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电话咨询对产后初产妇抑郁的影响:一项随机对照试验。

The effect of telecounseling on depression in primiparous mothers during the postpartum period: A randomized controlled trial.

机构信息

Department of Midwifery, Faculty of Health Sciences, Ondokuz Mayis University, Samsun, Turkey.

Faculty of Health Sciences, Department of Nursing, Ondokuz Mayıs University, Kurupelit Campus, Samsun, Turkey.

出版信息

Nurs Health Sci. 2024 Sep;26(3):e13136. doi: 10.1111/nhs.13136.

Abstract

Postpartum depression is one of the most common mental health disorders in women after giving birth. This study was conducted to examine the effect of telecounseling support on depression in primiparous mothers. This study was conducted as a randomized controlled trial with a parallel group pretest-posttest design. The study comprised 50 participants each in the intervention and control groups. Face-to-face interviews were conducted with all participants, and the Maternal Information Form and the Edinburgh Postpartum Depression Scale (EPDS) were administered. The intervention group received telecounseling for 6 weeks, while the control group received routine postnatal care. After the 6-week period, EPDS was re-administered to both groups. In the intervention group, the EPDS mean score decreased from 7.12 ± 3.96 to 6.34 ± 3.73 after telecounseling (p < 0.001). Conversely, in the control group, the EPDS mean score increased from 6.62 ± 3.55 to 7.90 ± 4.65 without any intervention (p = 0.002). The results indicate that telecounseling is an effective method for reducing the risk of depression among mothers during the postpartum period. It is recommended that healthcare professionals extend their support by providing telecounseling for mothers.

摘要

产后抑郁症是女性产后最常见的心理健康障碍之一。本研究旨在探讨远程心理咨询支持对初产妇抑郁的影响。本研究采用随机对照试验,平行组前后测设计进行。研究纳入 50 名干预组和 50 名对照组参与者。所有参与者均进行面对面访谈,并使用产妇信息表和爱丁堡产后抑郁量表(EPDS)进行评估。干预组接受 6 周的远程心理咨询,对照组接受常规产后护理。6 周后,再次对两组进行 EPDS 评估。干预组 EPDS 平均评分从 7.12±3.96 降至 6.34±3.73(p<0.001)。相反,对照组 EPDS 平均评分从 6.62±3.55 升至 7.90±4.65(无任何干预)(p=0.002)。结果表明,远程心理咨询是降低产后母亲抑郁风险的有效方法。建议医疗保健专业人员通过为母亲提供远程心理咨询来提供支持。

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