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在低收入拉丁裔妇女中进行产后抑郁干预的家庭访问:来自PST4PPD项目的结果

McClain Sampson¹, Miao Yu¹, Rebecca Mauldin²

¹Graduate College of Social Work, University of Houston, Houston, USA.

Social work in public health

|March 6, 2024

概括

这项研究发现,由社区卫生工作者领导的家庭访问计划显著减少了产后抑郁症 (PPD) 症状,并改善了低收入拉丁裔母亲的自我效能.

科学领域:

围产期心理健康问题
社区卫生干预措施社区卫生干预
孕产妇护理中的健康差异

背景情况:

美国拉丁裔女性面临高产后抑郁症 (PPD) 率,但与非西班牙裔白人母亲相比,治疗利用率低.
在服务不足的人群中解决PPD需要文化敏感和可访问的干预措施.
由社区卫生工作者 (CHWs) 提供的家庭访问计划显示出改善母亲心理健康结果的希望.

研究的目的:

评估针对低收入拉丁裔母亲的多个地点,家庭访问干预 (PST4PPD) 的可行性.
评估干预对参与者抑郁症状和自我效能的影响.
探索CHW领导的计划在减少PPD差异方面的潜力.

主要方法:

在五个地点采用了一组前/后测试设计.
参与者 (n=76) 使用爱丁堡产后抑郁症量表 (EPDS),患者健康问卷 (PHQ-9),新一般自我效率量表和孕产妇效率问卷进行评估.
配对样本t测试用于分析抑郁症和自我有效性得分的变化.

主要成果:

从测试前到测试后,抑郁症得分 (EPDS和PHQ-9) 显著下降.
参与者在一般的自我效能,母亲的自我效能和关于PPD的知识方面表现出显著的增加.
该干预项目完成率为76%,表明可行性良好.

结论:

家庭访问干预 (PST4PPD) 是一种可行且有效的方法,可以减少PPD症状,并提高低收入拉丁裔母亲的自我效能.
针对自我效能和压力管理等可修改因素的干预措施对于解决PPD差异至关重要.
在文化上适应,医疗保健工作所提供的项目可以改善风险人群中的母亲心理健康结果.

关键词:

家庭访问计划家庭访问计划拉丁美洲拉丁美洲拉丁美洲拉丁美洲社区卫生工作者社区卫生工作者产后抑郁症产后抑郁症

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