Department of Public Health and Caring Sciences, Faculty of Medicine, Uppsala University, BMC, Husargatan 3, Box 564, 751 22, Uppsala, Sweden.
Department of Community Health, Faculty of Public Health, Kasetsart University Chalermphrakiat Sakonnakhon Province Campus, Chiang Khruea sub-district, Muang Sakon Nakhon, Sakon Nakhon Province, Thailand.
BMC Public Health. 2020 Dec 30;20(1):1926. doi: 10.1186/s12889-020-10086-9.
During the perinatal period women lack screening and treatments for perinatal depressive symptoms, while public health professionals (PHPs) in primary care centres (PCCs) need training for identification and management of such symptoms. This quasi-experimental study was aimed at evaluating knowledge, attitudes and self-efficacy among PHPs after participating in a Knowledge, Attitude, and Self-efficacy (KAS) program for identification and management of perinatal depressive symptoms.
The KAS-program, carried through in Sakonnakhon in north-eastern Thailand, comprised one day of theory and a four-week period of field practice. Thirty-three PHPs from PCCs participated in the program. Twenty-three of them participated in focus group discussions (FGDs). Chi-square for trend, paired-sample T-tests and content analysis were used.
Knowledge, attitude and self-efficacy scores increased after the PHPs had fully participated in the KAS-program. Four categories emerged from the FGDs: increased understanding and knowledge, being aware and having a positive attitude, having confidence and ability to work, and need of regular training and feedback.
The KAS-program may contribute to giving PHPs in PCCs the knowledge, positive attitude and self-efficacy they need to identify and manage perinatal depressive symptoms. Implementation of the KAS-program to other healthcare professionals such as nurses/midwives is great of interest.
围产期妇女缺乏围产期抑郁症状的筛查和治疗，而初级保健中心的公共卫生专业人员（PHPs）需要接受培训以识别和管理这些症状。本准实验研究旨在评估参与围产期抑郁症状识别和管理的知识、态度和自我效能（KAS）计划后 PHPs 的知识、态度和自我效能。
KAS 计划在泰国东北部的沙功那空府进行，包括一天的理论学习和四周的实地实践。来自 PCCs 的 33 名 PHPs 参加了该计划。其中 23 人参加了焦点小组讨论（FGD）。采用趋势卡方检验、配对样本 T 检验和内容分析。
PHPs 全面参与 KAS 计划后，知识、态度和自我效能评分均有所提高。FGD 中出现了四个类别：理解和知识增加、意识和积极态度、信心和工作能力、定期培训和反馈的需求。
KAS 计划可能有助于为 PCCs 的 PHPs 提供识别和管理围产期抑郁症状所需的知识、积极态度和自我效能。向护士/助产士等其他医护人员实施 KAS 计划非常有意义。
