Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Green Tara Nepal, Kathmandu, Nepal.
BMC Pregnancy Childbirth. 2023 May 30;23(1):398. doi: 10.1186/s12884-023-05709-z.
Person-centered maternity care is a component of quality care, which includes effective communication, respect, and dignity. Supportive care has a positive effect on mothers' perinatal experience. In contrast, negative childbirth experiences can cause psychological problems. However, the impact of person-centered maternity care experience on mothers' mental health after delivery remains unknown. Therefore, in this study, we examined the association between person-centered maternity care experience at healthcare facilities and maternal mental health after delivery among Nepali women.
We conducted a cross-sectional study in urban and rural areas in Dhading District, Nepal. Participants were women who gave birth at public healthcare facilities, and their baby's age was between 1 and 12 months. After purposively selecting the target areas, we recruited the women from July to August 2019 and interviewed them using questionnaires. We conducted multiple regression analyses to analyze the association between delivery care experience and depressive symptoms and the association between delivery care experience and mental well-being.
In total, 595 women were included in the data analysis. The experience of better person-centered maternity care was associated with lower depressive symptom scores in urban (unstandardized coefficient [B]= - 0.09, p < 0.001) and rural areas (B= - 0.10, p < 0.001). Moreover, the experience of better person-centered maternity care was associated with higher mental well-being scores in both urban (B= 0.30, p < 0.001) and rural areas (B= 0.15, p = 0.017).
Person-centered maternity care was associated with lower depressive symptom scores and higher mental well-being, regardless of the setting in Nepal. Person-centered maternity care during childbirth can potentially improve mental health after delivery. Maternity care should be improved with more attention to person-centered maternity care aspects.
以患者为中心的产时护理是优质护理的一个组成部分，包括有效的沟通、尊重和尊严。支持性护理对产妇围产期体验有积极影响。相比之下，负面的分娩体验会导致心理问题。然而，以患者为中心的产时护理体验对尼泊尔产妇产后心理健康的影响尚不清楚。因此，在这项研究中，我们调查了医疗机构提供的以患者为中心的产时护理体验与尼泊尔产妇产后心理健康之间的关系。
我们在尼泊尔达丁区的城乡地区进行了一项横断面研究。参与者为在公立医疗机构分娩的女性，其婴儿年龄在 1 至 12 个月之间。在有目的地选择目标区域后，我们于 2019 年 7 月至 8 月招募了这些女性，并使用问卷对她们进行了访谈。我们进行了多元回归分析，以分析分娩护理体验与抑郁症状之间的关系，以及分娩护理体验与心理健康之间的关系。
共有 595 名女性纳入数据分析。在城市地区（未标准化系数 [B]=-0.09，p<0.001）和农村地区（B=-0.10，p<0.001），更好的以患者为中心的产时护理体验与较低的抑郁症状评分相关。此外，在城市地区（B=0.30，p<0.001）和农村地区（B=0.15，p=0.017），更好的以患者为中心的产时护理体验与更高的心理健康评分相关。
以患者为中心的产时护理与较低的抑郁症状评分和更高的心理健康评分相关，无论在尼泊尔的哪个地区都是如此。分娩时提供以患者为中心的护理可能会改善产后心理健康。应该通过更多地关注以患者为中心的护理方面来改善产妇护理。
