Shorey Shefaly, Chan Wai-Chi Sally, Chong Yap Seng, He Hong-Gu
School of Health Sciences, Nanyang Polytechnic, Singapore.
J Adv Nurs. 2015 Jan;71(1):193-203. doi: 10.1111/jan.12461. Epub 2014 Jun 9.
To report a trial protocol that evaluates the effectiveness of postnatal psychoeducation programme in improving maternal parental self-efficacy and social support and in reducing postnatal depression among primiparas.
Primiparas encounter physical, psychosocial and newborn care challenges in the early postnatal period. However, primiparas do not receive adequate professional support after early discharge from hospitals, thus hindering their adaptation to new role as mothers and smooth transition to motherhood. Postnatal psychoeducation programmes have been shown to be effective in improving pregnant women's health. However, there is a lack of theory-based, postnatal psychoeducation interventions for primiparas.
A randomized controlled trial of two-group pretest and repeated posttests is proposed.
The study will recruit a minimum of 114 primiparas on the day of discharge from a Singaporean public hospital (protocol approved in May 2012). Eligible participants will be randomly allocated to either a control group (receiving routine care) or an experimental group (receiving a postnatal psychoeducation programme besides routine care). Outcome measures include maternal parental self-efficacy, social support and postnatal depression. Data will be collected at baseline (on the day of discharge), 6 and 12 weeks postpartum.
This will be the first study of its kind that will use rigorous study design to evaluate a theory-based innovative postnatal psychoeducation programme on maternal outcomes. The study may identify a potentially effective way of enhancing primiparas' self-efficacy and social support, which may in turn reduce their risk of postnatal depression. The Sigma Theta Tau International Upsilon Eta Chapter funded this study.
报告一项试验方案，该方案旨在评估产后心理教育计划在提高初产妇的育儿自我效能感和社会支持以及减少产后抑郁方面的有效性。
初产妇在产后早期会面临身体、心理社会和新生儿护理方面的挑战。然而，初产妇在早期出院后没有得到足够的专业支持，这阻碍了她们适应母亲这一新角色并顺利过渡到母亲身份。产后心理教育计划已被证明在改善孕妇健康方面是有效的。然而，缺乏针对初产妇的基于理论的产后心理教育干预措施。
建议进行两组前测和重复后测的随机对照试验。
该研究将在新加坡一家公立医院出院当天招募至少114名初产妇（方案于2012年5月获批）。符合条件的参与者将被随机分配到对照组（接受常规护理）或实验组（除常规护理外还接受产后心理教育计划）。结果测量包括产妇的育儿自我效能感、社会支持和产后抑郁。数据将在基线（出院当天）、产后6周和12周收集。
这将是同类研究中的首个研究，它将采用严谨的研究设计来评估一项基于理论的创新性产后心理教育计划对产妇结局的影响。该研究可能会确定一种潜在有效的方法来提高初产妇的自我效能感和社会支持，这反过来可能会降低她们产后抑郁的风险。西格玛·西塔·陶国际优普西隆·埃塔分会资助了这项研究。
