Jin Qiongai, Mori Emi, Sakajo Akiko
School of Health Sciences, Fujita Health University, Toyoake, Japan.
Graduate School of Nursing, Chiba University, Chiba, Japan.
Jpn J Nurs Sci. 2020 Oct;17(4):e12336. doi: 10.1111/jjns.12336. Epub 2020 Apr 6.
We evaluated the effectiveness of a nursing intervention program for Chinese women who are giving birth in Japan to reduce cross-cultural stressors during the postpartum period and prevent postpartum depressive symptoms.
A prospective, before-and-after study incorporating a longitudinal mixed-method design was conducted. Thirty-eight participants underwent this program from August 2016 to July 2017. The program comprised a maternity class, conversation cards, and a social-network group. Data collection was initially performed using questionnaires administered in the third trimester (T1)-before the intervention-to obtain participants' basic information, stress levels, depressive symptoms, and cognitive appraisals. Then, stress levels, depressive symptoms, and social support were measured during hospitalization after having given birth (T2) and during the first month postpartum (T3). Finally, through semi-structured interviews, cognitive appraisal, coping, stress, social support, participants' evaluations of the intervention were determined.
Post-intervention, all participants showed positive cognitive appraisals, although eight also showed some negative appraisals. At T3, 36 participants did not report experiencing stress owing to cross-cultural stressors. Furthermore, post-intervention, participants who returned scores that were suggestive of depression remained identical to that at pre-intervention (21.1%). Among the eight participants who showed postpartum depressive symptoms during T3, seven did not report experiencing cross-cultural stressors, but did report encountering maternity stressors.
The nursing intervention program may be effective for preventing postpartum depressive symptoms in Chinese women who give birth in Japan. Since this was a pre-post study in which one group was measured pre-intervention and again post-intervention, we did not register in a publicly assessible database.
我们评估了一项针对在日本分娩的中国女性的护理干预项目的有效性，该项目旨在减轻产后跨文化压力源并预防产后抑郁症状。
进行了一项采用纵向混合方法设计的前瞻性前后对照研究。2016年8月至2017年7月，38名参与者接受了该项目。该项目包括产前课程、交流卡片和社交网络小组。最初在孕晚期（T1，干预前）通过问卷调查收集数据，以获取参与者的基本信息、压力水平、抑郁症状和认知评估。然后，在产后住院期间（T2）和产后第一个月（T3）测量压力水平、抑郁症状和社会支持。最后，通过半结构化访谈确定认知评估、应对方式、压力、社会支持以及参与者对干预的评价。
干预后，所有参与者都表现出积极的认知评估，尽管有8人也表现出一些消极评估。在T3时，36名参与者未报告因跨文化压力源而感到压力。此外，干预后，抑郁评分呈阳性的参与者人数与干预前相同（21.1%）。在T3期间出现产后抑郁症状的8名参与者中，有7人未报告经历跨文化压力源，但报告遇到了孕产压力源。
该护理干预项目可能对预防在日本分娩的中国女性产后抑郁症状有效。由于这是一项前后对照研究，其中一组在干预前和干预后进行测量，我们未在可公开访问的数据库中注册。
