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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Home-based nursing for improvement of quality of life and depression in patients with postpartum depression
Chun-Yu Zhuang, Sheng-Ying Lin, Chen-Jia Cheng, Xiao-Jing Chen, Hui-Ling Shi, Hong Sun, Hong-Yu Zhang, Mian-Ai Fu
Chun-Yu Zhuang, Sheng-Ying Lin, Hong Sun, Department of Nursing, Haikou Maternal and Child Health Hospital, Haikou 570203, Hainan Province, China
Chen-Jia Cheng, Department of Hepatobiliary Surgery, Hainan Provincial People's Hospital, Haikou 570311, Hainan Province, China
Xiao-Jing Chen, Department of Medicine, Haikou Maternal and Child Health Hospital, Haikou 570203, Hainan Province, China
Hui-Ling Shi, Department of Care Medicine, Haikou Maternal and Child Health Hospital, Haikou 570203, Hainan Province, China
Hong-Yu Zhang, Department of Midwifery, School of International Nursing, Hainan Medical College, Haikou 570203, Hainan Province, China
Mian-Ai Fu, Department of Reproductive Medicine, Haikou Maternal and Child Health Hospital, Haikou 570203, Hainan Province, China
Author contributions: Zhuang CY and Lin SY contributed equally to this article and should be regarded as co-first authors; Zhuang CY and Lin SY designed this retrospective study; Chen JC and Chen XJ wrote this paper; Shi HL, Zhang HY, and Sun H were responsible for sorting the data.
Institutional review board statement: The study was reviewed and approved by the Haikou Maternal and Child Health Hospital Institutional Review Board.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
http://creativecommons.org/Licenses/by-nc/4.0/ Corresponding author: Mian-Ai Fu, BM BCh, Chief Physician, Department of Reproductive Medicine, Haikou Maternal and Child Health Hospital, No. 6 Wentan Road, Haikou 570203, Hainan Province, China. a18907667866@126.com
Received: June 5, 2020
Peer-review started: June 5, 2020
First decision: July 25, 2020
Revised: July 30, 2020
Accepted: September 4, 2020
Article in press: September 4, 2020
Published online: October 26, 2020
BACKGROUND
Postpartum depression is a common mental illness in puerpera, with an incidence of approximately 3.5%-33.0% abroad, and the incidence of postpartum depression in China is higher than the international level, reaching 10.0%-38.0%. Providing effective nursing care in clinical nursing activities is one of the key points of obstetrical care. However, little research has been designed to investigate the positive role of home-based nursing in the prevention of postpartum depression .
AIM
To study the effect of home-based nursing for postpartum depression patients on their quality of life and depression.
METHODS
The clinical data of 92 patients with postpartum depression treated at our hospital were retrospectively analyzed. The patients were grouped according to the nursing methods used; 40 patients receiving basic nursing were included in a basic nursing group, and 52 receiving home-based nursing were included in a home-based nursing group. Depression and anxiety were evaluated and compared between the two groups. The estradiol (E2), serotonin (5-hydroxytryptamine, 5-HT), and progesterone (PRGE) levels were measured.
RESULTS
The SAS and SDS scores of the home-based nursing group were significantly lower than those of the basic nursing group (P < 0.05). The E2 and 5-HT levels of the home-based nursing group were significantly higher than those of the basic nursing group, but the PRGE level was significantly lower than that of the basic nursing group. The GQOLI-74 scores (material, social, somatic, and psychological) and nursing satisfaction were significantly higher in the home-based nursing group (P < 0.05).
CONCLUSION
Postpartum depression through home-based nursing can effectively alleviate depression and improve the quality of life of patients, help modulate their serum E2, 5-HT, and PRGE levels, and improve their satisfaction with nursing care.
Core Tip: Based on the nursing principle of "taking the patient as the nursing center", family nursing measures can improve the overall nursing quality and provide an effective psychological intervention for patients with clinical depression.
