Health Science Centre, Shenzhen University, Shenzhen 518060, China.
Department of Nursing, School of Medicine, Xiamen University, Xiamen 361102, China.
Int J Environ Res Public Health. 2021 Apr 21;18(9):4402. doi: 10.3390/ijerph18094402.
(1) Some primiparous women are usually confronted with many parenting problems after childbirth, which can negatively influence the wellbeing of some mothers and infants. Evidence identified that internet interventions can include more tailored information, reach a larger research group, and supply more anonymity than face-to-face traditional interventions. Therefore, the internet-based support program (ISP) was designed to improve the parenting outcomes for Chinese first-time mothers. (2) : A multicenter, single-blinded, pilot randomized controlled trial was conducted. From May to October 2020, a total of 44 participants were recruited in the obstetrical wards of two tertiary hospitals in China. Eighteen women in the control group received routine postnatal care; while eighteen women in the intervention group accessed to the ISP and routine postnatal care. The duration of intervention was not less than three months. Intervention outcomes were assessed through questionnaires before randomization (T0), immediately after intervention (T1), and three months after intervention (T2). The Self-efficacy in Infant Care Scale (SICS), Edinburgh Postnatal Depression Scale (EPDS), and Postpartum Social Support Scale (PSSS) were included to measure MSE, postpartum depression (PPD), and social support, respectively. (3) No significant difference between the two groups were found in terms of the baseline social-demographic characteristics; and the scores of SICS, EPDS and PSSS at T0 ( > 0.05). Repeated measures multivariate analysis of covariance found that women in the intervention group had a higher MSE score at T1 (6.63, = 0.007), and T2 (5.75, = 0.020); a lower EPDS score at T1 (3.11, = 0.003), and T2 (2.50, = 0.005); and a higher PSSS score at T1 (4.30, = 0.001); and no significant difference at T2 (0.35, = 0.743), compared with women in the control group. (4) : The effect of ISP was evaluated to significantly increase primiparous women's MSE, social support, and to alleviate their PPD symptoms. However, the small sample in pilot study restricted the research results. Therefore, the ISP should be further investigated with a larger, diverse sample to confirm whether it should be adopted as routine postnatal care to support primiparous women on parenting outcomes and mental wellbeing in the early stage of motherhood.
(1) 一些初产妇在产后通常会面临许多育儿问题，这会对一些母亲和婴儿的健康产生负面影响。有证据表明，互联网干预可以包括更有针对性的信息，覆盖更大的研究群体，并提供比面对面传统干预更多的匿名性。因此，设计了基于互联网的支持计划（ISP），以改善中国初产妇的育儿结果。(2) ：这是一项多中心、单盲、试点随机对照试验。2020 年 5 月至 10 月，共有 44 名参与者在中国两家三级医院的产科病房招募。对照组 18 名妇女接受常规产后护理；而干预组 18 名妇女则可以访问 ISP 和常规产后护理。干预持续时间不少于三个月。在随机分组前（T0）、干预后立即（T1）和干预后三个月（T2）通过问卷评估干预结果。自我效能婴儿护理量表（SICS）、爱丁堡产后抑郁量表（EPDS）和产后社会支持量表（PSSS）分别用于测量 MSE、产后抑郁（PPD）和社会支持。(3) ：两组在基线社会人口统计学特征方面无显著差异；并且在 T0 时 SICS、EPDS 和 PSSS 的评分（>0.05）。重复测量多元协方差分析发现，干预组妇女在 T1 时的 MSE 评分更高（6.63，=0.007），T2 时的 MSE 评分更高（5.75，=0.020）；T1 时的 EPDS 评分更低（3.11，=0.003），T2 时的 EPDS 评分更低（2.50，=0.005）；T1 时的 PSSS 评分更高（4.30，=0.001）；而 T2 时无显著差异（0.35，=0.743），与对照组妇女相比。(4) ：评估 ISP 的效果显著增加了初产妇的 MSE、社会支持，并减轻了她们的 PPD 症状。然而，试点研究中的小样本限制了研究结果。因此，应该用更大、更多样化的样本进一步研究 ISP，以确定它是否应该作为常规产后护理，以支持初产妇在母亲身份早期的育儿结果和心理健康。
