The Effect Of Nursing Information Intervencing To Family’ Surpport System Of Puerpera On Preventing Postpartum Depression

Objects:Investigate the prenatal depression and social support and sleeping status and the social-psychic Information of the pregnant women, and to explore the influencing factors of the prenatal depression; explore the effect of the nursing information intervention to the family members on the knowledge awareness about the postpartum depression and puerperal care,on the postpartum depression and the social support and sleeping quality of the puerperal; we will apply the intervention of nursing information to the family members, and boost the family support for the mother, then we can establish an effective and feasible hospital-familial model to prevent postpartum depression, and to provide the practical basis of nursing intervention for the clinical nursing.Methods:We investigate153pregnant women (be pregnant for over36weeks to37weeks) to get some information about basic features of pregnant women and their families and related factors to prenatal depression by questionnaire survey. Including the questionnaire designed by myself, Zung Depression Scale(Self-Rating Depression Scale, SDS), the Social Support Rating Scale (social support ratin scale,SSRS), the Edinburgh Postnatal Depression Scale(Edinburgh Postnatal DePression Scale,EPDS), and Pittsburgh Sleep Quality Index(Pittsburgh Sleep Quality Index,PSQI). We give a Lecture on postpartum depression topics to the experimental group’s family member and organize a panel discussion and Individual guidance related to depression. We give a wholesome education on puerperal and infant care to the experimental group primipara and their family members when they delivery in hosipital, hold a telephone interview after the mother leaving hospital and feedback the views of the puerpera to their family member. After the nursing information intervene to the experimental group puerpera, we investigate how much relative knowledge do the family members master, the incidence of postpartum depression, the social support and the sleep quality of the puerpera. Then we compare these data with the matched group puerpera. All data were analyzed by SPSS software Version16.0. Statistical methods included descriptive statistics, chi-square (x2) test, T test compare Means analysis, Correlate analysis and logistic regression analysis.Result:the prevalence of prenatal depression was35.9%, Single factor analysis found the incidence of prenatal depression has a close relationship with the age, the education level, was primipara or not, adverse pregnancy history, only girl in her fanmily, character trait and her family’s revenue, the family ties, family member expect for fetal sexuality, social support, sleeping quality. Multiple-Factor logistic regression analysis discovers that the incidence of prenatal depression has a close relationship with the age, character trait, the experience of caring infant Relationship between mather-in-law,social support, sleeping quality of the puerpera and family member expect for fetal sexuality.The general social familial factor, prenatal depression, social support, sleeping quality that would influence on the postpartum depression rate between the two groups were not statistic different (P>0.05).Before nursing information intervence to the family members, the knowledge score relative to the depression and puerperal care of the two groups were26.45±5.85,26.35±5.87, the difference between the two was not significant (P=0.93>0.05). But after making intervention to the family members of the experimental group, the scores were28.28±5.73、46.79±6.70, the score of the experimental group was significantly higher than the matched group (P=0.000<0.05).After nursing intervention to the experimental family members,the postpartum depression rate of fifth days postpartum, the experimental group was28.1%, and the matched group was26.4%, there was not significant difference between two groups(P=0.38>0.05).the experimental group depression score was8.53±3.76, the matched was9.17±3.27, there was not significant difference(P=0.34>0.05); the experimental group social aggregate score was41.61±6.55, and the matched was40.92±6.47,there was not significant difference(P=0.58>0.05).After we take nursing intervention to the experimental family members, there was significant defference between the two groups on thirtieth days postpartum,such as, the postpartum depression rate of the experimental group was8.9%,and the matched grouP was25.5%, significantly higher than the experimengtal group(P=0.022<0.05). there also was significant difference in the depression score(P=0.000), the experimental group’s score was7.16±2.10, and the matched group was9.27±3.72. there was significant difference between the experimental and matched group(P=0.0000.05), social support aggregate score was45.59±4.80and41.47±6.32respectively. Bad sleeping quality rate was8.9%and45.1%respectively, there was significant difference between the two groups. The experimental group and matched group, sleeping quality scored3.98±1.95and7.16±2.73respectively,was significantly different(P=0.0000.05). the nocturnal sleep hours of the experimental group was7.52±1.24, and the matched group was6.45±1.53, there was significant difference between the two group(P=0.000<0.05).Conclusion:third trimester of pregnancy depression rate was35.9%, the prevalence of prenatal depression has a close relationship with the pregnancy women’s social-psychic factors and the the family status.The prevalence of prenatal depression was negatively correlated with their social supports, but was positively correlated with their sleep quality.Nursing information intervencing to the family’s members can advance the awareness of knowledge relative to depression and puerperal care.Nursing information intervention can advance the experimental group’s social support, reduce the postpartum depression and enhance sleep quality.The study found that changed postpartum living pattern and members of their families, puerperal can hardly avoid philosophic differences between family members. To create a substantial family support, members of family need the nursing information intervention. then provide practical basis for establish a hospital-family prevention model of postpartum depression for clinical nursing workers in the future.Innovation:The researchers enhance the maternal family support for key, and we make Nursing intervention of maternal family members as the prevention of postpartum depression strategy then we can reduce the family idea conflict, this research direction is currently relatively rare in china. After mothers discharge from hospital we continuely provide personalized nursing information support for the puerpera and their family members by telephone calls and other communications equipment in order to enhance the maternal family support.