Seeing Through the Shadows: A Strategy to Improve Postpartum Depression Screening Practices.

IF 0.2 Q4 NURSING Journal of Doctoral Nursing Practice Pub Date : 2023-06-27 DOI:10.1891/JDNP-2021-0037
Toni T Zappulla, Susan M Wechter
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Abstract

Background: The pilgrimage of this Doctor of Nursing Practice project was to bring postpartum depression (PPD) out of the shadows and into the light. A gap existed in a postpartum ambulatory setting with the screening, detection, and treatment of PPD. Objective: A quality improvement project with an evidence-based standard of care for PPD screening was implemented with every postpartum patient. Methods: The Edinburgh Postnatal Depression Scale-10 (EPDS-10; Cox, et al., 1987) was used as a reliable and valid screening instrument to screen 46 postpartum women. Results: Screening for PPD increased from 10.9% to 95.8% after the implementation of the EPDS. Referral and treatment of PPD increased from 1.8% to 19.6%. Conclusion: This project established an evidence-based standard of care that can be implemented with every postpartum patient and brought nine women out of the shadows with the hope that they can find the light to recover from PPD. Implications for Nursing: Screening for PPD is recommended by experts and is a Healthy People 2030 goal (ACOG, 2018; USPSTF, 2018). Universal screening with a validated tool may lead to improved compliance with screening, detection, and treatment of PPD. The outcomes of this project inform and prepare clinicians for the predicted mandate of national screening for PPD.

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透视阴影:改善产后抑郁症筛查实践的策略。
背景:本次护理实践博士项目的朝圣之旅是将产后抑郁症(PPD)从阴影中带到了光明中。产后门诊的筛查、检测和治疗存在差距。目的:采用循证护理标准对每位产后产后患者进行产后产后疾病筛查质量改进。方法:采用爱丁堡产后抑郁量表(EPDS-10);Cox等(1987)作为一种可靠有效的筛查工具,对46名产后妇女进行了筛查。结果:实施EPDS后,PPD的筛查率从10.9%提高到95.8%。PPD的转诊和治疗从1.8%增加到19.6%。结论:本项目建立了一个循证的护理标准,可以落实到每一位产后患者身上,让9名女性走出阴影,希望她们能找到从产后抑郁症中恢复过来的光明。对护理的影响:专家建议筛查PPD,这是健康人群2030的目标(ACOG, 2018;USPSTF, 2018)。使用经过验证的工具进行普遍筛查可能会提高PPD筛查、检测和治疗的依从性。该项目的结果为临床医生提供信息,并为PPD国家筛查的预期任务做好准备。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
45
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