困扰的女性对参与一项围产期情绪支持干预（促进母亲情绪韧性；PRIME）研究的看法。
定性描述方法。对 33 名女性进行了半结构化电话访谈，这些女性是一项更大规模 RCT 的一部分，旨在测试咨询干预（PRIME）的效果。这些女性在产后 12 个月接受了以下三种干预措施之一：（1）干预组（咨询（或 PRIME））（n=16）、（2）活动对照组（育儿支持）（n=12）或（3）匹配对照组（标准护理）（n=5）。使用主题分析方法对数据进行分析。
所有参与者都使用了“促进反思”和“感到被关心”这两个短语来描述她们在项目中的体验，无论分组如何。接受 PRIME 的女性报告说，“接触（自己的）感受”和“继续前进”是有益的结果。两名接受咨询的女性报告说“有些事情没有得到解决”，这表明她们的需求没有得到满足。一些接受活动对照组和干预组的女性都认为，联系“很好，但不是非常有帮助或需要”。
PRIME 的积极结果是明显的，大多数参与者都希望在产后得到联系。一些女性需要额外的后续和针对性的帮助。研究结果支持提供个性化的产后护理，以满足女性的情绪健康需求的重要性。
