Effects of Home Visits and Planned Education on Mothers’ Postpartum Depression and Quality of Life

Yıl 2018, , 119 - 125, 10.09.2018

Havva Tel

https://doi.org/10.5799/jcei.458759

Öz

Objective: The present study aims at determining the effects of
home visits and planned training on mothers’ postpartum depression and quality
of life.

Materials and Methods: The sample of quasi-experimental study was consisted
of 70 women. Study data were collected by means of a personal information
questionnaire, the Edinburgh Postpartum Depression Scale and the World Health
Organization Quality of Life Scale (WHOQOL-BREF).

Results: The average age of the mothers is between 25.50±4.78.
In repeated measurements, statistically significant differences were found
among quality of life scores of mothers (p<0.05), and their quality of life
scores were found to be higher in the third measurement when compared to the
first measurement. In all repeated measurements, a statistically significant
negative relationship was found between depression and quality of life scores
of mothers (p<0.05), and mothers’ depression scores were seen to decrease as
their quality of life scores increased. Statistically significant differences
(p<0.05) were found among depression scores according to mothers’ education
level and among quality of life scores according to their number of
pregnancies. University graduate mothers’ depression scores decreased in the
second measurement and scores were the same in the third measurement. In the
third measurement, primiparous mothers’ quality of life scores were found to be
higher than in the first measurement.

Conclusions: The study findings demonstrate that mothers are at
risk of depression during the postpartum period, postpartum depression
negatively affects their quality of life, and home visits and training increase
their quality of life and decrease their depression risk. 

Anahtar Kelimeler

Health education, home visits, postpartum depression, quality of life

Kaynakça

• 1. Sword W, Watt S. Learning needs of postnatal women: does socioeconomic status matter? Birth. 2005; 32: 86–92.
• 2. Kaya B, Akdolun Balkaya N. Home care services in the postnatal period and responsibilities of midwifes/nurses. Fırat Journal of Health Services. 2011; 6: 19–32.
• 3. Durat G, Kutlu Y. The prevalance of postnatal depression and related factors in Sakarya. New Symposium Journal. 2010; 48: 63–68.
• 4. Yıldız D, Albayrak N. The effect of education and counseling services given to the primipara mothers during postnatal period on infant care, anxiety level and role of motherhood. Gulhane Med J. 2014; 56: 36–41.
• 5. Mauthner NS. Postnatal depression: how can midwifes help? Midwifery. 1997; 13: 163–171.
• 6. Meltzer-Brody S, Howard LM, Bergink V, et al. Postpartum psychiatric disorders. Nat Rev Dis Primers. 2018; 26: 18022.
• 7. Poromaa IS, Comasco E, Georgakis MK, Skalkidou A. Sex differences in depression during pregnancy and the postpartum period. Journal of Neuroscience Research. 2017; 95: 719-730.
• 8. Bloch M, Rotenberg N, Koren D, Klein E. Risk factors for early postnatal depressive symptoms. Gen Hosp Psychiatry. 2006; 28: 3–8.
• 9. De Tychey C, Briançon S, Lighezzolo J, et al. Quality of life, postnatal depression and baby gender. J Clin Nurs. 2008; 17: 312–322.
• 10. Fiala A, Švancara J, Klánová J, Kašpárek T. Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study. BMC Psychiatry. 2017; 17:104.
• 11. Yaman Efe Ş, Taşkın L, Eroğlu K. Postnatal depression and effecting factors in Turkey. J Turkish-German Gynecol Assoc. 2009; 10: 14–20.
• 12. Husain N, Bevc I, Husain M, Chaudhry IB, Atif N, Rahman A. Prevalence and social correlates of postnatal depression in a low income country. Arch Womens Ment Health. 2006; 9: 197–202. 13. Üstgörül S, Yanıkkerem E. Psychosocial health of women during postpartum period and affecting risk factors. G.O.P. Taksim E.A.H. Jaren. 2017; 3: 61–68.
• 14. Aktaş MC, Şimşek Ç, Aktaş S. Etiology of postpartum depression: culture effect. G.O.P. Taksim E.A.H. Jaren. 2017; 3: 10–13.
• 15. Kennedy HP, Beck CT, Dricoll JW. A light in the fog: caring for women with postnatal depression. J Midwifery Womens Health. 2002; 47: 318–330.
• 16. Verkerk GJM, Denollet J, Heck GLV, Van Son MJ, Pop VJ. Patient preference for counselling predicts postnatal depression: a prospective 1 years follow up study in high risk women. J Affect Disord. 2004; 83: 43–48.
• 17. Da Costa D, Dritsa M, Rippen N, Lowensteyn I, Khalifé S. Health related quality of life in postnatal depressed women. Arch Womens Ment Health. 2006; 9: 95–102.
• 18. Deltsidou A, Pappa E, Sarantaki A, Bouroutzoglou M, Kallia T, Nanou C. Postpartum stress in relation with depression and anxiety in a sample of Greek postpartum women. International Journal of Caring Sciences. 2018; 11: 12–22.
• 19. Cantwell R, Coxw JL. Psychiatric disorders in pregnancy and the puerperium. Current Obstetrics & Gynaecology. 2003; 13: 7–13.
• 20. Chang H-P, Chen J-Y, Huang Y-H, et al. Prevalence and factors associated with depressive symptoms in mothers with infants or toddlers. Pediatrics and Neonatology. 2014; 55: 470–479.
• 21. Rojas G, Fritsch R, Solís J, González M, Guajardo V, Araya R. Quality of life of women depressed in the post-partum period. Rev Med Chil. 2006; 134: 713–720.
• 22. Gözüm S, Kılıç D. Health problems related to early discharge of Turkish women. Midwifery. 2005; 21: 371–378.
• 23. Tezel A, Gözüm S. Depressive symptoms which might be seen in postnatal period in women and nursing care. Journal of Hacettepe University School of Nursing. 2005; 12: 62–68.
• 24. T.C. Milli Eğitim Bakanlığı. Aile Sağlığı ve Ev Ziyaretleri. Ankara. 2013. http://www.megep.meb.gov.tr/mte_program_modul/moduller_pdf
• 25. Gölbaşı Z. Early postpartum discharge home care services and nursing. Cumhuriyet University Nursing High School Journal. 2003; 7: 15–22.
• 26. Aydın N, Inandı T, Karabulut N. Depression and associated factors among women within their first postnatal year in Erzurum province in eastern Turkey. Women Health. 2005; 41: 1–12.
• 27. Dindar I, Erdoğan S. Screening of Turkish women for postnatal depression within the first postnatal year: the risk profile of a community sample. Public Health Nursing. 2007; 24: 176–183.
• 28. Durukan E, İlhan MN, Bumin MA, Aycan S. Postnatal depression frequency and quality of life among a group of mothers having a child aged 2 weeks-18 months. Balkan Med J. 2011; 28: 385–393.
• 29. Taskın L. Birth and women’s health nursing, 9th edn. Ankara: Sistem Offset Printing, 2009.
• 30. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10 item Edinburgh Postnatal Depression scale. Br J Psychiatry. 1987; 150: 782–786.
• 31. Engindeniz AN, Küey L, Kültür S. Edinburg doğuym sonu depresyon ölçeği Türkçe formu geçerlilik ve güvenirlik çalışması. Bahar Sempozyumları. 1996; 1: 51–52.
• 32. Eser E, Fidaner H, Fidaner, C, Eser SY, Eser E, Goker E. Psychometric properties of the WHOQOL-1OO and WHOQOL-BREF. Psychiatry Psychology Psychopharmacology Journal. 1999; 7: 23–40.
• 33. Tamaki A. Effectiveness of home visits by mental health nurses for Japanese women with post-partum depression. Int J Ment Health Nurs. 2008; 17: 419–427.
• 34. Boyce PM, Johnstone SJ, Hickey AR, Morris-Yates AD, Harris MG, Strachan T. Functioning and well-being at 24 weeks postnatal of women with postnatal depression. Archives of Women’s Mental Health. 2000; 3: 91–97.
• 35. Sadat Z, Abedzadeh-Kalahroudi M, Kafaei Atrian M, Karimian Z, Sooki Z. The impact of postnatal depression on quality of life in women after child’s birth. Iran Red Crescent Med J. 2014; 16: e14995.
• 36. Tungchama FP, Piwuna CG, Armiya’u AY, et al. Relationship between quality of life and postpartum depression among women in North- Central, Nigeria. Highland Medical Research Journal. 2017; 17: 11–18.
• 37. Horowitz JA, Murphy CA, Gregory KE, Wojcik J. A Community-based screening initiative to identify mothers at risk for postnatal depression. J Obstet Gynecol Neonatal Nurs. 2011; 40: 52–61.
• 38. Inandi T, Elci OC, Ozturk A, Egri M, Polat A, Sahin TK. Risk factors for depression in postnatal first year, in eastern Turkey. Int J Epidemiol. 2002; 31: 1201–1207.
• 39. Papamarkou M, Sarafis P, Kaite CP, Malliarou M, Tsounis A, Niakas D. Investigation of the association between quality of life and depressive symptoms during postpartum period: a correlational study. BMC Womens Health. 2017; 17: 115.
• 40. Tarkka M, Paunonen M, Laippala P. How first-time mothers cope with child care while stil in the maternity ward. Int J Nurs Pract. 2000; 6: 97–100.
• 41. Akdolun Balkaya N. Care needs of mothers in postnatal period and the role of the midwife and nurse. Journal of Cumhuriyet University School of Nursing. 2002; 6: 42–49.
• 42. Arslan F. Determining the effect of education and counceling program given to the care during last trimester and postnatal period on the quality of life. Institute of Health Sciences of Gulhane Military Medical Academy, Department of Child Health and Diseases Nursing, Ankara, 2001.