30 มิ.ย. 2564

Thai Pharmaceutical and Health Science Journal

16

109-119

คณะเภสัชศาสตร์ มหาวิทยาลัยศรีนครินทรวิโรฒ

Abstract Objectives: To determine the feasibility, acceptability and preliminary effectiveness of the Nurse–Led Social Support Program (NLSS program) to prevent PPD among adolescent mothers. Methods: Out of 27 adolescent mothers assessed for eligibility, a total of 5 adolescent mothers who had Edinburgh Postnatal Depression Scale (EPDS) scores of < 13 points and 5 primary family members were enrolled in the program. The NLSS program is an intervention combining the support from family members of adolescents and midwives. The program consisted of four sessions with home-visit over a period of 4 weeks after childbirth. Feasibility was assessed by considering attendance and drop-out rates, and acceptability by the evaluation form developed by the researchers. PPD was assessed by EPDS with scores > 13 points at baseline, post-intervention (4-weeks postpartum) and follow-up (6-weeks postpartum). Repeated measures ANOVA were used to analyze the data. Results: All participants completely participated in all sessions and activities of the program. They reported the program as helpful and useful in preventing PPD and expressed satisfaction with the program. The EPDS scores decreased over from baseline to post-intervention and follow-up (P-value < 0.001) and each of the 3 pairs of comparison were significance (P-value < 0.05 for all). Conclusions: The findings indicated the NLSS program was feasible, acceptable and effective for preventing PPD in adolescent mothers. A randomized controlled trial with a larger sample size should be conducted.

http://ejournals.swu.ac.th/index.php/pharm/article/view/13665