Effectiveness of home visits by mental health nurses for Japanese women with post-partum depression
ABSTRACT Post‐partum depression affects 10–13% of Japanese women, but many do not receive appropriate treatment or support. This intervention study evaluated the effectiveness of home visits by mental health nurses for Japanese women with post‐partum depression. Eighteen post‐partum women met the in...
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| Veröffentlicht in: | International journal of mental health nursing 2008-12, Vol.17 (6), p.419-427 |
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Post‐partum depression affects 10–13% of Japanese women, but many do not receive appropriate treatment or support. This intervention study evaluated the effectiveness of home visits by mental health nurses for Japanese women with post‐partum depression. Eighteen post‐partum women met the inclusion criteria and were randomly allocated into the intervention (n = 9) or control (n = 9) group at 1–2 months after giving birth. The intervention group received four weekly home visits by a mental health nurse. Control group participants received usual care. Two women in the intervention group did not complete the study. Depressive symptoms and quality of life were measured at 1 and 6 weeks' postintervention. In addition, participants completed an open‐ended questionnaire on satisfaction and meaning derived from the home visits. Women in the intervention group had significant amelioration of depressive symptoms over time and reported positive benefits from the home visits, but there were no statistically significant differences between groups. Significant differences (P |
| doi_str_mv | 10.1111/j.1447-0349.2008.00568.x |
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Post‐partum depression affects 10–13% of Japanese women, but many do not receive appropriate treatment or support. This intervention study evaluated the effectiveness of home visits by mental health nurses for Japanese women with post‐partum depression. Eighteen post‐partum women met the inclusion criteria and were randomly allocated into the intervention (n = 9) or control (n = 9) group at 1–2 months after giving birth. The intervention group received four weekly home visits by a mental health nurse. Control group participants received usual care. Two women in the intervention group did not complete the study. Depressive symptoms and quality of life were measured at 1 and 6 weeks' postintervention. In addition, participants completed an open‐ended questionnaire on satisfaction and meaning derived from the home visits. Women in the intervention group had significant amelioration of depressive symptoms over time and reported positive benefits from the home visits, but there were no statistically significant differences between groups. Significant differences (P < 0.05) were observed at times 2 and 3 between groups in terms of increased median scores of physical, environmental, and global subscales, and the total average score of the World Health Organization/quality of life assessment instrument. On the psychological subscale, significant differences (P = 0.042) were observed between groups at time 2. The qualitative analysis of comments about home visitation revealed four categories related to ‘setting their mind at ease’, ‘clarifying thoughts’, ‘improving coping abilities’, and ‘removing feelings of withdrawal from others’. These results suggest that home visits by mental health nurses can contribute to positive mental health and social changes for women with post‐partum depression. A larger trial is warranted to test this approach to care.</description><identifier>ISSN: 1445-8330</identifier><identifier>EISSN: 1447-0349</identifier><identifier>DOI: 10.1111/j.1447-0349.2008.00568.x</identifier><identifier>PMID: 19128289</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adaptation, Psychological ; Adult ; Childbirth & labor ; Community Health Nursing ; Community Mental Health Services ; Coping ; Depression ; Depression, Postpartum - nursing ; Depression, Postpartum - psychology ; Domiciliary visits ; Female ; Follow-Up Studies ; home visit ; House Calls ; Humans ; Intervention ; Japan ; Japanese women ; Meaning ; Mental depression ; Mental health ; mental health nursing ; Models, Nursing ; Nurses ; Nursing ; Patient Satisfaction ; post-partum depression ; Postnatal depression ; Postpartum depression ; Postpartum period ; Postpartum women ; Psychiatric nurses ; Psychiatric Nursing ; Psychological assessment ; Qualitative research ; Quality of life ; Quality of Life - psychology ; Questionnaires ; Social change ; Symptoms ; Womens health</subject><ispartof>International journal of mental health nursing, 2008-12, Vol.17 (6), p.419-427</ispartof><rights>2008 The Author. Journal compilation © 2008 Australian College of Mental Health Nurses Inc.</rights><rights>Copyright Wiley Subscription Services, Inc. Dec 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4968-26b9133b27ebbeb0545a4b017c607873c9c4b02db99a81a723ce9f3d15a9a6993</citedby><cites>FETCH-LOGICAL-c4968-26b9133b27ebbeb0545a4b017c607873c9c4b02db99a81a723ce9f3d15a9a6993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1447-0349.2008.00568.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1447-0349.2008.00568.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,30977,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19128289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tamaki, Atsuko</creatorcontrib><title>Effectiveness of home visits by mental health nurses for Japanese women with post-partum depression</title><title>International journal of mental health nursing</title><addtitle>Int J Ment Health Nurs</addtitle><description>ABSTRACT
Post‐partum depression affects 10–13% of Japanese women, but many do not receive appropriate treatment or support. This intervention study evaluated the effectiveness of home visits by mental health nurses for Japanese women with post‐partum depression. Eighteen post‐partum women met the inclusion criteria and were randomly allocated into the intervention (n = 9) or control (n = 9) group at 1–2 months after giving birth. The intervention group received four weekly home visits by a mental health nurse. Control group participants received usual care. Two women in the intervention group did not complete the study. Depressive symptoms and quality of life were measured at 1 and 6 weeks' postintervention. In addition, participants completed an open‐ended questionnaire on satisfaction and meaning derived from the home visits. Women in the intervention group had significant amelioration of depressive symptoms over time and reported positive benefits from the home visits, but there were no statistically significant differences between groups. Significant differences (P < 0.05) were observed at times 2 and 3 between groups in terms of increased median scores of physical, environmental, and global subscales, and the total average score of the World Health Organization/quality of life assessment instrument. On the psychological subscale, significant differences (P = 0.042) were observed between groups at time 2. The qualitative analysis of comments about home visitation revealed four categories related to ‘setting their mind at ease’, ‘clarifying thoughts’, ‘improving coping abilities’, and ‘removing feelings of withdrawal from others’. These results suggest that home visits by mental health nurses can contribute to positive mental health and social changes for women with post‐partum depression. A larger trial is warranted to test this approach to care.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Childbirth & labor</subject><subject>Community Health Nursing</subject><subject>Community Mental Health Services</subject><subject>Coping</subject><subject>Depression</subject><subject>Depression, Postpartum - nursing</subject><subject>Depression, Postpartum - psychology</subject><subject>Domiciliary visits</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>home visit</subject><subject>House Calls</subject><subject>Humans</subject><subject>Intervention</subject><subject>Japan</subject><subject>Japanese women</subject><subject>Meaning</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>mental health nursing</subject><subject>Models, Nursing</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Patient Satisfaction</subject><subject>post-partum depression</subject><subject>Postnatal depression</subject><subject>Postpartum depression</subject><subject>Postpartum period</subject><subject>Postpartum women</subject><subject>Psychiatric nurses</subject><subject>Psychiatric Nursing</subject><subject>Psychological assessment</subject><subject>Qualitative research</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Questionnaires</subject><subject>Social change</subject><subject>Symptoms</subject><subject>Womens health</subject><issn>1445-8330</issn><issn>1447-0349</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkdtu1DAQhi0EoqXwCsgSElwl-JTYlrhBVVtabQtSOVxajnei9ZITdtLdffs63VWRuAB84xnN98-M_SOEKclpOu_XORVCZoQLnTNCVE5IUap8-wQdPxaePsRFpjgnR-hFjGtCqNRUPEdHVFOmmNLHyJ3VNbjR30EHMeK-xqu-BXznox8jrna4hW60DV6BbcYV7qYQIeK6D_jKDjZpAG-SoMMbn8pDH8dssGGcWryEIaSWvu9eome1bSK8Otwn6Nv52dfTT9ni88Xl6cdF5oQuVcbKSlPOKyahqqAihSisqNLOriRSSe60SylbVlpbRa1k3IGu-ZIWVttSa36C3u37DqH_NUEcTeujg6ZJe_ZTNIrrQhHB5T9JWSaqkGWRyLd_JdNcIRifwTd_gOt-Cl16r2GUlcUM0USpPeVCH2OA2gzBtzbsDCVmttaszeygmR00s7XmwVqzTdLXhwFT1cLyt_DgZQI-7IGNb2D3343N5c11CpI828t9HGH7KLfhpyll-g3z4-bCfL_Wt7fniy9G8nvLPcC5</recordid><startdate>200812</startdate><enddate>200812</enddate><creator>Tamaki, Atsuko</creator><general>Blackwell Publishing Asia</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200812</creationdate><title>Effectiveness of home visits by mental health nurses for Japanese women with post-partum depression</title><author>Tamaki, Atsuko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4968-26b9133b27ebbeb0545a4b017c607873c9c4b02db99a81a723ce9f3d15a9a6993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Childbirth & labor</topic><topic>Community Health Nursing</topic><topic>Community Mental Health Services</topic><topic>Coping</topic><topic>Depression</topic><topic>Depression, Postpartum - nursing</topic><topic>Depression, Postpartum - psychology</topic><topic>Domiciliary visits</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>home visit</topic><topic>House Calls</topic><topic>Humans</topic><topic>Intervention</topic><topic>Japan</topic><topic>Japanese women</topic><topic>Meaning</topic><topic>Mental depression</topic><topic>Mental health</topic><topic>mental health nursing</topic><topic>Models, Nursing</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Patient Satisfaction</topic><topic>post-partum depression</topic><topic>Postnatal depression</topic><topic>Postpartum depression</topic><topic>Postpartum period</topic><topic>Postpartum women</topic><topic>Psychiatric nurses</topic><topic>Psychiatric Nursing</topic><topic>Psychological assessment</topic><topic>Qualitative research</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Questionnaires</topic><topic>Social change</topic><topic>Symptoms</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tamaki, Atsuko</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>International journal of mental health nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tamaki, Atsuko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of home visits by mental health nurses for Japanese women with post-partum depression</atitle><jtitle>International journal of mental health nursing</jtitle><addtitle>Int J Ment Health Nurs</addtitle><date>2008-12</date><risdate>2008</risdate><volume>17</volume><issue>6</issue><spage>419</spage><epage>427</epage><pages>419-427</pages><issn>1445-8330</issn><eissn>1447-0349</eissn><abstract>ABSTRACT
Post‐partum depression affects 10–13% of Japanese women, but many do not receive appropriate treatment or support. This intervention study evaluated the effectiveness of home visits by mental health nurses for Japanese women with post‐partum depression. Eighteen post‐partum women met the inclusion criteria and were randomly allocated into the intervention (n = 9) or control (n = 9) group at 1–2 months after giving birth. The intervention group received four weekly home visits by a mental health nurse. Control group participants received usual care. Two women in the intervention group did not complete the study. Depressive symptoms and quality of life were measured at 1 and 6 weeks' postintervention. In addition, participants completed an open‐ended questionnaire on satisfaction and meaning derived from the home visits. Women in the intervention group had significant amelioration of depressive symptoms over time and reported positive benefits from the home visits, but there were no statistically significant differences between groups. Significant differences (P < 0.05) were observed at times 2 and 3 between groups in terms of increased median scores of physical, environmental, and global subscales, and the total average score of the World Health Organization/quality of life assessment instrument. On the psychological subscale, significant differences (P = 0.042) were observed between groups at time 2. The qualitative analysis of comments about home visitation revealed four categories related to ‘setting their mind at ease’, ‘clarifying thoughts’, ‘improving coping abilities’, and ‘removing feelings of withdrawal from others’. These results suggest that home visits by mental health nurses can contribute to positive mental health and social changes for women with post‐partum depression. A larger trial is warranted to test this approach to care.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>19128289</pmid><doi>10.1111/j.1447-0349.2008.00568.x</doi><tpages>9</tpages></addata></record> |
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| subjects | Adaptation, Psychological Adult Childbirth & labor Community Health Nursing Community Mental Health Services Coping Depression Depression, Postpartum - nursing Depression, Postpartum - psychology Domiciliary visits Female Follow-Up Studies home visit House Calls Humans Intervention Japan Japanese women Meaning Mental depression Mental health mental health nursing Models, Nursing Nurses Nursing Patient Satisfaction post-partum depression Postnatal depression Postpartum depression Postpartum period Postpartum women Psychiatric nurses Psychiatric Nursing Psychological assessment Qualitative research Quality of life Quality of Life - psychology Questionnaires Social change Symptoms Womens health |
| title | Effectiveness of home visits by mental health nurses for Japanese women with post-partum depression |
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