在儿科初级保健中增加产后抑郁症查和资源:一个质量改进项目,以提高提供者的信心
Rachel E Marquez1, Kristina S Miller1
1After Hours Pediatrics, 9210 Golf Course Rd NW, Albuquerque, NM 87114, USA; University of South Alabama College of Nursing, 5721 USA Drive North, Mobile, AL 36688, USA.
Journal of pediatric nursing
|December 2, 2023
概括
提供者教育显著增加了产后抑郁症 (PPD) 查和对儿科初级保健的信心. 这一举措改善了对患有PPD的母亲的识别和支持.
科学领域:
- 儿科 儿科 儿科
- 孕产妇健康 孕产妇健康
- 心理健康 心理健康
背景情况:
- 未经治疗的产后抑郁症 (PPD) 会对儿童发育产生负面影响.
- 质量改善 (QI) 项目专注于加强儿科初级保健中PPD查.
研究的目的:
- 通过提供者教育提高PPD查率.
- 提高儿科初级保健提供者 (PCP) 对使用爱丁堡产后抑郁查 (EPDS) 工具的信心.
- 提高PCP讨论PPD的能力,并为母亲提供资源.
主要方法:
- 教育PCP和工作人员进行PPD查和管理.
- 在实施前和实施后对被调查的提供商进行了调查,以评估信心水平.
- 0-6个月婴儿的在保健所访问时使用EPDS进行查,根据需要提供支持和资源.
主要成果:
- 在273名符合条件的母亲中,有65%的母亲有记录的EPDS分数.
- 12.4%的查母亲得分为10或更高,表明PPD风险高.
- 在PPD查,EPDS工具使用,PPD讨论和PCP提供的资源方面观察到显著增加.
结论:
- 提供者教育有效地增加了儿科初级保健中PPD查.
- 提高PCP对查,讨论PPD和提供资源的信心.
- 改善对患有PPD的母亲的鉴定和支持,可以带来更好的家庭结果.
相关概念视频
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Diagnostic and Statistical Manual of Mental Disorders (DSM)
58
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
58
Specialized Care Centers and Settings-I
946
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
946
Community Based Intervention
44
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
44
Depression: Overview
252
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
252
Depressive Disorders: Etiology
103
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
103


