Influences of family-centered maternity care nursing on puerperal depression of delivery women during puerperal period

Abstract

Objective: Discuss the preventive effects of family-centered maternity care nursing on puerperal depression of delivery women during puerperal period and relieve burden of natural delivery women and decrease the possibility of delivery women's postpartum depression. Methods: 120 natural delivery women in the obstetrics of Yuhuangding Hospital from July 2015 to 2016 were randomly divided into two groups: the control group (n=60) was endowed with the conventional nursing. Delivery women accepted examination of prepartum, instruction of delivery, and conventional nursing of puerperium. The experimental group (n=60) accepted the family-centered maternity care nursing based on the control group. There was no statistical significance on age, cycle of gestation, education level, personal incomes and frequency of gestation (P>0.05) in both group, showing comparability. Before nursing and after one month of postpartum, Self-Rating Anxiety Scale (SAS) and Edinburgh Postpartum Depression (EPDS) were applied to do effect evaluation. Incidence of puerperal depression of delivery women in both groups were observed and compared. Results: By making a comparison on SAS and EPDS between two groups, there was no statistical significance at pre-care nursing in both groups, but scores after birthplace in both groups were slightly reduced by comparing with pre-care nursing. Moreover, significance of the experimental group was less than the control group (P<0.05). The depression rate in the control group was up to 53%, while the experimental group was only 37%. The number of the depression in the experimental group was obviously less than the control group. The difference between them had statistical significance (χ 2 =9.6, P<0.05). Conclusions: Family-centered maternity care nursing has the important role on relieving puerperal depression and improving life quality of delivery women, thus delivery women will pass through delivery period and puerperium without pressure.

Family-centered collaborative care for patients with chronic mental illness: A systematic review

“…This presentation of the data showed that FCCC is most effective in improving patient outcomes. [ 14 15 16 17 18 19 20 21 22 23 24 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 ] Several quotations supporting participants’ experiences were unclear because they were rarely accompanied by references to the source or context of the examples, and quotations were unclear whether they came from patients with psychosis, caregivers, or health system staff in this mixed-methods and qualitative study. [ 50 51 ]…”

“…Several RCTs were single blind; allocation concealment[ 14 35 ] or outcome assessor blinding[ 15 41 ] was done appropriately in these RCTs, although eight numbers of RCTs were double-checked blindly with allocation concealment and outcome assessor blinding[ 16 19 39 40 43 44 45 46 ] and the rest of them were not checked blindly. Besides, research designs were not mentioned in some studies,[ 23 24 35 39 40 49 ] while other studies did well with their research designs.…”

“…Researchers describe the method of recruitment in their studies, and based on a study by Kumar et al ., (2019) randomization was not performed, and Kargar-Barzi was not clearly described. [ 49 ] In the rest of the initial studies, randomization was performed and optimal randomization was observed in a number of studies[ 14 16 17 18 24 38 39 41 46 ] and in terms of the important prognostic indicators, the groups were similar based on several participants at baseline. [ 14 16 17 24 35 38 39 40 41 44 45 ] All RCTs have inclusion and exclusion criteria.…”

“…[ 49 ] In the rest of the initial studies, randomization was performed and optimal randomization was observed in a number of studies[ 14 16 17 18 24 38 39 41 46 ] and in terms of the important prognostic indicators, the groups were similar based on several participants at baseline. [ 14 16 17 24 35 38 39 40 41 44 45 ] All RCTs have inclusion and exclusion criteria. In the various study designs, the FCCC or family intervention structure was ambiguous or not clearly described.…”

“…[ 10 11 13 ] The purpose of using family-centered collaborative care (FCCC) is to enhance an individual's general and social functioning, to achieve appropriate care, communication, adherence to treatment, quality of life, safety, and family support (FS), and to reduce positive and negative symptoms, relapse rate, and re-hospitalization. [ 14 15 16 17 18 19 20 21 22 23 24 ]…”