两组产前护理干预对心理健康的影响:一个RCT
Susan Gennaro1, Bernadette Mazurek Melnyk2, Laura A Szalacha3
1William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts.
American journal of preventive medicine
|February 7, 2024
概括
认知行为疗法 (CBT) 和健康促进改善了孕妇的心理健康和健康行为. 这两种干预都是由组产前护理的护士进行的,随着时间的推移显示出了积极的变化.
科学领域:
- 围产期心理健康问题
- 行为干预措施 行为干预
- 小组产前护理团队提供产前护理.
背景情况:
- 围产期抑郁和焦虑带来了巨大的成本和不良结果.
- 障碍限制了孕妇获得认知行为疗法 (CBT) 的机会.
- CBT是这些疾病的经过验证的治疗方法.
研究的目的:
- 检查基于CBT的干预对孕妇焦虑,抑郁,压力和健康生活方式的影响.
- 为了比较基于CBT的程序与标准的健康促进内容在组产前护理.
主要方法:
- 在分组产前护理中进行了一项双臂随机对照试验 (RCT).
- 参与者 (n=299) 是黑人和西班牙裔个人,他们的心理健康问题查高.
- 干预涉及基于CBT的计划 (创造个人赋权机会) 或由高级实践护士提供的健康促进.
主要成果:
- 对于焦虑,抑郁,压力或健康的信念/行为,CBT和健康促进组之间没有发现统计学上显著的差异.
- 随着时间的推移,在所有指标上都观察到两组的显著改善.
- 焦虑,抑郁和压力下降,而健康的信念和行为从基线增加到干预结束.
结论:
- 无论是CBT还是健康促进内容,当由高级实践护士在团体产前护理中提供时,都有效地改善了心理健康和健康生活方式的信念和行为.
- 这些改善发生在围产期情绪通常恶化的时期.
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