The Effect Of Collaborative Care Model For Primipara On Preventing Postpartum Depression

Objective To test the effectiveness of Collaborative care model to postpartum depression, social support, self-efficacy and the influence of the mother’s role adaptation for primipara.Methods Select 104 cases primipara in a hospital from April,2015 to October,2015,and allocated them randomly to two groups: intervention group(52cases), control group(52cases),The intervention group accepted nursing intervention based on the collaboration care model,the control group accepted routine nursing intervention. Four questionnaires,including Edinburgh postpartum depression scale,Social Sport Rating scaleand General Self-Efficacy Scale on the day of admission, on the day of discharge and postpartum 42 days to evaluate the outcomes of the intervention effect.At the same time in the postpartum 42 days use mother role adaptation questionnaire survey.All data version using SPSS18.0statistical software for data analysis.Data were analyzed by the following statistical methods such as percentage, mean and standard deviation,Independent-test,chi-square, repetitive measure analysis of variance.Results1. The research selected 104 cases and allocated them randomly to two groups: intervention group(52cases) and control group(52cases),there were 3 cases lost in the control group after discharge,and 4 cases lost in the intervention group.A total of 97 cases completed the study subjects, effective rate was 93.3%.2. Antenatal depression score for primipara was(9.70±3.709), the incidence were 23.7%.Control group and intervention group in the general information, postpartum depression, social support and self efficacy,there was no statistical difference(P > 0.05), two groups were comparable.3. 104 cases,Edinburgh postpartum depression scores of day of discharge in control group and intervention group were(9.84±3.442)and(8.63±3.934),the difference between the two groups was not significant(P>0.05). The state postpartum depression incidence of thecontrol group and intervention group were 24.5% and 16.7%, the difference between the two groups was not significant(P>0.05).Social support scores of day of discharge in control group and intervention group were(36.90±4.934) and(38.23±4.338),the difference between the two groups was not significant(P>0.05).Self-efficacy scores of day of discharge in control group and intervention group were(25.94±4.811) and(26.71±4.704), the difference between the two groups was not significant(P>0.05).4. Intervention to postpartum 42 days for mothers and their families,Edinburgh postpartum depression scores in control group and intervention group were(9.84±3.442) and(8.63±3.934), there was significance difference(P<0.05).The state postpartum depression incidence of the control group and intervention group were 26.5% and8.3%, there was significance difference(P<0.05).Social support scores of discharge in control group and intervention group were(36.80±4.882) and(40.23±4.001),there was significance difference(P<0.05). Self-efficacy scores of discharge in control group and intervention group were(25.24±4.841) and(27.67±4.507), there was significance difference(P<0.05). Mother role adaptation scores of discharge in control group and intervention group were(50.16±10.953) and(58.35±11.531), there was significance difference(P<0.05).conclusion1. Collaborative care model can effectively improve the level of primipara social support, self-efficacy, and the mother role ability to adapt.2. The collaborative care model can reduce the incidence postpartum depression of primipara, effective in preventing postpartum depression.