College of Nursing, University of Iowa, Iowa City, IA, USA.
J Perinatol. 2013 Dec;33(12):924-8. doi: 10.1038/jp.2013.93. Epub 2013 Aug 15.
Mothers of preterm infants in a hospital neonatal intensive care unit (NICU) are at risk for clinically significant depression and anxiety, but for these women their own treatment is likely a secondary priority. This study evaluated the feasibility, acceptability and effectiveness of an evidence-based, nurse-delivered, on-site depression treatment: listening visits (LVs).
Therapeutic LVs were delivered on site to 23 distressed mothers of NICU infants. The intervention was conducted by a neonatal nurse practitioner and the outcome was examined in an open-trial, pre-post evaluation.
A part-time nurse practitioner delivered six LVs to each participant within a 1-month time frame. LVs were associated with significantly improved mood and well-being in mothers. The majority of eligible women took advantage of LVs and felt satisfied with their care.
This open trial provides 'proof-of-concept', with results that warrant further evaluation in a multisite randomized controlled trial.
新生儿重症监护病房(NICU)中早产儿的母亲面临着明显的临床抑郁和焦虑风险,但对这些女性来说,她们自己的治疗可能是次要的。本研究评估了一种基于证据的、由护士提供的现场抑郁治疗方法:倾听探访(LVs)的可行性、可接受性和有效性。
对 23 名 NICU 婴儿的焦虑母亲进行现场治疗性 LV。干预措施由新生儿执业护士进行,在开放试验、前后评估中检查结果。
在一个月的时间内,兼职执业护士为每位参与者提供了六次 LV。LV 与母亲情绪和幸福感的显著改善相关。大多数符合条件的女性都接受了 LV,并对自己的护理感到满意。
这项开放试验提供了“概念验证”,结果值得在多地点随机对照试验中进一步评估。