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Nurse-Patient Interaction as a Treatment for Antepartum Depression: A Mixed-Methods Analysis [Formula: see text]
Emily C Evans1, Nancy L Deutsch2, Emily Drake3
11 Emily C. Evans, PhD, NP, RN, University of Virginia, Charlottesville, VA, USA.
Summary
Nurse-delivered telephone support improved mental health for low-income pregnant women in rural areas. This intervention may help treat or prevent antepartum depression, especially for high-risk individuals.
Area of Science:
- Nursing interventions
- Maternal mental health
- Telehealth
Background:
- U.S. Preventative Services Task Force recommends depression screening for pregnant women.
- Need for adequate systems to treat depression in pregnant women.
- Focus on underserved, low-income, rural pregnant populations.
Purpose of the Study:
- Examine a nurse-delivered telephone support intervention.
- Targeted low-income, pregnant women in rural settings.
- Assess intervention effectiveness using Peplau's theory.
Main Methods:
- Complementary mixed-methods design.
- Utilized secondary data analysis.
- Guided by Peplau's theory of interpersonal relations.
Main Results:
- Interpersonal relations theory phases observed in interactions.
- High-risk women appreciated and utilized nursing support.
- Average Mental Health Index-5 scores improved significantly (45 to 66).
Conclusions:
- Nurse-delivered telephone support is effective for underserved women.
- Intervention shows potential for treating or offsetting antepartum depression.
- Peplau's theory provides a useful framework for such interventions.
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