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产后支持的技术辅助护理:一项随机对照试验
Author(s) -
McCarter Deborah E.,
Demidenko Eugene,
Sisco Tauna S.,
Hegel Mark T.
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14114
Subject(s) - randomized controlled trial , edinburgh postnatal depression scale , medicine , postpartum depression , psychological intervention , mood , nursing interventions classification , intervention (counseling) , postpartum period , nursing , perceived stress scale , clinical psychology , pregnancy , psychiatry , depressive symptoms , anxiety , stress (linguistics) , linguistics , philosophy , surgery , biology , genetics
Aim To determine if an electronic nursing intervention during the first 6 months postpartum was effective in improving mood and decreasing stress. Background Unmet needs postpartum can have a negative impact on mood and parenting stress. Technology‐assisted nursing care may provide needed support and reduce risk. Design Randomized controlled trial (RCT) with three conditions. Methods Enrollment began on 11 May 2017. Participants were randomized into one of three groups after completion of the baseline survey. Intervention I participants received standardized electronic messages four times/week for 6 months postpartum. Intervention II participants additionally received the option for nurse contact. Depression and parenting stress as measured using the Edinburgh Postnatal Depression Scale (EPDS) and Parenting Stress Index‐Short form (PSI‐SF) was obtained at 3 weeks, 3 months and 6 months postpartum and results compared with a usual care group. Patient satisfaction and nursing factors were measured. Results Significantly higher satisfaction scores were found in both intervention groups as compared with control, but there were no significant changes in EPDS or PSI‐SF. Conclusion The interventions were perceived as helpful and not burdensome. Better nurse‐sensitive outcome measures are needed to adequately assess effectiveness. Impact Postpartum women report unmet needs for support and education. The interventions were perceived as being helpful but did not significantly reduce depressive symptoms or parenting stress. Nurses can use this research to inform development of innovative approaches to support postpartum women. Trial registration number ClinicalTrials.gov NCT 02843022.