Effect of nursing intervention based on Ratu's model for preventing postpartum blues and depression among primiparous women: A treatment-control design.

IF 2.9
Women's health (London, England) Pub Date : 2025-01-01 Epub Date: 2025-03-18 DOI:10.1177/17455057251323155
Amal Hashem Mohamed, Randa Mohamed Abobaker, Mohammed Ibrahim Touni Ibrahim, Mohammad Mousa AlHseinat, Howayda Mohammed Ali, Radwa Ahmed Abdel Razek, Abdulrhman Albougami, Daniel Joseph E Berdida, Samah Ramdah Ibrahim Elrefaey
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Abstract

Background: Postpartum is a period of physiological and psychological adaptations among women. This period may negatively impact the mother's life quality, mother-to-baby relationship, and family dynamics because of some psychological issues (e.g., postpartum blues (PPB) or postpartum depression (PPD)) they are experiencing.

Objectives: To investigate the effect of nursing interventions based on Ratu's model for preventing PPB and PPD among primiparous women.

Design: A treatment-control design included 120 primiparous women attending a university hospital's Obstetrics and Gynecology Outpatient Department.

Methods: We used five validated self-report scales (Maternal Attitudes Questionnaire, Coping Orientation for Problem Experiences, Multidimensional Scale of Perceived Social Support, Edinburgh Postnatal Depression Scale, and Kennerley's Blues Questionnaire) to collect data from December 2022 to October 2023. The control group received routine postpartum care (e.g., dietary guidance, maternal, and newborn care). The study group received routine postpartum care and educational intervention based on Ratu's model. The intervention was conducted for three sessions (every 9 days for 50-60 min) within 27 days. Both groups answered all questionnaires using the same tools before and after the study. Fisher's exact test, paired t-test, and logistic regression were used for data analyses.

Results: The nursing intervention based on Ratu's model demonstrated significant differences between the two groups relative to the stimulus of pregnant women (p = 0.001), coping mechanism (p = 0.001), behavioral response (p = 0.001), and social support (p = 0.002). Results showed that 91.7% (study) and 56.6% (control) reported without PPD after the intervention, depicting a significant difference between the two groups (p = 0.005). Finally, participants' age (p = -0.002), educational level (p = 0.0031), social support (p = 0.001), and pregnancy outcome (p = 0.01) were associated with lower PPB and PPD incidence.

Conclusion: Nurses, midwives, and other healthcare professionals working with pregnant and postpartum women may utilize the nursing intervention program based on Ratu's model to prevent or minimize PPB and PPD.

基于Ratu模型的护理干预对预防初产妇产后忧郁和抑郁的效果:治疗-对照设计
背景:产后是女性生理和心理适应的时期。这一时期可能会对母亲的生活质量、母婴关系和家庭动态产生负面影响,因为她们正在经历一些心理问题(例如,产后抑郁(PPB)或产后抑郁症(PPD))。目的:探讨基于Ratu模型的护理干预在预防初产妇PPB和PPD中的效果。设计:治疗对照设计包括120名在某大学医院妇产科门诊就诊的初产妇。方法:采用五种经验证的自我报告量表(母亲态度量表、问题经验应对取向量表、感知社会支持多维量表、爱丁堡产后抑郁量表和肯纳利抑郁量表)收集2022年12月至2023年10月的数据。对照组接受常规产后护理(如饮食指导、产妇和新生儿护理)。研究组按照Ratu模型进行常规产后护理和教育干预。干预在27天内进行三次(每9天进行一次,每次50-60分钟)。两组在研究前后都使用相同的工具回答了所有的问卷。数据分析采用Fisher精确检验、配对t检验和逻辑回归。结果:基于Ratu模型的护理干预在孕妇的刺激(p = 0.001)、应对机制(p = 0.001)、行为反应(p = 0.001)和社会支持(p = 0.002)方面,两组之间存在显著差异。结果显示,干预后91.7%(研究组)和56.6%(对照组)报告无PPD,两组差异有统计学意义(p = 0.005)。最后,参与者的年龄(p = -0.002)、教育水平(p = 0.0031)、社会支持(p = 0.001)和妊娠结局(p = 0.01)与PPB和PPD发生率降低相关。结论:护士、助产士和其他与孕妇和产后妇女一起工作的医疗保健专业人员可以利用基于Ratu模型的护理干预方案来预防或减少PPB和PPD。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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