“家访”式医疗保健对产后抑郁症的影响：一项对照临床试验
Effect of Health Care as the "Home Visiting" on Postpartum Depression: A Controlled Clinical Trial.
作者信息
Milani Hourieh Shamshiri, Amiri Parastoo, Mohsey Maryam, Monfared Esmat Davoudi, Vaziri Seyyed Mohammadreza, Malekkhahi Akram, Salmani Fatemeh
机构信息
Department of Health and Community Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Departmetnt of Health and Community Medicine, Faculty of Medicine, Baqiyatallah Medical Sciences University, Tehran, Iran.
出版信息
Int J Prev Med. 2017 Apr 6;8:20. doi: 10.4103/2008-7802.204003. eCollection 2017.
BACKGROUND
Postpartum depression is considered as a major health complication of women after delivery. It is necessary to find an essential approach for the prevention of its serious consequences on mothers' and infants' health. The aim of this study was to investigate the effect of home visiting on postpartum depression.
METHODS
The first stage of study was the design of postpartum package. According to the package, a clinical trial was performed for 276 mothers who had delivered in affiliated hospitals of Shahid Beheshti University in 2013 and were divided into two groups, i.e., control group and intervention group. Intervention group received health care by home visiting, and control group had no intervention. Mothers were supposed to fill up Edinburgh Postnatal Depression Scale before and 60 days after delivery, and the results were compared. The data were analyzed by SPSS version 18 software and -test, Chi-square, and logistic regression test.
RESULTS
The mean ages of participants were 27.03 ± 5.2 standard deviation (SD) in intervention group and 27.37 ± 5.4 SD in control group. Occurrence of depression was 7.6% in intervention group and 19% in control group, and there was a significant difference between two groups ( < 0.05). The logistic regression results indicate that groups (intervention and control) ( = 0.087, odds ratio [OR] =2.1); planned and unplanned pregnancy ( = 0.028, OR = 2.5) and the infant nutrition ( = 0.025, OR = 2.2) are significantly associated with the postpartum depression.
CONCLUSIONS
Providing postpartum home visiting can influence postpartum depression in a positive way and could improve mothers' and infants' health.
背景
产后抑郁被认为是女性产后的一种主要健康并发症。有必要找到一种关键方法来预防其对母亲和婴儿健康造成的严重后果。本研究的目的是调查家访对产后抑郁的影响。
方法
研究的第一阶段是设计产后套餐。根据该套餐，对2013年在沙希德·贝赫什提大学附属医院分娩的276名母亲进行了一项临床试验，这些母亲被分为两组，即对照组和干预组。干预组通过家访接受医疗保健，对照组不进行干预。母亲们需要在分娩前和分娩后60天填写爱丁堡产后抑郁量表，并比较结果。数据使用SPSS 18版软件进行分析，采用t检验、卡方检验和逻辑回归检验。
结果
干预组参与者的平均年龄为27.03±5.2标准差（SD），对照组为27.37±5.4 SD。干预组的抑郁发生率为7.6%，对照组为19%，两组之间存在显著差异（P<0.05）。逻辑回归结果表明，分组（干预组和对照组）（P = 0.087，比值比[OR]=2.1）；计划内和计划外怀孕（P = 0.028，OR = 2.5）以及婴儿营养（P = 0.025，OR = 2.2）与产后抑郁显著相关。
结论
提供产后家访可以对产后抑郁产生积极影响，并能改善母亲和婴儿的健康。
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