Effectiveness of Discharge Education on Postpartum Depression
| Autor: | Stephen M. Shea, Deborah McCarter-Spaulding |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Postpartum depression
Adult medicine.medical_specialty Psychometrics Adolescent Pharmacology (nursing) Article Depression Postpartum 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Maternity and Midwifery medicine History of depression Humans New Hampshire 030212 general & internal medicine Socioeconomic status Depression (differential diagnoses) Pregnancy 030504 nursing business.industry Obstetrics Middle Aged medicine.disease Patient Discharge Edinburgh Postnatal Depression Scale Anxiety Female medicine.symptom 0305 other medical science business |
| Popis: | Purpose To determine effectiveness of an educational intervention in reducing or preventing symptoms of postpartum depression (PPD). Study design and methods English-speaking women age 18 or older with a singleton, term, healthy newborn were recruited from an 11-bed maternity unit in Southern New Hampshire. Using a quasi-experimental design, the first 120 respondents received usual care (control), and the following 120 respondents received the education (treatment) including PPD predictors, symptoms, prevention, and management. Current risk factors were measured using the Postpartum Depression Predictors Inventory-Revised (PDPI-R). Symptoms of depression were measured using the Edinburgh Postnatal Depression Scale (EPDS) at 6 weeks, 3 months, and 6 months postpartum. Two-proportion z-tests were used to determine whether the education had a significant impact on EPDS scores at each of the three follow-ups. Results There was no significant difference in symptoms of depression as measured by the EPDS between the treatment and control group at 6 weeks, 3 months, or 6 months postpartum. However, consistent with previous studies, low socioeconomic status and a history of depression or anxiety prior to or during the pregnancy were significant predictors of PPD. Clinical implications Postpartum nursing discharge education did not decrease depression symptoms up to 6 months after discharge. More research is needed to determine the most appropriate timing and content of education about PPD. Many women at risk can be identified prior to birth. Education to improve literacy about PPD may need to be provided prenatally and reinforced during postpartum hospitalization and after discharge. |
| Databáze: | OpenAIRE |
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