培训初级卫生保健工作者识别产前抑郁症的可行性
Susan Thomas1, Maria Ekstrand2, Tinku Thomas3
1Division of Mental Health and Neurosciences, St. John's Research Institute, Bengaluru, Karnataka, India.
Global mental health (Cambridge, England)
|October 19, 2023
概括
在印度城市培训初级卫生保健工作者查产前抑郁症显著提高了他们的知识和技能. 这种任务转移方法在25%的孕妇中成功识别了抑郁症状,在资源较少的环境中证明了可行性.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 孕产妇健康 孕产妇健康
背景情况:
- 产前抑郁症对母亲和婴儿的福祉构成风险.
- 将任务转移给初级医疗保健工作者可以解决资源有限的地区的医疗保健负担.
研究的目的:
- 评估印度城市地区培训初级卫生保健工作者对识别产前抑郁症的影响.
- 评估将产前抑郁查纳入常规产前护理中的可行性.
主要方法:
- 班加罗尔的20名初级卫生保健工作者接受了基于知识和技能的培训.
- 培训使用了心理健康差距行动计划和患者健康问卷-9.
- 在训练干预之前和之后进行了抑郁症状查.
主要成果:
- 卫生工作者在知识 (p < 0.001),感知技能 (p = 0.032) 和自我效能 (p = 0.036) 上显著改善.
- 训练后,25%的接受查的孕妇报告有抑郁症状,而在训练前没有任何症状.
- 培训提高了护士,初级卫生助理和认可的社会卫生活动家 (ASHAs) 的能力.
结论:
- 培训初级卫生保健工作者有效地提高了他们对产前抑郁症查能力.
- 将产前抑郁症查整合到初级保健中是可行的,并在城市,低资源环境中有益的.
- 任务转移可以改善母亲心理健康护理的获取和结果.
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