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评估一个在线教育试点项目,以提高南澳大利亚农村地区助产士在围产期心理健康方面的知识、技能和信心。

Evaluation of a pilot online education program to develop midwives' knowledge, skill and confidence in perinatal mental health in rural South Australia.

机构信息

School of Health and Social Care, Edinburgh Napier University, United Kingdom.

UniSA Department of Rural Health, University of South Australia, Australia.

出版信息

Women Birth. 2024 Mar;37(2):355-361. doi: 10.1016/j.wombi.2023.11.005. Epub 2023 Dec 9.

Abstract

UNLABELLED

One in five women will experience perinatal anxiety and/or depression. In South Australia, a rural health service identified a high proportion of women with risk of perinatal mental health challenges and sought additional education for midwives. In response, a six-week facilitated, online perinatal mental health education program (e-PMHEP) was piloted.

AIM

The aim of this study was to evaluate the effectiveness of the (e-PMHEP) for rural midwives, nurses and Aboriginal maternal infant care practitioners.

METHOD

Program evaluation incorporated a validated online pre/post survey to assess self-reported knowledge, skill and confidence regarding perinatal mental healthcare. Additional questions sought feedback on satisfaction and feasibility.

FINDINGS

Sixteen participants from rural South Australia engaged in the project from June to August 2022. Twelve participants completed the online pre/post survey. The overall pre/post knowledge scores were statistically significant (t = 2.73, 8df, p = 0.025) with improvement from the pre to post-test. Pre/post data also showed a measurable increase in confidence and skills. All respondents agreed that the content addressed their learning needs and would recommend this program to other practitioners.

DISCUSSION

The e-PMHEP appeared beneficial in developing knowledge, skills and confidence regarding perinatal mental healthcare in rural midwives and practitioners. Only a third of practitioners routinely developed a mental health care plan with women. Key strengths of the program included the accessible content, and the combination of an experienced mental health clinician and a facilitator with lived experience.

CONCLUSION

Providing an accessible, facilitated online perinatal mental health education program could be beneficial for rural midwives.

摘要

未标注

五分之一的女性将经历围产期焦虑和/或抑郁。在南澳大利亚,一家农村卫生服务机构发现相当比例的女性有围产期心理健康挑战的风险,并为助产士寻求额外的教育。作为回应,一个为期六周的、有针对性的在线围产期心理健康教育计划(e-PMHEP)被试行。

目的

本研究旨在评估该(e-PMHEP)对农村助产士、护士和土著母婴护理从业者的有效性。

方法

项目评估纳入了一项经过验证的在线预/后调查,以评估参与者自我报告的围产期心理健康护理知识、技能和信心。此外,还询问了对满意度和可行性的反馈。

发现

2022 年 6 月至 8 月期间,来自南澳大利亚农村的 16 名参与者参与了该项目。12 名参与者完成了在线预/后调查。总体知识得分具有统计学意义(t=2.73,8df,p=0.025),预测试后得分有所提高。预/后数据还显示,信心和技能有明显提高。所有受访者均同意该内容满足他们的学习需求,并将向其他从业者推荐该计划。

讨论

e-PMHEP 似乎有利于提高农村助产士和从业者围产期心理健康护理方面的知识、技能和信心。只有三分之一的从业者通常会为女性制定心理健康护理计划。该计划的主要优势包括可访问的内容,以及经验丰富的心理健康临床医生和具有生活经验的协调员的结合。

结论

提供一个易于访问的、有针对性的在线围产期心理健康教育计划可能对农村助产士有益。

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