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[移动应用社交支持项目对产后感知压力和抑郁的影响]

[The Effects of a Mobile Application Social Support Program on Postpartum Perceived Stress and Depression].

作者信息

Cheng Hsuesh-Yu, Huang Tsuey-Yuan, Chien Li-Yu, Cheng Yu-Fen, Chen Fen-Ju

机构信息

MBA, RN, Head Nurse, Postpartum Care Institutions, Kaohsiung Chang Gung Memorial Hospital, Taiwan, ROC.

PhD, RN, Associate Professor, Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC.

出版信息

Hu Li Za Zhi. 2016 Dec;63(6):52-60. doi: 10.6224/JN.63.6.52.

Abstract

BACKGROUND

Postpartum depression is a common health problem for women following childbirth. Using effective social support to reduce postpartum depression has become an important issue. The current popularity of smartphones offers new possibilities for interventional methods.

PURPOSE

To investigate the effects of mobile-application-based social support programs on perceived stress and postpartum depression in postpartum women.

METHODS

The present study employs an experimental research design. 126 smartphone users at 36 weeks' gestation were assigned randomly to the intervention (n = 61) or the control (n = 65) group. The intervention group received a social-support intervention via the mobile application Line twice per week for a period of 4 weeks after childbirth. The control group did not receive the intervention. The Perceived Stress Scale-Chinese version and Edinburg Postnatal Depression Scale were used to evaluate the outcome.

RESULTS

Participants in the intervention group had significantly lower perceived stress (F = 27.25, p < .001) and postpartum depression (F = 35.73, p < .001) than their control group peers.

CONCLUSIONS

Social-support programs that are delivered via mobile applications such as Line may significantly reduce the perceived stress and postpartum depression of women during the early postpartum period. The results support the implementation of mobile-application-based social support programs in postpartum care.

摘要

背景

产后抑郁是女性产后常见的健康问题。利用有效的社会支持来减轻产后抑郁已成为一个重要问题。智能手机当前的普及为干预方法提供了新的可能性。

目的

探讨基于移动应用程序的社会支持项目对产后女性感知压力和产后抑郁的影响。

方法

本研究采用实验性研究设计。将126名妊娠36周的智能手机用户随机分为干预组(n = 61)和对照组(n = 65)。干预组在产后每周通过移动应用程序Line接受两次社会支持干预,为期4周。对照组未接受干预。采用中文版感知压力量表和爱丁堡产后抑郁量表评估结果。

结果

干预组参与者的感知压力(F = 27.25,p <.001)和产后抑郁(F = 35.73,p <.001)显著低于对照组同龄人。

结论

通过Line等移动应用程序提供的社会支持项目可能会显著降低产后早期女性的感知压力和产后抑郁。研究结果支持在产后护理中实施基于移动应用程序的社会支持项目。

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